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I have been taking citalopram for 6 weeks now. 10mg for anxiety and panic attacks. Side effects yawning, sweats, increased anxiety. I was VERY scared to start taking them. I had them for 4 months before I plucked up the courage. I take in the morning. Only just starting to see an improvement in the anxiety. Haven't had a panic attack since starting the meds. This is the first medicine I have ever taken. I have an appointment at docs next week when I think he will increase dose to 20mg which is normal dose. My anxiety is severe. The week before I began the meds I couldn't leave the house. This last week I have been shopping, cinema, hair salon. Still having trouble sleeping. All other side effects only lasted 10 days. I am happy to be on them.
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After the August 2011 article re: irregular heart rhythms I was reduced to 20 mg daily.
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Any changes in dosage, no matter how slight, further destabilises the CNS and any gains you may have made before that are effectively wiped out and you have to start again.
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Patients who received CBT alone (rather than in conjunction with citalopram) achieved remission less rapidly, but they also had fewer adverse effects than those who were switched to other medications.
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