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Doylestown, PA
A 37-year-old female asked:

this may sound nuts, but is it possible that celexa (citalopram) can cause morning panic attacks and suicidal thoughts-never had them b4 i started! my psych says 'they would've happened anyway' and need larger dos?

4 doctor answers6 doctors weighed in
Dr. Oscar Novick
Pediatrics 58 years experience
Celexa (citalopram): Celexa (citalopram) can cause suicidal thoughts, especially when first starting the drug.As your doctor mentioned your dosage needs to be adjusted.
Dr. Lynne Weixel
Clinical Psychology 36 years experience
Not 'nuts' to me: Yes, it is quite possible. These are commonly reported early side effects. Without a crystal globe, it is a mistake to think anyone can predict that you would have felt this way in any case. Consider asking for a referral or find one on your own. You need to trust your 'psych' and work together in treatment. Don't stop on your own though, it can cause problems. Be careful but consider a change.
Dr. Wendy Askew
Obstetrics and Gynecology 24 years experience
Yes,: Those are side-effects of most anti-depressant medication, and while it is possible that 'they would have happened anyway' - the fact that they are is very concerning, and i would strongly urge you to seek care at a hospital that offers inpatient psychiatric services, or even a partial-day program if you are having suicidal thoughts, esp. If you are making plans to harm yourself.
Dr. Lynne Weixel
Clinical Psychology 36 years experience
Thank you Dr. Askew for the important reminder to get immediate help if suicide is a possibility!
Jan 28, 2014
Dr. Donald Colantino
Internal Medicine 61 years experience
SSRI's: Some antidepressants like the class called ssri's(examples, Lexapro (escitalopram) , celexa.Zoloft, etc) may make anxiety worse when first taken but after a week or 2 the anxiety level improves. If you are having too many problems during this time, however, discuss this with your psychiatrist who is an expert in the use of these medications.

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Last updated Nov 28, 2017

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