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1139187 tn?1355706647

Citalopram or pristiq

What is better for a first time?  Cialopram or pristiq?

I've got ringing in my ears, dizziness and the shakes.  No one can figure me out and they have decided to put me on meds.

Which is better?   Trying to avoid more symptoms.
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Avatar universal
Thyroid can cause all these symptoms.  That's why it's important to rule out all physical causes before you start taking these weird brain meds.  Therapy should also be tried first.  But again, if you're feeling so anxious that you've lost your job and are afraid to leave the house, now that sounds like anxiety and it might be time for medication.  Also sounds like depression.  But we're just here on the net, not with you, so we can't diagnose you.  I can only tell you that for anxiety sufferers, the anxiety comes first, then come the physical stuff, and it builds over time if the pattern isn't broken.  If the physical stuff came first and then the anxiety, it might very well be something physiological, and that makes it complicated especially when doctors are generally not very activist in finding physical causes -- cheaper to just say it's anxiety and put you on meds.  Not to say that isn't what you might have to do, just to say it's hard to tell from your short description.  A lot of people have been blown off by lazy docs.
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1139187 tn?1355706647
Also I'd like to say that I do not think I have depression, but I have anxiety if that makes a difference.  Please help.
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1139187 tn?1355706647
I  can't really figure out my problem.  I've had some Heath issues with my thyroid, and then I've had this other crazy stuff going on.  Shaky hands, dizziness and feeling overwhelmed like you do with a new job( but every day even at home). Sometimes I just want to get in Bed and sleep it off.  I lost my job, as crappy as it was as a result.

Ive had 4 top doctors in Dallas ask me if ive tried mood enhancers.  I have not up until now but willing to try anything to get my life back.  
Helpful - 0
Avatar universal
You mention all physiological symptoms.  You don't say anything about whether you're feeling anxious or depressed.  If it's anxiety, citalopram would be better, since the snris are more likely to be stimulating due to the effect on norepeniphrine.  But everyone will react differently to meds.  But if you just have physiological symptoms and don't feel anxious or depressed, then these meds aren't for you at all -- you need to find out the physiological cause.  Those of us who suffer anxiety do have a lot of physiological symptoms that go along with it, but first comes the anxious mind, and you don't mention that.    
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