Finding the right depression treatment can take time. For many people, finding the right depression treatment is a trial-and-error process. In other cases, a person may start to feel better on an antidepressant, but the side effects are too bothersome for them to keep taking it. Exactly how antidepressants work is still a mystery. So, if you feel different immediately after starting a depression treatment, it could be a placebo effect, says Joseph Hullett, MD, medical director of behavioral health services at Molina Healthcare in San Juan Capistrano, California. Sometimes that placebo effect wears off, and the actual effect of the antidepressant kicks in.

Discontinuing an antidepressant medication usually involves reducing your dose in increments, allowing two to six weeks or longer between dose reductions. Your clinician can instruct you in tapering your dose and prescribe the appropriate dosage pills. In some cases, you can use a pill cutter to create smaller-dose pills, though be sure to check with your clinician or pharmacist to find out if your antidepressant can be cut. Your tapering schedule will depend on which antidepressant you're taking, how long you've been taking it, your current dose, and any symptoms you had during previous medication changes. However, depending on how you respond to each dose reduction, you may want to taper more gradually using smaller dose reductions, longer intervals between dose reductions, or both.

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Take this medicine only as directed by your doctor, to benefit your condition as much as possible. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Ask your doctor or pharmacist if you have any questions. Citalopram may be taken with or without food. If you are using the oral liquid, shake the bottle well before measuring each dose.

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Common side effects include nausea, trouble sleeping, sexual problems, shakiness, feeling tired, and sweating. In the National Institute for Health and Clinical Excellence ranking of ten antidepressants for efficacy and cost-effectiveness citalopram is fifth in effectiveness after mirtazapine, escitalopram, venlafaxine, and sertraline and fourth in cost-effectiveness. The ranking results were based on the meta-analysis by Andrea Cipriani. Citalopram is licensed in the UK and other European countries for panic disorder, with or without agoraphobia. Citalopram may be used off-label to treat anxiety, and dysthymia, premenstrual dysphoric disorder, body dysmorphic disorder, and obsessive—compulsive disorder.

However, your doctor or pharmacist may have suggested a different schedule that is more appropriate for you. Take it regularly and continuously to maintain its beneficial effects. It is not advisable to stop using this product suddenly, particularly if 20mg citalopram have been on it for several weeks. If you are considering stopping the medication, talk to your doctor or pharmacist first. If you forget a dose, take it as soon as you remember -- unless it is almost time for your next dose.

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Celexa citalopram for Duphaston online I started on 10 mg of Celexa in, after 7 years of depression and suicidal ideation. Once the drug began to take effect I had months of feeling neurotypical. My only side effect during this time was trails of movement and rainbow auras around lights. This, however, was a very small price to pay for finally feeling good. I began sleeping through full days again.

All FDA black box warnings are at the end of this fact sheet. Citalopram is an antidepressant medication that works in the brain. It is approved for the treatment of major depressive disorder MDD. They should be clear about the limits of the research around that medication and if there are any other options. Do not stop taking citalopram even when you feel better.

Your health, for today and for future. Citalopram STELLA 20 mg contains citalopram that is an antidepressant with a strong and selective inhibitory action on the uptake of 5-hydroxytryptamine 5-HT, serotonin. Indications, usage, dosage and administration. Indications Treatment of major depressive episodes. Treatment of panic disorder with or without agoraphobia. Dosage Adults Major depressive episodes: A single dose of 20 mg daily, depend on response, may be increased to a maximum of 40 mg daily; treatment should continue until the patient has been free of symptoms for 4 — 6 months to give adequate protection against the 20mg citalopram of a relapse.

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