Almost three weeks ago the doc changed my meds from instant released dextroamphetamine 2x10mg to 2x15 extended release (for ADHD-PI), and added 20mg citalopram for general anxiety. I told him that the d-amp fixed most if not all of my issues but the problem was that when it wore off or when I had a day off I still felt crappy. So he suggested adding an SSRI for the anxiety. We did, and I've been on 20mg citalopram since. I also got a prescription for 1mg tabs of lorazepam but they're not the point here since I haven't used them much.
The first few days on the new meds were great; the extended release d-amp really was working well. Then the citalopram started kicking in. Ever since, I'm feeling more and more lazy, apathetic, unmotivated, tired, inable to feel empathy, and general inability to "get it going". I have a harder time getting out of bed, something that I was already struggling with, and I really need to push myself to do the smallest things. I'm at times more anxious, at times less (more like not feeling anything at all, listless), but I'm a lot more depressed than before. Last night I was completely exhausted and went to bed at 10am and didn't wake up until 6.30am. Usually I go to bed around 1am and wake up to pee at least once or twice. Also the effects on libido aren't too much fun.
My next doctor's appointment won't be until after 9 days, since he is only in once a month.
What should I do? I switched from taking the citalopram in the morning to taking it in the evening 5 days ago but the effects are the same.
I know SSRIs take time to work and that the initial phase can make things worse but this is quite alarming to me.
My options as I see them now:
1. try to get an appointment with another doctor at the office earlier. my doc said I could do that if I wanted to but I have pretty good rapport with him and would rather see him than somebody else. And the difference in days might not even be that substantial
2. start coming off of it myself by lowering the dose to 10mg/day. I'm a little hesitant to do this too..
3. just wait it out until I meet my doc in 9 days. It's going to be tough but...
I was on sertraline for a month before 50mg/day and it was definitely not as harsh as citalopram. I stopped sertraline because I suspected it was causing my rash (which turned out not to be the case)
I also don't know what to suggest to him next time? Dextroamphetamine like I said pretty much takes care most of the issues I have but relying only on a stimulant especially on a daily basis is not an ideal long term solution IMO.
Thanks
