Help , I’m on 20mg of citraplam and I feel worse!

[Virgo0071234]

I’ve currently was on 10 mg 2 years ago and my life changed I’m engaged happy but over the last few months I was put on 20 mg due to migraines and I’m feeling at my lowest I have no energy I sleep when I’m not working my sex drive is zero and I’m moody , numb , irritable can’t sleep properly feel tense and am getting paranoid. :(

[Paxiled]

This is a bit confusing -- this medication does not treat migraines, so why was your dosage upped if it was working for your depression fine?  You should also know that 10mg really isn't a therapeutic dose for the vast majority of people, it's a starter dose, so you might not have needed any med at all.  You don't say how bad your life was going or if you first tried therapy or how you were put on this med, but there are both natural and pharmaceutical remedies for migraines and this ain't one of them.  For me, meditation got rid of them.  Now, migraines can be a result of stress, usually occurring after a period stress is over and the constricted blood vessels start to open up again, but you say you are happy and doing well until upping your dose so I'm assuming you didn't suffer a period of high stress.  Even if you had, again, antidepressants don't treat the constriction of blood vessels, which causes migraines.  Exercise, eating better and regularly, and meditation will often get rid of them.  What you're feeling now is what many people feel when an antidepressant is actually at a therapeutic dose.  It might pass as you get used to the new dose or it might not -- side effects can be start-up or long-lasting depending on the person.  From your description of your life and the dosage you've been on, do you think you actually need medication at all?  If you do, again, less if it works is always better than more, because the more you take the more side effects can occur and the more difficulty there can be in quitting.  Unfortunately, if you've been on 20mg for a few months, as you say, then it's likely these are permanent side effects because, again, you have been on a dose that probably wasn't actually changing the way your brain works very much because it was so low.  How long have you been on the higher dose, and have you discussed this with your psychiatrist?