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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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What Causes Sleeplessness And Mood Swings?

sir i am lalitha . 3or 4weeks no mood for working in houes iam consulting in medical collage tcr in psychatrist department and Dr said iam a depresed person and gave him medicine citapam and ramitax .2week i contine the medicine but no effect still . no sleep in night and no mood for working. please help me sir
Tue, 27 May 2014
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Psychiatrist 's  Response
hello,
Increase the dose of citapram to 15-20mg and if still there is no effect - please change to sertraline.

for sleeping: try clonazepam 1mg or zolpidem 12.5mg. Once sleep is restored nicely, you will start feeling better from the very next day.

you should also get TSH level and Vit. B12 levels as they can be deranged.

you may talk to your treating team regarding the above points.
Donot worry, you will definitely get better. Just give meds sometime and increase the dosage.

good luck.
Dr. Manisha Gopal
MD Psychiatry
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What Causes Sleeplessness And Mood Swings?

hello, Increase the dose of citapram to 15-20mg and if still there is no effect - please change to sertraline. for sleeping: try clonazepam 1mg or zolpidem 12.5mg. Once sleep is restored nicely, you will start feeling better from the very next day. you should also get TSH level and Vit. B12 levels as they can be deranged. you may talk to your treating team regarding the above points. Donot worry, you will definitely get better. Just give meds sometime and increase the dosage. good luck. Dr. Manisha Gopal MD Psychiatry