Posted by Jim on December 3, 2000, at 9:33:20
In reply to Re: Celexa for melancholic depression, posted by cletus on November 30, 2000, at 13:16:36
> > Does anyone have experiences with Celexa (Citalopram) for melancholic depression in doses above 60 mg/day. My Doc is a specialist in pharmacology and had several patients who responded very well (remission) with doses above 60 mg/day (up to 140 mg/day).
> Ben,
> I currently take 100mg of Celexa for OCD which is not that abnormal considering that OCD requires higher dosages than depression. My pdoc told me that he has some patients that use up to 140mg a day with great results. I could not sustain a good drug level until I hit 100mg and now I am very pleased with the results. According to my doctor, some people just have higher tolerances (depending on their physiology and specific mental illness) than others and they require higher doses to relieve their symptons. I even tried to go up to 120mg a day to see if I could acheive even better results, but the side effects were a little too much (the only real side effect was a little more drowsiness than I wanted)so I dropped back down. I am still very satisfied with the results 100mg has given me and I feel a ton better. Celexa is a great drug and should be equally as effective on your depression as it was on my OCD. Good luck!Just on the flipside, as others have expressed and noted Dr. Bob's
tip's n' tricks list that we all react so differently to ad's, that
it is pretty much impossible to give one Rx. The overall
picture looks like Celexa is relly just another SSRI, and some will
do great on it, and some will have a nasty reaction to it, and some
will find it makes no difference. Even people
who have started with the 20mg dose have had some severe
negative reactions, many associated with the SSRI drugs, and
also possibly because Celexa is one of the most
specific and powerful SSRI's. I am having difficulty
with it into my fourth week, and there is no way I could
go past 20mg. It doesn't seem to cause as much agitation
as Zoloft or Prozac, but many of the other typical
side effects are there, including horrible sleep/awful dreams,
a "numbing" apathetic effect on emotions; isolation and
seclusion; making the muscles feel like 'rubber' or
'jello', as well as nervous twitches; anti-social
behaviour.I don't really have an answer as to what to do next,
but I do feel we should be very outspoken about
negative effects. But, if a med works well for
you, describe your situation as done above in great
detail.
poster:Jim
thread:49689
URL: http://www.dr-bob.org/babble/20001130/msgs/49840.html