Celexa (citalopram) is usually used at a dose of 20 - 40 mg/day in the treatment of depression. 20 mg/day is the recommended dose for most elderly patients. It should be used atleast for a period of 4 to 6 weeks for positive response. In elderly patients, dosage is increased under close observation after few weeks of no response. Side effects usually resolve after a few weeks. Other anti depressants such as Zoloft, Remeron and Paxil seem to be effective in elderly patients with depression. Remeron seems to be the most commonly used drug in elderly patients with depression and weight loss. I would recommend that she talk to her doctor about other available options.
i am depressed since a long time and is taking effexor and is not well up to now.
Please try to convince your Mother to stay on the medicine, and give it time. I've been on celexa for 5 weeks now (30 mg.) and still haven't felt the final results. It takes time...a good 6 to 8 weeks to feel results. Most antidepressants take this long to kick in so switching drugs won't help. Also, celexa isn't known to help insomnia, but in time it does help the patient relax enough to sleep. Like many people that suffer from depression I too did suffer from insomnia, and the celexa has helped a great deal relaxing me to the point that I can sleep again. If she wants to up the dosage she should wait to talk to her doctor after 3 or 4 weeks. I hope that she hangs in there, from what I've heard celexa is one of the best antidepressants out there right now. Depression is rough, so I hope you and your Mother hang in there.