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Ellarobbo: Citalopram tablets to liquid


Ellarobbo

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Hello 

I have recently (4 days ago) gone from 10mg tablet form to 8mg (4 drops) of liquid drops. I have had a sudden onset of various physical symptoms. Tingling hands and arms. Nausea. Loss of appetite. Insomnia. Muscle twitching. Can’t relax. Feel spacey. 
also very emotional and teary and just so not feel like myself at all. I am just looking for some help or advice. Could this be the change in formula causing these symptoms? 

Edited by manymoretodays
name to topic title

2011- 20mg citalopram upped to 40mg 

Stayed on 20mg for a few years. 
fell pregnant 2015- reduced to 10mg and came off completely. 2016 four months after my son was born had a relapse, went back on to 20mg stayed there for another few years. Upped to 30mg during stressful times.

Down to 10mg in 2018 when pregnant again. Remained on 10mg until son was 4 months - post natal depression hit and upped to 20mg. 
2021 reduced right down to 5mg every other day, forgot to take for a couple of days so stopped completely. Was fine for 5 weeks then a massive crash which I now know was probably delayed withdrawal. Went back on at 10mg then to 20mg, up until most recently 2023 reduced down to 10mg which was a bit of a bumpy ride. Stabilised on 10mg for the past 3/4 weeks. Finally moved to drops -  

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  • manymoretodays changed the title to Ellarobbo: Citalopram tablets to liquid
  • Moderator

Hi @Ellarobbo

welcome to SA. On this site each member gets one and only one intro topic so I will delete the other one you created. Thank you for completing your signature. 

 

In the UK the citalopram liquid is 25% more potent mg for mg which would make your 8mg liquid dose equivalent to 10mg tablet dose (check the sheet that came with your medicine to make sure that this is correct). It will be helpful to get the same liquid - same producer as there are slight variations in the potency between manufacturers and because we are so sensitive it impacts us. 

 

When you switched to liquid did you measure the liquid with the dropper or did you use a syringe. The droppers can vary the dosage so pls get yourself a syringe and do it correctly. How do you dilute your medicine in order to get 8mg? In the UK to get 8mg you'd need to get 0.2ml on a syringe. Is that what you did? 

 

Hope you start feeling better soon. 

OMW

"Nothing so small as a moment is insurmountable, and moments are all that we have. You have survived every trial and tribulation that life has thrown at you up until this very instant. When future troubles come—and they will come—a version of you will be born into that moment that can conquer them, too." - Kevin Koenig 

 

I am not a doctor and this should not be considered medical advice. You can use the information and recommendations provided in whatever way you want and all decisions on your treatment are yours. 

 

In the next few weeks I do not have a lot of capacity to respond to questions. If you need a quick answer pls tag or ask other moderators who may want to be tagged. 

 

Aug  2000 - July 2003 (ct, 4-6 wk wd) , citalopram 20 mg,  xanax prn, wellbutrin for a few months, trazodone prn 

Dec 2004 - July 2018 citalopram 20 mg, xanax prn (rarely used)

Aug 2018 - citalopram 40 mg (self titrated up)

September 2018 - January 2019 tapered citalopram - 40/30/20/10/5 no issues until a week after reaching 0

Feb 2019 0.25 xanax - 0.5/day (3 weeks) over to klonopin 0.25 once a day to manage severe wd

March 6, reinstated citalopram 2.5 mg (liquid), klonopin 0.25 mg for sleep 2-3 times a week

Apr 1st citalopram 2.0 mg (liquid), klonopin 0.25 once a week (off by 4/14/19- no tapering)

citalopram (liquid) 4/14/19 -1.8 mg, 5/8/19 - 1.6 mg,  7/27/19 -1.5 mg,  8/15/19 - 1.35, 2/21/21 - 1.1 (smaller drops in between), 6/20/21 - 1.03 mg, 8/7/21- 1.025, 8/11/21 - 1.02, 8/15/21 - 1.015, 9/3/21 - 0.925 (fingers crossed!), 10/8/21 - 0.9, 10/18/21 - 0.875, 12/31/21 - 0.85, 1/7/22 - 0.825, 1/14/22 - 0.8, 1/22/22 - 0.785, 8/18/22 - 0.59, 12/15/2022 - 0.48, 2/15/22 - 0.43, 25/07/23 - 0.25 (mistake), 6/08/23 - 0.33mg

 

Supplements: magnesium citrate and bi-glycinate

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Thank you for your reply. I didn’t use a syringe no, I don’t know I had to. 
i was very confused as how to take it to be honest. I firstly put one drop under my tongue by itself but it didn’t taste very nice so I just put some water in a cup and added the other drops. Then Thursday Friday Saturday I just dropped the drops into half a cup of water and drank it. 
The physical anxiety symptoms started to show Saturday. 
Sunday night and last night (Monday) I just went back and took a 10mg tablet. 
I still do not feel right. I had to take a diazepam to get to sleep and relax. My nervous system just feels completely messed up 

2011- 20mg citalopram upped to 40mg 

Stayed on 20mg for a few years. 
fell pregnant 2015- reduced to 10mg and came off completely. 2016 four months after my son was born had a relapse, went back on to 20mg stayed there for another few years. Upped to 30mg during stressful times.

Down to 10mg in 2018 when pregnant again. Remained on 10mg until son was 4 months - post natal depression hit and upped to 20mg. 
2021 reduced right down to 5mg every other day, forgot to take for a couple of days so stopped completely. Was fine for 5 weeks then a massive crash which I now know was probably delayed withdrawal. Went back on at 10mg then to 20mg, up until most recently 2023 reduced down to 10mg which was a bit of a bumpy ride. Stabilised on 10mg for the past 3/4 weeks. Finally moved to drops -  

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  • Moderator

You may wish to get yourself an insulin syringe which is 1ml. It is likely that you took too much/too little (droppers are not precise) and because you are tapering you are extra sensitive (also because of prior withdrawal). You can measure 0.2ml in a 1ml syringe for 8mg. Your levels should stabilize on the pill again and I'd advise stay there for a while before changing again. Have a look at the Tapering Forum -  there are links on how to use liquid vs scale to help with this. 

OMW

"Nothing so small as a moment is insurmountable, and moments are all that we have. You have survived every trial and tribulation that life has thrown at you up until this very instant. When future troubles come—and they will come—a version of you will be born into that moment that can conquer them, too." - Kevin Koenig 

 

I am not a doctor and this should not be considered medical advice. You can use the information and recommendations provided in whatever way you want and all decisions on your treatment are yours. 

 

In the next few weeks I do not have a lot of capacity to respond to questions. If you need a quick answer pls tag or ask other moderators who may want to be tagged. 

 

Aug  2000 - July 2003 (ct, 4-6 wk wd) , citalopram 20 mg,  xanax prn, wellbutrin for a few months, trazodone prn 

Dec 2004 - July 2018 citalopram 20 mg, xanax prn (rarely used)

Aug 2018 - citalopram 40 mg (self titrated up)

September 2018 - January 2019 tapered citalopram - 40/30/20/10/5 no issues until a week after reaching 0

Feb 2019 0.25 xanax - 0.5/day (3 weeks) over to klonopin 0.25 once a day to manage severe wd

March 6, reinstated citalopram 2.5 mg (liquid), klonopin 0.25 mg for sleep 2-3 times a week

Apr 1st citalopram 2.0 mg (liquid), klonopin 0.25 once a week (off by 4/14/19- no tapering)

citalopram (liquid) 4/14/19 -1.8 mg, 5/8/19 - 1.6 mg,  7/27/19 -1.5 mg,  8/15/19 - 1.35, 2/21/21 - 1.1 (smaller drops in between), 6/20/21 - 1.03 mg, 8/7/21- 1.025, 8/11/21 - 1.02, 8/15/21 - 1.015, 9/3/21 - 0.925 (fingers crossed!), 10/8/21 - 0.9, 10/18/21 - 0.875, 12/31/21 - 0.85, 1/7/22 - 0.825, 1/14/22 - 0.8, 1/22/22 - 0.785, 8/18/22 - 0.59, 12/15/2022 - 0.48, 2/15/22 - 0.43, 25/07/23 - 0.25 (mistake), 6/08/23 - 0.33mg

 

Supplements: magnesium citrate and bi-glycinate

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