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.
Nortriptyline is a second-generation tricyclic antidepressant marketed as the hydrochloride salt under the trade names Aventyl and Pamelor. It is used in the treatment of major depression and childhood nocturnal enuresis. Its off-label uses include treatment of chronic fatigue syndrome, chronic pain and migraine, and labile affect in some neurological disorders. It may also be used to help people quit smoking and to treat attention deficit hyperactivity disorder. Nortriptyline comes as a capsule and an oral liquid to take by mouth.
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Every patient is different. You may notice some initial benefit within 2 weeks, however it may take up to 2 months for a full effect. Your doctor may need to increase the dose to get the maximum effect. If you do not feel any improvement in your pain after 2 months, do not suddenly stop taking the tablets but speak to your doctor.
Usual adult dose - 25 mg three or four times daily; dosage should begin at a low level and be increased as required. As an alternative regimen, the total daily dosage may be given once a day. When doses above 100 mg daily are administered, plasma levels of nortriptyline should be monitored and maintained in the optimum range of 50 to 150 ng/mL. Doses above 150 mg/day are not recommended.
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.
Nortriptyline has helped with my constant headache and has also helped me cope with my stress/anxiety. I'm on a low dose (20mg/day) and take at night. The first week I was out cold within minutes of taking the medication. That affect has worn off, but I continue to sleep well and wake up refreshed.
This med is amazing. I've had peripheral Neuropathy for a few years in my feet. I've tried Gabapentin, it didn't work. I tried Nortriptyline, I've been on it for 3-4 weeks...it's amazing... NO pins/needles feeling, no burning sensation! I still have some pressure in my feet, but things are so different now! I'm going to give it more time, but I think I found my holy grail! I understand it may not work for everyone, but so far it's working for me. If you are looking for something, ask your doctor and try it, it might work for you. Good luck to all of you!