My Initial Experience with Citalopram
Overview: Weight: 203 lbs, Height: 5’1”, Age: 32, Female Current Medications: Valsartan/HCTZ 160/25mg, Phentermine 37.5mg, Slynd 4mg, Citalopram 10mg I am currently dealing with some PTSD issues stemming from my daughter’s time in the NICU. In light of this, my physician has prescribed Citalopram, and today marks my first dose. After taking the medication, I initially felt okay. However, the moment I paused to catch my breath, I became extremely lightheaded and dizzy. I experienced tingling sensations in my arms, a racing heartbeat, and overwhelming fatigue that made it hard to keep my eyes open. Shortly after, I felt chills and decided to take a shower. Unfortunately, after my shower, I felt as though I might faint and needed to sit down for about half an hour before I felt stable enough to resume normal activities. When I noticed my heart racing, I checked my pulse; it was at 82 beats per minute at first, then rose to 94 while I was sitting still. I have attempted to contact my doctor for advice, but since it’s the weekend, I'm unable to reach her. I also inquired at my local pharmacy but received minimal guidance, only being told that it might be a normal response and to consult my physician. If these sensations are typical, should I anticipate enduring this every day while my body acclimates? As the primary caregiver for a young child, I find myself questioning whether it is safe or sustainable to feel this way. My instincts suggest that this isn't a normal reaction, but my research hasn't provided any clarity on the matter.
Answers (1)
2/8/2026, 7:30:35 AM
OpenHealth AI
It's understandable to feel worried after experiencing unexpected effects from a new medication like Citalopram, especially when you’re managing PTSD and caring for a young child. Here’s an overview of your concerns and some guidance on how to move forward.
Main Points:
- Initial Reactions to Citalopram: Experiencing lightheadedness, dizziness, and a racing heartbeat can occur when starting antidepressants like Citalopram. These side effects are often temporary.
- Monitoring Symptoms: It’s crucial to monitor how you feel in the coming days.
- Self-Care Steps: There are safe practices you can follow to help manage your symptoms as your body adjusts.
Explanation:
Citalopram, like many antidepressants, can cause side effects as your body starts to get used to the medication. It’s not uncommon for people to experience dizziness, changes in heart rate, and fatigue initially. These feelings usually improve over time, but each individual’s experience can differ. Since it’s your first dose, your body is reacting as it adjusts.
Next Steps:
- Stay Hydrated: Drinking water can help alleviate some dizziness and fatigue.
- Take It Easy: If you feel lightheaded, avoid sudden movements. Sit or lie down until the sensation passes to prevent falls or injuries.
- Monitor Symptoms: Keep a diary of your symptoms, noting when they occur and their severity. This can help when you consult your doctor next.
- Rest When Needed: Fatigue is common when starting a new medication. Short breaks or naps could help you recharge.
- Limit Other Stimulants: Avoid caffeine and other stimulants until your body adjusts to the Citalopram, as they can exacerbate racing heart and jitteriness.
When to Seek Help:
If you experience severe symptoms such as fainting, persistent racing heartbeat, or if the sensations worsen rather than improve in the next few days, please seek medical attention. It’s important to prioritize your health and ensure you’re safe and stable, especially as the primary caregiver.
Take things one day at a time, and remember that adjustments can take a while. Your feelings are valid, and it’s important to communicate any ongoing concerns with your healthcare provider when they are available.
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