Posted by Cam W. on April 29, 2000, at 23:09:03
In reply to Celexa, Anxiety and Feeling Tired (Cam W?), posted by worryworryworry on April 29, 2000, at 19:37:58
3xWorry - Mild panic because of a change in your life situation is perfectly normal. The thought of starting a new job would make me anxious, too. You could ask you doc about an prn (as needed) benzodiazepine like Ativan (0.5mg - 1mg) or clonazepam (0.25mg - 0.5mg). If used only as needed, the risk of tolerance and addiction are very low. BuSpar is another choice, but it works in some people and not in others and is generally used in more severe cases of anxiety. There are also cognitive/behavioral therapies and self-talk methods of reducing anxiety which may work. I am not very familiar with these, but I have seen them work and they are a non-drug way of treating panic and anxiety. Ask your doc about these, as well.I don't think an increase in 60mg will help much, and may bring on the side effects, plus even more drowsiness. Maybe try taking your dose at (or just before) your evening meal. This way you may not feel as groggy in the morning, as when you take it at bedtime.
Perhaps even a dosage decrease to 30mg daily might help. The slight decrease in dose may help with the grogginess without affecting your response. Ask your doctor about this.
The only problem with taking 30mg is that it will raise your drug cost. In Canada, the 20mg tablets and the 40mg tablets are exactly the same price (go figure marketing). For 30mg you would have to take a tablet and a half of the 20mg, instead of one 40mg tablet that you are now taking.
(For others out there that are taking 20mg of Celexa a day, ask your pharmacist the difference in price between 30-20mg tabs and 30-40mg tabs. If the price is the same, ask your pharmacist to dispense you the 40mg tablets and split them. The cost to you - minus the dispensing fee - will be halved. Just a hint to save some money)
Hope this helps - Cam W.
poster:Cam W.
thread:31707
URL: http://www.dr-bob.org/babble/20000429/msgs/31723.html