Hi, I'm 62, was diagnosed bi-polar in 1986 and put on Lithium but not monitored properly so came off it after being sacked. Started again in 1990 and was also put on Citalopram at that time. Have been on both ever since and have been up and down like a yoyo, In 199I 8 I was diagnosed HIV positive, fired again. Put on meds, got lypodysrophy but thatit's a bit better now. Recently left husband, got fired (again), moved country so was pretty shattered and scattered, and angry. I'm also taking Lyrica and Tramadol - for about two years. My doctor now, has decided i need to come off those and the citalopram and change to Zispin which leaves me zonked and I'm gaining weight. I'm fiercely angry at present, very aggitated, irritable, I have seen a Psychiatrist twice, the last time be confirmed what an idiot he is when he told his resident to tell me, "ya, stop taking the Zispin is she wants". I need to find out what I need, what's the difference between the cital and the zispin, Why is one better than the other. Does Zispin affect eyes? I also have aching, very sore, feet, fingers, wrists and shoulder and, the memory is not great.