Suggest treatment for relapse of anxiety and depression
I am now experiencing several problematic symptoms. In addition to moodiness, agitation, and feeling more depressed (not surprising), I am having difficulty concentrating, memory lapses, sensitive hearing, and a strange sensation in my head, mostly around my ears, when I move. I don't know who to talk to first or what to do. I'm not sure my primary care provider is prepared to manage this; my sleep doctor was adamant about coming off the citalopram; I am wondering if there is something totally different going on that should be evaluated and if there are other medications I should or could be taking instead. Help! I need more than just general information! I am a neonatal nurse practitioner, by the way ... so I understand a little more than most patients do
I think you can opt Citaloprram or another SSRI
Thanks for using healthcaremagic.
From the available description it appears to me your symptoms are due to relapse of anxiety and depression following discontinuation of citalopram. If I would have been your doctor I will prefer to start citalopram in the doses which you were taking few weeks or months back. I am aware of absence of slow wave sleep due to citalopram but despite that citalopram was doing much good for your health in compare to harmful effect on sleep. You might be aware that the best medicine for you was citalopram which controlled all your symptoms and there is no doubt it should be continued in the relapse.
Once there is control of symptoms on citalopram we can evaluate other SSRI, in particular Escitalopram which has similar efficacy in anxiety and depression. In your situation it will be better to cross titrate where dose of citalopram can be reduced and at the same time dose of escitalopram can be increased.
Alternatively discuss with your doctor to start escitalopram 5mg from the first day and increase it to 10 mg by one week. it hoped that it will be able to control your symptoms without causing absence of deep wave sleep. Please be informed that all antidepressants cause decline of stage 3 and stage 4 (deep sleep) and we can not know in advance the impact of particular antidepressant on sleep.
'Hope I have answered your query. If you have any further questions I will be happy to help".
Again, thank you for your time, I really appreciate it.
Welcome back ad thanks for your feedback.
I am glad to know that you are planning to follow my advice and hope you will be able to control your symptoms in couple of days.
If you do not have any clarifications, you can close the discussion and rate the answer.
Wish you good health".
The User accepted the expert's answer
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