my dr is having me stop my celexa (citalopram) for 10 days because of an antibiotic im on. will my depression/anxiety increase? will i withdraw? im scared.

Question

I take 20 celexa (citalopram) and pristque 50 per day. They don't seem to help the depression or anxiety. My dr not being helpful, just to see a therapist.What to?

Answer 1

Possibly: Yes, you could have withdrawal symptoms by suddenly stopping celexa, (citalopram) and your depression symptoms could increase. Hoping you also have a psychiatrist, and can discuss this directly with him or her -- it seems a bad idea to cold-turkey an ssri. If your primary care doctor is concerned about the antibiotic effects with celexa, (citalopram) could s/he not simply reduce the dose rather than stop it altogether?

Answer 2

Yes: The more serious ear infections, yes.

Answer 3

No: Depending on the age of the child and the severity of the infection, physicians may choose to "watch and wait". In studies 50% to 70% of ear infections may resolve by themselves with no antibiotics. The overuse of antibiotics has created "super germs" with resistance to multiple antibiotics thus we now try to use antibiotics more judiciously.

Answer 4

No: No, not always. In fact, lots of recent research has demonstrated that many ear infections improve over 48 hours as frequently in untreated infants as in treated infants. Many publications now recommend a more wait-and-see approach to treatment of ear infections, especially in children who are only mildly ill at presention.

Answer 5

Yes: If there is an ear infection, the usual treatment is antibiotics to kill the bacteria. If there is just some mucous or clear liquid in the middle ear space, but not an obvious infection, then the doctor may choose to observe the patient's progress, instead of using antibiotics.

Answer 6

Yes: It has been known that up to 75% of ear infections in children resolve by itself. The chance to develop a complication (extension of infection beyond middle ear) is higher in children less than 2 years old, and prescribing an antibiotic has been justified. In children over 2 years old, wait-and-see approach, especially for the mild ones, is acceptible and currently recommended.

Answer 7

No: Many ear infections are viral in origin asn will resolve on their own. However depending on the age of the child and the overall symptoms, antibiotics may be needed.

Answer 8

Yes: Children under age 2, who are toxic appearing or who have fever should be treated.

Answer 9

No: Most ear infections will subside without antibiotics but your child will still need comforting to get adequate rest and boost the immune system. Ibuprofen, elevating the head of the bed (as in two bricks under the front feet of the crib rather than bending the mattress) and numbing drops in the ears at night help the most.

Answer 10

No: The majority of ear infections are caused by viruses, so antibiotics won't help. Your doctor may prescribe antibiotics if your baby is less than 6 months of age, or if the infection is severe. Older toddlers who have mild illness or whose diagnosis is uncertain can be watched without antibiotics, with close follow up over the next 24-48 hours.

Answer 11

Yes: Although a number of ear infections will improve without antibiotics, the latest research demonstrates more consistant and faster improvement with antibiotic therapy. And all children under 2 years old are to be treated based upon expert's opinions.

Answer 12

No: Most cases on otitis media are due to viruses.

Answer 13

No: The decision is not trivial: both medicines and ear infections must treated with respect. Otitis may resolve without antibiotics...Or it can cause mastoiditis & permanent hearing loss, as happened to one patient's grandfather in 1944. Make an informed decision based on the risks of treating--and of not treating--in a specific situation. Re-check ears later, especially if you choose not to treat.

Answer 14

No: Ear infections - otitis media (OM) is commonly not treated in Europe, though that is not well-tolerated in the US; we usually demand that the doctor do something. The best "treatment" is prevention. Great preventive OM measures include up to date vaccines (against H flu, Pneumovax). Also proven benefit in clinical trials: daily probiotics, and xylitol (in gum or nasal spray).

Answer 15

No: Most ear infections will go away on their own. In fact it is recommended not to treat with antibiotics under certain conditions (older than 2 years, first infection, early on in the course). By reducing the use of antibiotics we are helping to decrease a bacteria's ability to become resistant to our current set of antibiotics.

Answer 16

NO not always!: Rampant use of antibiotics has led to the development of resistant bacteria; an example of this is using antibiotics for every "ear infection". A skilled and experience physician will be able to discriminate what can't be treated with antibiotics (viral infections) and ones that can (bacterial infections like haemophilus sp.). See your experienced and skilled primary care physician.

Answer 17

No: 1/4 of middle ear infections in kids older than 2 years improve in 48 hrs without therapy.

Answer 18

Not always: 60% of all ear infections will clear without antibiotics. For children under 3 current recommendations are to treat with antibiotics but for those older watchful waiting is appropriate. If fever and pain persist for more than 2-3 days while on tylenol (acetaminophen) or advil, the exam worsens, or ear drainage starts then antibiotics. It is rare to see complications such as mastoiditis.

Answer 19

No!!!: Certain ear infections need antibiotics, such as in babies or with high fever or if there's a ruptured eardrum. It is very possible to observe many ear infection without antibiotics. It is even recommended in most cases not to take them. Don't just take my word for it: http://www.Cdc.Gov/getsmart/campaign-materials/info-sheets/child-otitismedia.Pdf.

Answer 20

Often: The more "tummy time" your baby gets, the rounder her head will be and the easier it will be for her to learn to roll, sit and crawl. Tummy time - as much as possible!

Answer 21

Often as can: As often as you can while awake. Start with 2-3 minutes aftwr each diaper change to remind yourself. Get down with baby to look at you and/or toys. Increase time and frequency as baby gets stronger.

Answer 22

Yes: A simple bladder infection in pregnancy can be treated with antibiotics over the course of 7 days typically. Prolonged antibiotic therapy is not usually necessary unless an infection involving the kidney has been diagnosed and initially managed with treatment doses of antibiotics. Following treatment, a lower dose antibiotic may be used to prevent recurrence for the remainder of the pregnancy.

Answer 23

Yes: A urinary tract infection is usually treated with a short course of antibiotics, so it would be unusual to take them for the entire pregnancy unless there is a specific reason. Ask your doctor.

Answer 24

?not need 4 29 weeks: Amoxicillin is quite safe during pregnancy, Macrodantin (nitrofurantoin) is also most likely safe. But why to you think you need to be on antibiotics for the rest of your pregnancy? More like ly not reuired the whole time unless you have bladder reflux. Please discuss with your OB dr, goods luck.

Answer 25

Yes: Your period shouldn't start until the end of the pack during the placebo portion. During days 22-28.

Answer 26

Sounds like: Sounds like this patient's psychiatrist would like to see the patient again soon, because Prozac (fluoxetine) + off-label use of Gabapentin does not seem to be having its desired effect. Hopefully this patient is also in psychotherapy as well -- many ways to deal with anxiety can be learned there.

Answer 27

YES IT IS A PROBLEM: Definitely an issue here. Need medications reevaluated. Noe sure if these are the only medications that have been tried or if there are substance abuse issues as well. Need to evaluate for bipolar disorder and try more or different antidepressant and maybe an anxiolytic.

my dr is having me stop my celexa (citalopram) for 10 days because of an antibiotic im on. will my depression/anxiety increase? will i withdraw? im scared.

Ask U.S. doctors your own question and get educational, text answers — it's anonymous and free!

Ask U.S. doctors your own question and get educational, text answers — it's anonymous and free!

HealthTap doctors are based in the U.S., board certified, and available by text or video.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Similar questions

Is it necessary to have antibiotics to treat ear infections?

How many times per day should I have my baby do "tummy time"?

I'm 11 weeks and have a urinary tract infection. Is it safe to take an antibiotic for the remainder of my pregnancy?

Is it normal for my period not to have started after taking birth control pills for two days?

patient" currently on 20 mg Prozac (fluoxetine) and 600 mg gabapentin (a.M.) and 600 gabapentin (p.M.) for past 2 mos. Anxiety rising. Feels lost. Wants to run away. ?

Related questions

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Found in:

People also asked

Related topics

Disclaimer:

Get the free app for Members

Get the free app for Doctors