56 Year Old Female, Athletic, Been On Celexa For Close

56 year old female, athletic, been on celexa for close to 20 years. Within last 3 weeks, hands, and shoulders have been stiff and achy, and sleeping habits are worse than ever. Waking every 2 hours with best sleep from 5-7 am. Taking calcium, B,C,D,E Dhea, calcium glucarate,milk thistle and glucosamine and chondroitin, all under FNP direction.