Cita: Citalopram free for 6 months (after 19 years treatment).

[Cita]

Hi,

 

I am myself a medical professional living in Western Europe. I have even worked in psychiatry. I have never heard any of my colleges or read anything about long term withdrawal symptoms after using ssri,

 

Some 20 years ago I started treatment with citalopram for anxiety problems. It really helped me in the beginning. I had a good help when the dose was 20 and 40 mg. After 2 years use I tried to stopp using it but it resulted in depressive symptoms and even obsessive thoughts (note that I never had any depression before using it. It was meant for anxiety) so I had to go back to the orginial dose. 16 years ago a psychiatrist increased the dose to 80 mg. Since then I have used that dose. I don't think the increase from 40 mg to 80 mg helped me especially much. Anyway the effected seam to wean off after some years. Anyway, I have hade not major problems with either depression or anxiety for many years and have attended psychoterapy for some years. My psychoterapeut recommended me to start to reduce the dose.

 

2 years ago I reduced from 60 mg to 80. I had rather severe withdrawal symptoms (thirsty, nausea, headache, diarre) but they disappered after a month. The I was pharma free for 6 month and then started to reduce from 60 mg to 40 mg and it worked well even if had some problem with anxiety and sleeping. During the next 4-5 months I was unemployed and tried to tapper from 40 mg to zero. When I was down at 30 mg I could not find joy in anything. I sort of lacked the ability to feel any euphoria ever. When I has down at zero mg I started to get succh a terrible headache and could not even look at any object without getting obsessive compulary focus on them (I have never ever had these problems in my youth before taking citalopram). So I increased to 10 mg and in some weeks to 30 mg.

 

I then used that dose for 6 months and though feeling worse than before I could still manage a job. After 6 months I started to feel better and decided to wean off everything in on months. I thought it was a good idea to get ride off them so I would not be tempted to increase the dose if I feelt worse. I had a very hard months with all the withdrawal symptoms.But after a month the nausea and headache and dizziness disappered. But to get any sleep I had to use benzos for 3 months. In the beginning I could not even leave my home without them. I have gradually stopped using them and now just use none addictive sleeping pills. Unfortunately I have not been able to function at work without benzo. I have altering severe fatigue or anxiety that makes my brain tired just after 2 hours work. At the end of each Monday it felt like it was Friday (I was totally exhausted and had to rest for two day to be able to work one day.I feelt so bad that I got obsessive compulsary thoughts, blaming myself for everything.

 

I am now on a sick-leave for 3 months. I have been crying daily for a month. Never been crying alot in my life before. I seem to get muscle shivering in all of the body, that only goes away if I cry or get really angry. I am super sensitive to every thing and has thus isolted myself a bit.

 

Summary: I have now been without citalopram for 6 months after 20 years use. I have severe symptoms that I did not have before using citalopram. I feel better than 5 months ago. I can function totally without benzos and goes out every day. But still I feel so worthless.not being able to work and I am not sure that my mood is actually getting any better. Fortunately I have meet a psychiatrist that does believe in psychoterapy before pharma. My biggest problem is to understand if these are withdrawal symptoms or a moderate depression I have got. Or maybe both? I feel extremely unsure if I shall start some antidepressant again or try to wait some months. 6 months is a long time not functioning normally.

 

Would be glad if someone coudl give me advice.

Edited September 14, 2016 by scallywag
tags added

[geminigirl]

I read your story and really empathize.

 

I hope the mods can offer some advice soon.

 

Yana

[scallywag]

Hi Cita -- Welcome to Surviving Antidepressants (SA)
 
I'm sorry to read that the last months have been so difficult for you -- withdrawal symptoms are very unpleasant. People sometimes have a period of weeks or a month where there are no symptoms after stopping a psych drug.  It sounds like that happened to you.
 
Depression, fatigue, anxiety, crying, and muscle shivers are all withdrawal symptoms from stopping either the citalopram or the benzos. For more information on withdrawal symptoms please read:  What is withdrawal syndrome
 
Sometimes the way to ease withdrawal symptoms is to take the drug that you stopped. Are you willing to consider taking a very small dose of citalopram again to test whether it will help you feel better? It's possible but not certain that this might reduce your symptoms.

Reinstating works for some people, but not all people. If it did work for you, you could take that very low dose for several months and then taper off it very slowly by reducing the dose by 10% each time.

Why taper by 10% of my dosage?

A psychiatrist who believes in psychotherapy will be a good person to work with as you go through withdrawal or as you hold and taper from a low dose.
 
About the benzo drug(s)

• What was the benzo drug you used?
• What was your starting dosage?
• How did you reduce the dosage to 0 and how long did it take?

I hope you'll find the information here helpful and encouraging.  I'll post links to a few more topics on the forums that may be informative:

Tips for tapering off Celexa (citalopram)

About reinstating and stabilizing to reduce withdrawal symptoms

A request: Would you summarize your history in a signature -- drugs, doses, dates, and discontinuations & reinstatements, in the last 12-18 months particularly? Any drugs prior to that can just be listed with start and stop years. Please put your withdrawal history in signature

A tip: You may way want to follow this topic so that you get notifications when someone posts in your thread. Click the gray "Follow this topic" button. A dialog box appears: select one of the notify options, then click follow this topic in the dialog box.

Setting this web page as a bookmark or favorite in your browser will help you navigate back to it.

 

This is YOUR introduction topic -- the place for you to ask questions, record symptoms, share your progress, and connect with other members of the SA community.

 

Read the links I've posted, have a look around the forums and come back to this topic and post any questions.
 

[Cita]

Hi actually, I used very low doses of benzos just for sleeping and not every day. Now I have not taken them for 2 months and still have shiverings. So I can't see any connection to them.  I first thought I had a new depression. But I cannot se have the muscle shivering in anyway can be a depression or anxiety symptoms. I have never had them before.

[Cita]

And I think I got all the symptoms right when I started to withdraw. The traditional symptoms like nausea dizziness disapeared after some weeks. But the fatigue, dystymia and occationaly muscle spams/shiverings has continued. It is hard to explain but i sort of feel the brain is not working properly, I have a feeling a pressure in the head and I am sort of shivering a bit in the body. It all goes away when I can relaxe after crying.

[SquirrellyGirl]

What you are describing, Cita, is withdrawal syndrome, but since you have been on citalopram and benzos, it's hard to say which, probably from both.  I'll leave that to a more experienced mod to tease apart.

 

It might help to view the symptom check list:  Dr Joseph Glenmullen's Symptoms Checklist.  Many members have ended up with depression and anxiety in withdrawal when perhaps being put on ADs for pain or PMS.  That is proof that those are withdrawal symptoms.  You yourself said you never had such issues before the med so why would you develop it if not because of the drug and withdrawal?  The shivering and head pressure are common WD symptoms.

 

You are far out for a citalopram reinstatement, but your benzo use is a bit more questionable.  I am confused about the benzo use.  You said you came off them three months ago but can't work without them. So, the sick leave began at the same time that you quit the benzos and you are no longer taking any?  How did you taper off?  Benzo withdrawal very well may be playing a prominent role here.

 

Welcome to SA - I'm glad you are here!

 

SG

[Cita]

When it comes to benzos I used maybe for 2-3 months every second night for sleep. Then stopped over two months ago. Never used them before.

[mammaP]

Hi Cita, sorry it has taken so long to answer your message, I have been away.  

 

Can you tell us which benzo you were taking and what dose? Every other night for 2 months is long enough to build dependency, did your symptoms worsen or change when you stopped the benzo?  Many people think that short term use doesn't cause problems but sadly  just 1 week can cause dependency for some people.  

After 6 months reinstating 0.5mg citalopram might help the symptoms, it is available in liquid form if you can get a prescription from your doctor. If you have any tablets left you can make a liquid by dissolving them in water and using a syringe to get the small dose.

http://survivingantidepressants.org/index.php?/topic/2693-how-to-make-a-liquid-from-tablets-or-capsules/

 Some people find they can't tolerate the drug after so long being off, which is why I am suggesting only 0.5, to see if you can tolerate it. If you feel worse you would stop it immediately. It will take 4 days to reach a steady level in your blood.   

 

It will help if you can fill out your signature for us with brief details of your citalopram and benzo tapers.  Instructions are here...

http://survivingantidepressants.org/index.php?/topic/12364-please-put-your-withdrawal-history-in-your-signature/

 

How are you feeling now Cita? Let us know what you decide and how you are doing. 

[Cita]

I used Lorazepam 2 mg totally 200 pills during 3-4 months. I have used them before the day before work for sleeping and never got any dependency. Now I have not used them for 2-3 months. I have never used recreational drugs in my whole life actually and don't think my problems are related to stopping lorazepam use. In any case, I will not go back using them and if I am affected the abstines will definitely disapear sooner or later. I just quitted lorazepam and has never had any cravings.

 

What I am really terrified about is not ever being normal again after quiting citalopram. What actually has happened last months is that I have been crying extremely much. I have never cried much before. The crying has made me feel much better.

 

As I have written above, I feel slightly better every day. Now I am 6 months and 10 day totally off. I am sleeping very much. Every other day I feel fine and every other day totally miserable. I would actually guess my symptoms is some kind of mixture between withdrawal symptoms and anxiety/depression that has come back. If I knew I would be better in some months it would be much easier handling the stress.

[mammaP]

Cita this isn't about cravings, it isn't addiction in the same way as recreational drugs.  When we take prescription psychiatric drugs they change the way the brain works. It has to function and grow around the drugs, and adjusts to them. When the drug is stopped the brain and nervous system struggles because it needs the drug to function in the way that it has adapted to. This leads to an unstable nervous system with many varied symptoms. Sometimes reinstating the drug in a very tiny amount can help to calm the nervous system.  People never want to reinstate and many choose  ride out the withdrawal, which is the brain healing and regaining normality but it takes time.  It is good that you are getting better every day, this is very encouraging.

 

No one knows how long it will take, everyone is different. Some people take years and others months and it is a good sign that you are feeling better. 20 years on the drug means your brain / nervous system  haven't worked without the drug for a very long time and has to regain it's natural balance. It is normal in withdrawal to feel anxiety, if you can cope with it and try not see it as mental distress but your body producing excess cortisol because of the withdrawal you will get through it.  

Many of us here find that magnesium and fish oil help with the withdrawal symptoms. Magnesium is calming and fish oil helps with the strange brain sensations. Start with low doses and build up. 

 

http://survivingantidepressants.org/index.php?/topic/36-king-of-supplements-omega-3-fatty-acids-fish-oil/?view=findpost&p=100596&hl=magnesium

 

http://survivingantidepressants.org/index.php?/topic/1300-magnesium-natures-calcium-channel-blocker/?view=findpost&p=66695&hl=%2Bfish+%2Boil

 

You will probably experience windows and waves, when you feel like you are improving then get a wave which feels like you have gone down agaon. This is normal and the waves always pass.  

 

http://survivingantidepressants.org/index.php?/topic/82-the-windows-and-waves-pattern-of-stabilization/

 

It is good that you have a therapist who can help you to learn to deal with the issues that led you to start citalopram, it is essential for all of us that we learn to deal with emotional problems so we do not go back to them when things get hard to cope with. There are many excellent topics here to look at, things that have helped others and things that have made withdrawal worse.  

 

http://survivingantidepressants.org/index.php?/topic/1112-non-drug-techniques-to-cope-with-emotional-symptoms/

 

Have a good look around, I hope you will find the site useful for your recovery. 

[Cita]

Hi mammaP,

 

you are actually right when it comes to "windows and waves". The last, say 3 weeks, I have had hours (usually in the evening) when I feelt almost normal and then he next day I back to scratch, have to sleep all day because of anxiety and fatigue for two days. Really strange, but at least I know have a name for it and knows that I am not alone. I wish I was retired but I am in the middle of life, just longing to go back to my career. I have working full time and even been success full in studies and work. I wanted to go off ssir before I had used the for too many years. I met a therapist that encourage me to stop pharma, but he is not a doctor and did not know about withdrawal symptoms.

 

Since I know totally manage without pills for sleeping since 3 months and are starting to have the "windows" I feel some relief. My therapist has a summer break but I will meet him again in 1 months from now. 

 

Have anyone ever experienced the light shiverings and occational spasms in the muscles? They usually disapears after I have been crying. It is like I some tensions is building up in my body and then after crying I relax. I have never had it before.

[mammaP]

Yes I have the spasms and shiverings, sometimes the spasms are really bad but they come and go so I cope with them Magnesium helps and epsom salts baths. I love the epsom salt baths they are amazing and really do help a lot.   All these symptoms will change, they will get better then another one will start, it's just the body going through the healing process. It cannot be rushed. You will get better and need to take good care of yourself while you heal. 

[Cita]

Maybe it would have been a better idea just to tapper more slowly. The reason for wanting to go off citalopram 30 mg as fast as possible was that I have noticed how easy it is too just increase the dose when you have some anxiety problem, so I wanted to be free and through away the remaing pills so I would not be tempted to start increasing the dose.

 

I actually managed rather well from 30 mg to 60 mg. It took about a year and then I was almost in the same mood. 30 mg to 0 mg has been much worse.

 

Is there any average when people tend to get normal after a full withdrawal. Somewhere I read that it usually takes 1 to 1/2 year. Many others have written that it took about 7 months and the suddenly it improvement started to accelerate. Is there according to your experience at this forum any average time when the mood really starts to get better? I don't exactly know how long I shall wait before reinstating. I think my psychiatrist want to use snri if I don't get better. If think I can be on a sick leave about 5 month more at most. Then I will have too reconsider pharma. I am in the middle of my career and for economical and other reason would love to start my life again. At least I would like to start work half time in 1-2 months.

[mammaP]

The last part of a taper is the hardest and many have to slow down at lower doses.

We see many people here and ever one is different. Some are in withdrawal for years and others months. I wish I could tell you how long it will take but there is no way of knowing. The ones who do best seem to be the ones who take good care of themselves and accept that it will take time. Worrying and being angry slows things down, and caffeine, alcohol and lots of sugary food make many people feel worse and hinder recovery.

 

Reinstatement is best as soon as possible, the more time that passes the less likely it is to work. SNRI are harder to taper, and have many side effects.

[Cita]

Thanks, since I have been totally off for almost 7 months and are getting better slowly I will not reinstall since it could tempt me to increase the dose again if I felt worse. If I can't work in two months I will reinstall. Of course I will also talk to my psychiatrist. Actually he has a psychodynamic psychotherapeutical approach to psychiatry so I think he want me not to take any new pharma. The best thing with the withdrawal phase is that I have totally stopped using alcohol. Tasted it twice during 4 months.

 

The worst thing is as you mention that I am so worried and frustrated with not being my normal self and that makes thing worse. I cried for 1 month every day telling myself I was not a human. What I ment with this was that I could not cop with feeling so different for my normal self. I think it has been some kind of identity crisis. For 6 months having severe fatigue and no energy and not having any hope almost destroyed me. Now when I finally feel better it is much easier. I have been three days a week meeting a psychotherapist during the spring and that has helped me giving a name to my symptoms.

But to be totally honest if I had not found this forum I think I would have gone mad or started full treatment again. All my friends told me to start and even called me every day to see I did not do any suicid attempt. Actually I have never ever been suicidal and not even this time. But I have had moments when I thought I hoped I was dead (not suicidal intensions though) and I have had fears that I would start getting suicidal thoughts. I have always been very rational and analytical. I think it has helped me alot.

 

I finally feel I am getting in some kind of control of the situation. So I will continue withdrawal :-) I am glad you seem to have managed.

[Rockingchaircat]

I congratulate you Cita. At your success at staying off for 7 months.  As for the shivering and spasms? Oh I still get those myself. But I was on a bit more than what you've been on psychotropic drug wise.  Alcohol is another psychotropic drug- kudos to you for staying off of that too!

And yes, I've been fighting off the fatigue/no energy as well. It's not an easy thing to do.

Normal self? None of us feel normal with this crap of withdrawal. But the nice thing?

 

Eventually your normal self will come back. In fact your normal self without the drugs will blossom. 

 

It's not an easy journey- but it's worth the trip.

[mammaP]

I'm glad that you feel better about things and understand what is happening to your body, that is an important part of recovery. The symptoms will get easier, and will also get harder sometimes but you will be healing all the time. 

[Cita]

Do someone of you have experience of psychiatrists that actually understands the phenomena of prolonged withdrawal syndrome? I have googled and found one US-based psychiatrist that mention that it takes about 12 month or more for recovery and that the only thing that works to lievate the symptoms is benzos (though of course they are not good to use in the long run). I also read the article by Dr. David Healy from UK. I totally agree with them. But does other psychiatrists understand?

[Cita]

Hi everyone,

 

I met my psychiatrist. He did not seem to think my present condition had anything to do withdrawal but what it had gotten emotional more vivid, fragile alive after 20 years of ssri use. I really don't think this is the only reason for my symptoms. Internal shivering and a deep anhedonia that slowly gets better has nothing to do with feelings that has been "release" after years of ssri use. Anyone he wants me to continue without pharma and see my therapist. So I am still on a sick leave and at least that is good. So in the long run it does not matter what the doctor thinks if he still wants me to be pharma free. I have not been without citalopram since my late teens, so that is positive. Maybe my "real self" will now "come out"

[SquirrellyGirl]

Oh dear, we don't see that scenario very often, where the p-doc wants you to be med free!  Doesn't matter, though, because he is still off the mark and doesn't understand how these drugs impact the nervous system, trying to blame your symptoms on "something else."  There are very few p-docs who understand the healing process from coming off these drugs.  They seem to think withdrawal will only last 6 weeks if at all, but this is because they don't understand the down-regulation situation that these drugs cause, or the very slow remodeling process of up-regulation once off the drugs.  Your best bet in finding materials written by doctors who DO understand is to go to MadInAmerica.com or cepuk.org.

 

At 7 months out, you've come a long way and are healing, but it will take time.  Understanding that your symptoms ARE withdrawal driven but signs of healing may be helpful to you, rather than thinking they are "something else."  As mammaP mentioned, you will likely continue to experience Windows and Waves Pattern of Stabilization.

 

SG

[Cita]

Many psychiatrist believes in psycotherapy against depression and anxiety. As long as the depression is not severe and there are no suicidal thoughts there are ample evidence that psychotherapy works (and pharma is not needed), just as there are evidence that pharma works. I don't know about US but in many European countries where are not such a strong division between psychologists and psychiatrists. A psychiatrist has the human/patient in focus and can both recommend pharma and therapy The problem is that therapy takes a long time and thus is really expensive. I am fortunate to live in a European country were the government support psychotherapy so it is almost free for the patients. I have gone 3-4 times every week for 6 years.

 

It seems to be true what not even psychiatrists believe in long term withdrawal syndrome. I would guess that many people in this forum have them both, ie both withdrawal syndrome and anxiety/depression, that has come back, so the picture get even more unclear.

 

I have thought for a while about why physicians don't believe in withdrawal symptoms and my theory is that not everyone has withdrawal syndrome. This would mean that doctors meet , people without long-term withdrawal symptoms so they have a hard time understand why some people got it. I have decided not to talk with him about withdrawal symptoms. There is a risk he thinks I am not reasonable and just imagine things. As long as I keep improving he will be satsfied.

 

At least, I am satisfied, with the present situation. The most important thing is that I can get sick-leave to be able to pay my bills. 

[Cita]

Hi,

 

I just want to tell that the last week has been rather normal. I cried for a month and now feel better. Before that I feel as if I was going to explode. Haven't been crying for two weeks now. Don 't feel anymore as if I were someone else. Though I feel a combination of fatigue and anxiety at least I feel better everyday.  Seems as if I have a long journey back though. It there anyone here that can tell me about their experience of withdrawal symptoms 7 months and onwards?

[mammaP]

I am glad that you are feeling better Cita, that is great news. There are people here that have been suffering withdrawal for weeks, some for months and others for years. The ones who have got better don't come here very often because they are off living their lives again  . 

[Cita]

Hi,

 

unfortunately I have gotten severe anxiety problems again. Don't think that the only reason is withdrawal though, since I have some other problems also. My happy mood lasted for some days and now ill again. Sleeping all day. Paralyzed by anxiety. etc. Even compulary thoughts. Spends most of my time home. Though I don't have the feeling that I am someone else anymore. What are your experience regarding withdrawal after 7 months? My doctor is thinking of giving me something else than ssri. Maybe that is a good thing.

 

Really strange all of this. I am starting to loose confidence in everything. Don't know what to believe anymore.

 

Best

[Cita]

Today I reinstated citalopram 10 mg. Have not been able to function normally for 7 months. I will not have the maximum dos but hope that 10 mg will help me survive.

[nz11]

Hi Cita

So sorry you have had to reinstate.

7 months is early days in the recovery journey.

I was a nonfunctioning human for about two years after i went drug free.

Hope you stabilize soon.

nz11

[Cita]

Hi have use 80 mg about 2 years ago. If I now increases to 10 mg for half a year and then tries to go down to 5 mg for half a year and then quit. That is my new plan. That I shall be free in a year.

[ChessieCat]

Hi Cita,

 

I hope you get some relief from your withdrawal symptoms with your reinstatement.  It does take at least 4 days for the drug to get to a steady state in the blood.  This means that from about day 5 the amount of drug in your system will be about the same every day.  I suggest you read this link Keep it Simple, Slow and Stable

 

It is a good idea to keep a record on paper of your symptoms, taking note of things which improve and things that stay the same or get worse.  There are some computer and printable forms in this link Dr Joseph Glenmullen's Symptoms Checklist

 

SA recommends a slow taper of no more than 10% of the previous dose.  If you stay on 10 mg for 1/2 year then go to 5 mg that will be a 50% drop in one go.  Please have a read of these links which were posted above:

 

Why taper by 10% of my dosage?

 

Tips for tapering off Celexa (citalopram)

 

It will also be helpful to the staff and other members if you complete your signature with your drug history and update it each time you make a change so that is stays current.  This way people won't need to spend time reading through your posts trying to work out your details.  It would be good if you could list your details of drug/s, dose/s, dates for the last year.

 

Please put your Withdrawal History in Signature

Complete your Signature from Phone or Tablet

Video How To Use Surviving Antidepressants from a Phone

Edited August 4, 2016 by ChessieCat
corrected celexa link

[Cita]

Well it seems like a good idea I had 80 mg 2 years ago 30 mg 7 month ago and zero and I went nu. So 10 mg for six months and then 5 mg for 6 months and then will see. I had total shiverings in my body and hade bang my head in the wall because of anxiety. It actuallyt the real problem always seems to come when I go from 10 to zero. Then I freak out totally. So When I have stabilized at 5 mg i will slowly take of one pill every week day and see what happens.

 

Really stupid to do the total crasch 7 months ago. I thought it would work go from 30 mg to 0 and then survive the pain for some months But it did not work out that way

[ChessieCat]

Hi Cita,

 

What you may not realise is that taking an antidepressant drug changes the brain.  The idea of a 10% taper is to try and keep withdrawal symptoms to a minimum so that we can live our life as comfortably as possible whilst we get off the drug.

 

These really helped me to understand why a slow taper with a 4-6 week hold (to allow the brain to adapt to not getting as much of the drug) is recommended by SA:

 

Brain Remodelling (Rhi's Description of Brain Healing)

Video:  Healing From Antidepressants - Patterns of Recovery

 

I hope they help you too.

[nz11]

Cita i sense you are still not getting it.

Please read those threads cc gave you. You must be clear on what is needed to be done in order to get free of these drugs...else it will be a forever revolving door at the doctors clinic.

The Do nots are , Do not cold turkey and Do not skip or alternate doses.

You jumped off at 30 mg but there are people here who have tapered from 40mg down to 0.4mg and taken 5 years to do it.

 

Planning to take one pill every week day is planning to skip doses.

Personally after 20 years use if i were you i'd start the taper at 5% per month.

 

What are your thoughts on doing a drug signature?

 

nz11

[Cita]

well, thank you! I feel well now on 10 mg. will just the dose for some weeks to see if the mob stabilaze then each month 10 %. but we do not have the liquidform in my country. Just 10 mg and small package of 5  mg

[ChessieCat]

As NZ said, DO NOT SKIP DOSES.  You need to take the same dose at about the same time EVERY DAY.  Here is the link for Making a citalopram solution yourself where people discuss what they do to get their dosage.

[Cita]

I am rather disapointed that the psychiatrist does not know anything about changes in brain after long-term use of ssri. It does not seem illogical after 20 years use. I do not deny I originally had them for anxiety problem but this that I feel now is something very different. Anyway, will now use the does 10 mg until my mood stabilizes. Then we will see what I do.

[scallywag]

Cita

 

In your posts (above) you have listed several different medications that you have taken and different dosages.

 

We want to be of assistance to you. To answer your questions to the best of our knowledge, we need to have a complete picture of your drug and withdrawal history. Without a signature that provides that below every one of your messages, it takes us considerable time to read every one of your posts to get the complete picture.

 

Given your work, surely you can understand the value of being able to have a quick summary. Help us help you by creating a signature.

[Cita]

Understand. Now I made a signature.