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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Feeling Tired, Difficulty Concentrating. History Of Depression. Taking Citalopram. How To Overcome This?

I feel constantly tired and have trouble getting words out sometimes, I am struggling to concentrate at work and feel exhausted even though I am getting about 7 hours sleep a night. Last year I was diagnosed with Depression . I was on 20mg of Citilopram daily and have now gone down to 10mg every other day to try and come off the
Sat, 7 Jul 2012
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General & Family Physician,  's  Response
HI jkbeckwith.83.

THANKS FOR YOUR QUESTION.

IS IT THE FIRST EPISODE OF YOUR DEPRESSION?IN THAT CASES WE USUALLY STOP THE DRUG AFTER 6 MONTHS BUT IN CASES OF 2 OR MORE EPISODE WHAT WE CALLED RECURRENT DEPRESSIVE DISORDER WE USUALLY KEEP THE PATIENT ON DRUG FOR LIFE LONG.I THINK AS YOU DECREASES THE DOSE OF YOUR MEDICATION YOUR DEPRESSION STARING TO RELAPSE AND OTHER THING IS THAT DO YOU DCREASES THE DOSES OF DRUGS BY TAKING OPINION OF YOUR PSYCHIATRIST?
I THINK YOU REDUCES THE DOSE BY YOUSELF AS WE PSYCHIATRIST WHEN REDUCES CITALOPRAM WE REDUCES 20MG TO 10 MG FOR 2 WEEKS AND THEN STOP.WE NEVER GIVE 10 MG ON ALTERNATE DAYS.
SO MY OPINION PLEASE CONSULT YOUR PSYCHIATRIST FOR PROPER TREATMENT AS YOUR SYPTOMS SAYS YOUR DEPRESSION ARE AGAIN COMING.

THANKS

DR SOURAV GANGULY
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Feeling Tired, Difficulty Concentrating. History Of Depression. Taking Citalopram. How To Overcome This?

HI jkbeckwith.83. THANKS FOR YOUR QUESTION. IS IT THE FIRST EPISODE OF YOUR DEPRESSION?IN THAT CASES WE USUALLY STOP THE DRUG AFTER 6 MONTHS BUT IN CASES OF 2 OR MORE EPISODE WHAT WE CALLED RECURRENT DEPRESSIVE DISORDER WE USUALLY KEEP THE PATIENT ON DRUG FOR LIFE LONG.I THINK AS YOU DECREASES THE DOSE OF YOUR MEDICATION YOUR DEPRESSION STARING TO RELAPSE AND OTHER THING IS THAT DO YOU DCREASES THE DOSES OF DRUGS BY TAKING OPINION OF YOUR PSYCHIATRIST? I THINK YOU REDUCES THE DOSE BY YOUSELF AS WE PSYCHIATRIST WHEN REDUCES CITALOPRAM WE REDUCES 20MG TO 10 MG FOR 2 WEEKS AND THEN STOP.WE NEVER GIVE 10 MG ON ALTERNATE DAYS. SO MY OPINION PLEASE CONSULT YOUR PSYCHIATRIST FOR PROPER TREATMENT AS YOUR SYPTOMS SAYS YOUR DEPRESSION ARE AGAIN COMING. THANKS DR SOURAV GANGULY