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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Depression And Anxiety

Hi, I suffer from depression/anxiety. I've had feelings of unrealness,racing thoughts,irrational thoughts, I was prescribed 20 mg of citalopram which I take every morning, and I was also prescribed .5 of clonazapem, which is to be taken 1 at morning and 1 in the evening. I didn't take it this morning and I seem to be doing well, I don't feel any side effects, is it a good thing to only take the clonazapem when I'm feeling horrible?

It's been about 15 hours since I last took the clonazapem. The citalopram I take every morning I won't stop because I know I need it. But can clonazapem be optional for me to take? I know it's a low dosage. Thank you.
Fri, 8 Aug 2014
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Psychiatrist 's  Response
Hi,
Thanks for choosing Healthcaremagic.

I have read your query carefully and understood that you were adviced Citalopram 20mg/day and Clonazepam 0.5mg twice daily. And now you have stopped taking Clonazepam.

I would like you to know that for your depression/anxiety, Citalopram is the primary medicine and usually Clonazepam is used as an adjuvant with it for a short period of time because Citalopram can increase anxiety in initial few days/weeks of starting treatment.

I would like to advice you that you can continue your night dose of Clonazepam at 0.5mg for a week and then you can reduce it to 0.25mg for a week and then you can stop. OR if you have already stopped it for more than 2 days, you can use it as and when required.
But i would also advice you to discuss all this with your psychiatrist in detail.

Hope I answered your query, let me know if you need any further information.
Regards
DR. ASHUTOSH SINGH
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Suggest Treatment For Depression And Anxiety

Hi, Thanks for choosing Healthcaremagic. I have read your query carefully and understood that you were adviced Citalopram 20mg/day and Clonazepam 0.5mg twice daily. And now you have stopped taking Clonazepam. I would like you to know that for your depression/anxiety, Citalopram is the primary medicine and usually Clonazepam is used as an adjuvant with it for a short period of time because Citalopram can increase anxiety in initial few days/weeks of starting treatment. I would like to advice you that you can continue your night dose of Clonazepam at 0.5mg for a week and then you can reduce it to 0.25mg for a week and then you can stop. OR if you have already stopped it for more than 2 days, you can use it as and when required. But i would also advice you to discuss all this with your psychiatrist in detail. Hope I answered your query, let me know if you need any further information. Regards DR. ASHUTOSH SINGH