Celexa (citalopram) is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors, which work on neurotransmitters by increasing serotonin levels. Many medical experts believe depression is caused by an imbalance of neurotransmitters such as serotonin. Studies show there may be less serotonin in the brains of depressed people. Celexa is used to treat depression and also for treating: panic disorder, obsessive-compulsive disorder, anxiety disorders, premenstrual dysphoric syndrome, eating disorders, post-traumatic stress disorder.
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Sleep, appetite or energy may show some improvement within the first 1-4 weeks. Improvement in these physical symptoms can be an important early signal that the medication is working. Depressed mood and lack of interest in activities may need up to 6-8 weeks to fully improve.
Celexa is available as 10, 20, and 40mg coated tablets or as a liquid solution taken orally. Your doctor will likely prescribe a 20 mg dose of citalopram, taken once a day, to start. That dose could be increased gradually to 40 mg a day as you adjust to the medication. It can be taken with or without food. It is very important that Celexa pills be swallowed whole and not chewed, broken, or crushed.
Amitriptyline is a prescription drug that's used to treat depression. It's sometimes known by its former brand name, Elavil, but its manufacturer, AstraZeneca, stopped making it. Amitriptyline is only available as a generic drug in the United States. Besides depression, amitriptyline can be used "off-label" to treat post-herpetic neuralgia, attention deficit hyperactivity disorder, and certain eating disorders. It may also be used to prevent symptoms of migraines. It is in the tricyclic antidepressant class and its exact mechanism of action is unclear. Amitriptyline is taken by mouth.
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In depression it may take between 1 to 4 weeks before amitriptyline starts to work and you begin to feel better. Usually recommend continuing antidepressants for at least six months after recovery. With nerve pain amitriptyline may start to help in a few days for some people, while others don't see much difference for 1-2 weeks.
Usual adult dose for depression: 75 mg orally per day in divided doses; this may be increased to a total of 150 mg per day if needed.
Alternate dose: 40 to 100 mg orally as a single dose at bedtime; this may be increased by 25 or 50 mg as needed at bedtime to a total of 150 mg per day.
Maximum dose: 150 mg orally per day.
I suffer from anxiety and insomnia. Being the age I am my doctor did not want to prescribe me anything that was just for sleep that could cause a dependence. She prescribed me Celexa at bedtime for the anxiety and due to the side effect drowsiness, that way I was able to get to sleep. I am know on the max dose and have been so happy, able to sleep and not feel so anxious. This pill has very minimal side effects and works wonders in a persons life.
I was prescribed Celexa for mild depression and anxiety. I was a pessimistic person too often, but around times like the holidays and wintertime, it was much worse. Depression was like a bottomless pit and it only took a simple memory or reminder to drag me down again. I've been on 10 mg of Celexa since Oct. 2, 2016 and I truly feel it has made me manage my moods so much better. Unrelated, I started a strict keto diet a few week later, dropped 20 lbs. and feel better than I have in more than 30 years (I'm 44). I recommend Celexa. The first two weeks felt like I could either faint or throw up, especially in the morning. If I were you, I'd stick it out; it does pass and you'll start to feel better around week three.
I had a very extreme reaction initially with frequent vomiting and diarrhoea, basically unable to keep anything down so had to come straight off it. Tried it again starting on a lower dose of 10mg which I increased to 20mg once I was settled, and also used Omeprazole to prevent sickness. Doing this helped me get started on Celexa with lessened side effects.
I wasn't prescribed 10mg of amitriptyline for migraines and to help me sleep. This drug is great for helping you sleep. I was drowsy within 10 mins of taking it at night before bed. However, as a migraine prophylactic it did not help. I had migraines occurring frequently and often worse than they were prior to starting this medication. I also gained 18 lbs in 4 months. My breasts became very swollen and tender and I ended up extremely depressed. My dosage was the lowest you can get. I cannot even imagine taking more than I did and the side effects it would have had. I don't recommend this to anyone.
I have had insomia for months. Dr started me on Elavil 10mg for sleep, within a half hour I'm a sleep. I have not slept this good in a long time. I am not a zombie either in the mornings. I feel very good when I awake. Best thing.
If I take amitriptyline in the morning, I am so tired that functioning and performing even small tasks is very difficult. But if I take it too late at night, I have really bad nightmares. So find a time that works best for you.