
What Causes Fatigue And Listlessness While On Citalopram?

I advise you to continue Citalopram for total 4 weeks.
Detailed Answer:
Hello,
I have gone through your query in detail and can understand your concern towards the escalation of Citalopram dose. I would recommend you to continue only for 4 weeks as it is the maximum advisable dose for your age.
However, it has to be tried for at least 4 - 6 weeks before getting into conclusions about the effective dose for an individual.
I think that your fatigue and listlessness could be a part of your ailment, but not the side effect of the drug. So, there is nothing to worry because as your body will take some time to respond.
That may be the reason for the presence of those symptoms.
It would take around 2 weeks for the body to get used to the drug.
Hope I have answered your query.
Let me know if I can assist you further.


No, it has to be continued atleast 4 weeks before switching.
Detailed Answer:
Hi,
I have understood your query regarding the dosage and duration of Citalopram. I mean to say,20 mg is an effective and tolerable dose at your age.
So, it has to be given a trial period of at-least 4 weeks, before escalating or switching to another antidepressant.If it is effectively controlling your symptoms, it has to be continued for a period of 6-9 months, to prevent relapse of symptoms.
If not, we can try with either escalation of dose to 30 mg maximum, preferable at your age or switching to another drug or augmentation with other drugs like lithium, Thyroxin, etc.
These are the treatment strategies must be followed step by step, before getting into conclusion about the response of a drug in a particular individual.
Hope I have answered your query.
Let me know if I can assist you further.


No, Zolfresh is not safer option in long term.
Detailed Answer:
Hello,
I have gone through your query in detail and understand your concern towards the tolerance and dependence of Clonazepam.
Clonazepam is a long acting Benzodiazepine, it may be have little dependence, but it happens when it was taken many years.
When compared to Zolpidem, Clonazepam is much safer and preferred one in effectiveness and even in terms of dependency.
Hope I have answered your query.
Let me know if I can assist you further.
Regards,
Dr. Soujanya,
Psychiatrist

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