second week on 40mg celexa, (citalopram) and i feel my ocd and depression has gotten worse from 20mg. feel very, very low. agitated. angry. any advice? can't cry.

Question

I was taking 20 mg of citalopram. New doc switched me to viibryd-5 mg. Feeling awful, crying and more depressed. Should i go back to celexa?

Answer 1

Doctor: Contact the doctor that is prescribing this for you and inform him/her of your reaction to an increased dose. S/he may adjust it or change the medication.

Answer 2

Yes: All medications have some risks but there are several antidepressants that are safe during breastfeeding. There can be some feeding difficulties and the mediations do generally go into the breast milk. Wellbutrin, (bupropion) prozac, zoloft and Celexa are the names of some the medications that can be used.

Answer 3

Yes: There are medicines to treat postpartum depression that are safe during breastfeeding. Talk to your doctor. Also think about going to a support group, meeting with a therapist, and seeing a psychiatrist.

Answer 4

Consult a physician: There are some medications are are considered relatively safe for breastfeeding women to take. Consult your physician and your lactation consultant. There is always a risk-benefit ratio that must be determined for each individual patient.

Answer 5

No: Not neccesarily, but not something you should ignore either. Post-partum depression does take into account how long symptoms are present, but also how severe and life-altering these symptoms are. There are lots of screening tests you can use online, and if these are positive, you need to talk to your own doctor or pediatrician for futher evaluation and help. This is very treatable - ask for help!

Answer 6

No: Baby blues can simply be adjustment to a whole new way of life and/or prolonged hormonal imbalance. First contact your ob/gyn. If you are interested in integrative therapies, craniosacral therapy and acupuncture/traditional chinese medicine have a lot to offer that bring you relief. Check your area for practitioners.

Answer 7

Likely: Baby blues only lasts from a few days to three weeks. Beyond three weeks it is likely either an adjustment disorder or postpartum depression. You should seek an evaluation from a mental health professional who has expertise in diagnosing postpartum disorders.

Answer 8

YES: The baby blues only last the first 2 weeks after birth. If you continue to have or have developed significant changes in your mood, energy, sleep, enjoyment, fluctuations in these or anxiety or feeling not like yourself, you likely have "ppd". Seek an expert through www.Postpartum.Net, or you may write me through healthtap to answer ?'s, find you a specialist near you.

Answer 9

Maybe: You may very well have a clinical depression, or you may be fatigued, or have some other condition. Get checked by your gynecologist, and perhaps your family physician for depression, thyroid, diabetes, and other common ailments. They may not be certain, but you don't want to be unnecessarily ill when you have a newborn.

Answer 10

Get checked: If you think you could be having post-partum depression then you should get checked. It is even more important to get checked immediately if you are having thoughts of hurting yourself or others, especially your baby.

Answer 11

Me time important: Pregnancy and child raising are very demanding times in a women's life. Balance is always important but often gets discounted by women to their own detriment. Take some time to nurture you: for example regular exercise, rest, meditation or yoga. If you don't take care of yourself you won't be at your best to take care of those you care about most.

Answer 12

Stay Healthy: Get plenty of regular exercise, eat a well balanced diet, have regular check-ups with your obstetrician, seek counseling if you are particularly stressed out, maintain a healthy level of spirituality if so inclined, stay positive and seek out positive relationships, continue a happy sex life-if you have such desires, make sure you don't sweat the small stuff and look forward to motherhood.

Answer 13

Meds: If u have previous hx of depression and concerned about recurrence, low dose ssri is safe. Risk of persistent pulmonary hypertension low; if you have a hx and feel it coming ( ie sleep wake sysfunction) you could start low.Sertraline 25 mg is low dose and can use with Clonazepam .5 mg at night. Easy, but look at mass general women's psych website; if u had diabetes or asthma, no hesitate to treat.

Answer 14

Haven't heard of it: Haven't heard of st. John's wort causing liver inflammation. The wort does increase activity of some liver enzymes, thus leading to faster breakdown of other medications (the enzymes in the liver break down the other medications more rapidly, if the person is taking st. John's wort). So, medicines like xanax, (alprazolam) elavil, oral contraceptives, statins for cholesterol, etc... May become less potent.

Answer 15

1 reported case: I agree with dr. Kwok that st. John's wort is generally safe, and that it can alter metabolism of other drugs being taken. There are rare reports of liver toxicity with it, usually when used along with other medicines that can affect liver function. Such as: http://tinyurl.Com/9g42dq3 the authors focus on the "wort" but this may not be appropriate. For more info: http://tinyurl.Com/8czuogt.

Answer 16

11-42%: This is very common, with as many as 42% of moms experiencing ppd. The risk is higher if there is a personal or family history of ppd, depression, or anxiety.

Answer 17

Onset of PPD..: Postpartum depression can present anytime in the first year. It is most common to begin within the first 3 to 4 months. However it can begin later in the first year, particularly with changes like abruptly stopping nursing, beginning of birth control pills, etc. If you suspect you may have ppd, contact your dr. And seek help from a mental health specialist with expertise in treating it.

second week on 40mg celexa, (citalopram) and i feel my ocd and depression has gotten worse from 20mg. feel very, very low. agitated. angry. any advice? can't cry.

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