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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by owen30us on March 4, 2002, at 11:36:59
I've heard that maybe it does increase it at first and then it goes away. Is this true?
Posted by Jason911 on March 4, 2002, at 12:35:22
In reply to PLEASE -does celexa increase anxiety???, posted by owen30us on March 4, 2002, at 11:36:59
No really is should help relax you with the increase of serotonin. But it will most likely ruin your sex life for a while. Watch out!!!! -Jason911
Posted by JohnX2 on March 4, 2002, at 18:30:51
In reply to PLEASE -does celexa increase anxiety???, posted by owen30us on March 4, 2002, at 11:36:59
For responders to the medication this would generally
be the case. At first the medicine will "ding" a serotonin
receptor that can cause a little anxiety. After a while
(hopefully not too long), the medicine will desensitize
that receptor and massage others to help relieve anxiety.One thing you can try if you are feeling horrendous as
an adjunct that would relieve the anxiety probably probably immediately
is a low dose of Zyprexa (5 mg), it blocks the troublesome
serotonin receptor.Best wishes.
John
> I've heard that maybe it does increase it at first and then it goes away. Is this true?
Posted by Cam W. on March 4, 2002, at 22:59:21
In reply to PLEASE -does celexa increase anxiety???, posted by owen30us on March 4, 2002, at 11:36:59
Owen30us - Yes, increased anxiety is one of the start-up side effects with all of the SSRIs, including Celexa™ (citalopram). This does decrease and go away within the first 4 to 8 weeks of starting the drug.
The reason for the increase in anxiety is due to the stimulation of certain postsynaptic serotonin receptors &/or serotonin receptors on the srotonergic cell bodies in the prefrontal cortex (as opposed to those in the brainstem). As these receptors desensitize (downregulate) the Celexa actually decreases anxiety to a great extent.
This start-up side effect is why many people taking SSRIs for panic disorder find that they have an increased number of panic attacks for the first month after they start taking these medications. This initial increase in panic attacks is why many people will quit taking the SSRI; but if they stuggle through the first month or two, the number of panic attacks decrease to a point of where they seldom experience attacks (at least they have far fewer panic attacks than they did prior to taking SSRIs ... in most cases).
Hang in there, the anxiety will decrease. - Cam
Posted by Frankie on March 5, 2002, at 2:35:12
In reply to PLEASE -does celexa increase anxiety???, posted by owen30us on March 4, 2002, at 11:36:59
> I've heard that maybe it does increase it at first and then it goes away. Is this true?
Yes, you are correct. Any of the SSRI's will initially. Celexa is nowhere near as bad as some. Zoloft was the worst for me. Terrible! A very low dose of Buspar, or a benzo in a small dose, will help eliminate the initial anxiety increase.Frankie.
This is the end of the thread.
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