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Norman M.
Norman M., Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA
Category: Mental Health
Satisfied Customers: 2568
Experience:  ADHP(NC), DEHP(NC), ECP, UKCP Registered.
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Have been on citalopram for years now and recently started

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have been on citalopram for years now and recently started to feel bad so upped from 40-50mg felt awful so have dropped back down to 40 again for almost a week now.the side effects are awful how long will this last and is it normal
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The very first thing is that you should not change your dosage without your Doc's approval. In this case the maximum allowable dose of citalopram is 40mg/day. At doses above that, ther is a serious risk of potentially fatal heart rhythm.

It is unlikely that the symproms you are suffering are 'withdrawal' issues - after all, having been on citalopram for so long you will have a fairly constant plasma level of the drug.

In the circumstances you should talk to your prescriber IMMEDIATELY about this.

Secondly, you might want to discuss with him a change in your medication, if it is not controlling your symptoms adequately, and finally, ask him if you should be receiving any psychotherapy.

Medication is fine insofar as it goes - it is good a controlling symptoms, but does not deal with root causes. A combination of psychotherapy and medication is usually much more effective than medication alone.