
Suggest Treatment For Severe Anxiety And Depression

Posted on
Mon, 20 Mar 2017
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team


Question : I have taken some advice and have upped my medication (citalipram) from 10mg a day to 20 mg a day. This took place last week.
For the first couple days i had a great sleep and felt much better. Its been about a week now and i have the same symptoms come back, perhaps even worse.
Hard to concentrate
Tired
Anxiety - more
Fighting depression thoughout the day.
I have been on this medication for about 10 years.
My questions:
1. How long should I give the new dosage to work.
2. If it doesnt get any better should i try a different med?
3. If i try a different med, what is the least addictive antidepressent and anxiety medication with the least side effects.
Thank you.
xxxxxxx
For the first couple days i had a great sleep and felt much better. Its been about a week now and i have the same symptoms come back, perhaps even worse.
Hard to concentrate
Tired
Anxiety - more
Fighting depression thoughout the day.
I have been on this medication for about 10 years.
My questions:
1. How long should I give the new dosage to work.
2. If it doesnt get any better should i try a different med?
3. If i try a different med, what is the least addictive antidepressent and anxiety medication with the least side effects.
Thank you.
xxxxxxx
Brief Answer:
Consultation
Detailed Answer:
Hello, and thanks for your question.
1. 4 weeks
2. No, if after 4 weeks you are not seeing improvement, you should increase to 30mg daily and wait another 4 weeks, not switch to a new medication
3. See #2
Consultation
Detailed Answer:
Hello, and thanks for your question.
1. 4 weeks
2. No, if after 4 weeks you are not seeing improvement, you should increase to 30mg daily and wait another 4 weeks, not switch to a new medication
3. See #2
Above answer was peer-reviewed by :
Dr. Yogesh D


Thank you for providing me with your advise. You helped me take the next step and increase the dose.
Brief Answer:
Followup
Detailed Answer:
You're very welcome!
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers
Followup
Detailed Answer:
You're very welcome!
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Prasad

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
