Citalopram Side-Effects

Soooo, I’ve been taking Celexa/Citalopram for 6 months now. Two months ago we increased my dose to 40 mg/day because I was sufferring badly with depression and anxiety symptoms.

Two weeks after handing in my thesis, I had a PHQ-9 score of 11 and a GAD-7 score of 14, flagging up as moderate depression and moderate generalised anxiety. I was having crying boughts/hysterics every day, nightmares *every* night and what I now know is “sleep maintenance insomnia”, which is where you wake up in the small hours of the morning and are unable to get back into (a deep) sleep. I couldn’t make any decisions and trying to plan anything resulted in my mind going completely blank with fear and dread. Alternatively, my mind would get stuck in a loop of a list of all the things I have to do and the order in which to do them. So I’d decide “first this then that, then the other thing….” ending up with a massive list and yet being unable to complete even the “simplest” first task on the list, which would be something like “get out of bed” or “put on clothes” or “clean teeth”.

After upping the the dose to 40 mg, these problems slowly subsided, particularly the anxiety-type symptoms, only to be replaced with crushing anhedonia. This alleviated after two to three weeks of being on the higher dose. After that time, I started my new job at the RCN (which is going really well by the way!).

Turns out I am capable of getting up in the morning, doing the London commute (only by avoiding the Central line entirely!), and turning up to work *on time*. Turning up on time was emphatically NOT something I was capable of whilst doing the PhD, to the point that I was afraid I wouldn’t be able to manage it on the job. So, winning so far.

Once at work, I can make polite/friendly conversation and LEARN NEW THINGS. Yes!

AND…. *drumroll please*…. NOT dick about on Facebook/Wordpress/Tumblr/the Internets in general aaaaall day. Again, not my strong suit whilst doing the PhD. This equals win number 3.

So, it’s sounding good, right?

The downsides are:

  1. Still suffering the with sleep maintenance insomnia
  2. Still suffering with nightmares/bad dreams
  3. Being so tired when I get home after work that I basically go straight to bed. I didn’t used to be a bed-by-9pm gal. This has affected my plans for working on my thesis/reading papers for a couple of hours every evening, which is really, really bad given how close my viva is.
  4. Libido, what libido? Squishy has been like “sex? pretty please?” and I’m like “nah, not really feeling it”. This is SO UNLIKE me, you don’t even know! I haven’t even felt inclined to masturbate. Sad, sad times.
  5. Rapid weight gain. I’ve gone up to a size 18 for my jeans, which I noticed round about Christmas, and when I weighed myself for the first time in months, turns out I’ve gained over a stone (14 lbs for you Americans). That is a lot to gain in the space of a few months.

Guess who’s going back to her GP! Perhaps once her viva is out of the way…

 

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