Disclaimer

As I already prepared in my first post, I would like it to be continually noted throughout all my posts: This is a place for opinion based responses based on educational background of licenses and certifications and work experience. I do hope to provide a good service but I am by no means your doctor. Any and all medication advice should be addressed with your physician. I'm just here to give you the extra details.

Tuesday, September 6, 2011

Reader Question & Response

Reader Question and Response:

"I just started Celexa and Ambien (which I only take on weekends). Is the Celexa making me drag, since I've been taking it in the morning, or was it a hangover effect of Ambien? Should I take my Celexa at night?"

Here is a breakdown first of both medications. Ambien (Zolpidem Tartrate) is typically used for Insomnia. Its part of the drug class of Non-barbiturate Hypnotic.  This is a controlled substance at a Schedule IV. 
Celexa (Citalopram Hydrobromide) is typically used as an Antidepressant and/or Serotonin Inhibitor. 


Now every medication effects EVERYONE differently. Both of these medications have those fun side effects of fatigue. Celexa unfortunately does have an effect of causing Insomnia too. Its "peak point" to begin working usually takes up to 4 hours by the time its taken. So if you take this medication at night, you can avoid those side effects of the Insomnia and Headache. So yes, it can either make you tired or reverse it could keep you awake. Some medications of this class usually since its a stabilizer of serotonin levels, its more common to have the reaction of having like a "caffeine kick". With that effect, its best it in the morning. Then there is people like you and me. I've personally have been on this medication. When taking it in the morning, my day dragged. I felt all the opposite effects like you are describing with the feeling of blah. I switched to taking it at night and it seemed to help. The biggest factor is that its a minimal of two weeks but most specifically 30 days for Celexa to be working right and for your body to metabolize it appropriately.


Combining both the Ambien and Celexa at night will not enhance each others own effects. Its completely fine to take both. If your still feeling a long drag in the morning, try taking at least the Ambien sooner in the evening versus right before bed. That way your sleep time will consume the full affects of the Ambien and won't carry on in your awake hours. 


It seems that the Ambien might be the main cause of your hangover effect. But, if your feeling this way even two days after you even had one then its your body's response to the Celexa. So try to reverse the sequence of when you take your medications. Unfortunately you will have to wait that time frame of two weeks to see a difference in the Celexa. Plus in addition, which I'm sure your doctor has advise: avoid drinking alcohol while on either of these medications. 


So try the Celexa at night. If your still having the same response, talk to your doctor at maybe looking at a different medication that would not include this specific effect. 







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