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  1. Today is day 22 since I stopped citalopram, and I've had the worst time of my life in these last three weeks. I started taking citalopram about 11 months ago in preparation to stop smoking. The only adverse effect I had was about 4 days after starting on 10 mg/day, which was physical shaking. Over 3 months my dose was increased from 10 to 40 mg/day. I stopped smoking about 3 months ago. I went cold turkey and the worst side effect was feeling cold and tired so that I spent half of days 4-7 in bed A month ago, I saw my doctor and said I wanted to stop citalopram. Although she had already talked about taking 3 months to come off it, this time she suggested that I could take 2 weeks. So I did: 20 mg for 6 days with no withdrawal symptoms; then 10 mg for 6 days with no withdrawal symptoms, then 0 mg. I define my first day of first withdrawal of 0 mg as day 1, and I count thereafter in this email (how I define second withdrawal to be decided). This intro email is written on day 22. Days 0-4: no withdrawal symptoms Days 5-6: heightened awareness, euphoria Day 7: inability to coordinate driving, drowsiness, persistent genital arousal, loose tongue, could cease inappropriate behaviour Days 8-9: normal functioning requiring additional concentration [a] Days 10-11, heightened awareness, euphoria [a] Day 12: normal functioning [a] Days 13-15: normal functioning [a,b] Days 16-21: persistent genital arousal, increasing in intensity to the point of extreme distress on day 21 [c,d] Day 21 onwards: reinstated 10 mg citalopram Day 22: persistent genital arousal symptoms reduced by about half to that on day 20 Notes a: These days were contact time with my children, who live with their father. Could it be that after day 10 when our contact started, my being able to focus on them may have somehow reduced my vulnerability/the harm to withdrawal? b: Day 13, I decided to divorce my husband c: Contact with children ended on day 16 d: Day 21, trigger event with estranged husband leading to distressing persistent genital arousal
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