I started with 10mg citalopram first few weeks then 20mg, then switched to 10mg escitalopram due to availability issues at the start of the year.
It was for anxiety and depression.
Had severe side-effects first few weeks on citalopram. Mainly lethargy and low mood.
After the initial side-effects, I remember it not really doing much except made it easier to unhook for anxious thoughts and a slightly lower baseline anxiety. I have a chronic physical illness and it often gets worse in periods where I am more anxious and have noticed it has generally gotten better after the anti-depressant.
Currently bumped up to 15mg escitalopram past few months. Had taken it for nearly a year now. The switch from citalo to escitalo wasn’t as bad, side effects were similar but less potent and lasted only a few days.
Libido did not really change, but I started taking Concerta (methylphenidate) for ADHD regularly the past couple months in conjunction which just increased it honestly. The side-effects for Concerta has/is more prominent than escitalopram for me now.
I have to switch back to citalopram again soon because of availability issues… again.
In general I am adverse to medication, and so depending how the next year goes, I am hoping to taper off of the citalopram.
Both sides of my family have history of disabilities. Some have neurodivergence, some psychiatric and many physical.
So it is almost insane to me when I encounter people with no disability or anything. Not even a single allergy.
I do wonder how much is generational trauma, colonization and the fast transition to industrial capitalism (we come from a place that rapidly transitioned within a few decades). I wonder how all that factors in all this.