{"id":387415,"date":"2026-01-24T05:29:08","date_gmt":"2026-01-24T05:29:08","guid":{"rendered":"https:\/\/www.newsbeep.com\/uk\/387415\/"},"modified":"2026-01-24T05:29:08","modified_gmt":"2026-01-24T05:29:08","slug":"citalopram-warning-as-nhs-cautions-over-six-week-rule","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/uk\/387415\/","title":{"rendered":"Citalopram warning as NHS cautions over &#8216;six week&#8217; rule"},"content":{"rendered":"<p class=\"withoutCaption\"><img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/uk\/wp-content\/uploads\/2026\/01\/woman-drinking-pill-with-water-at-office-in-a-relaxed-setting-6692394.jpg\" class=\"zoomEnabled\" data-img=\"https:\/\/cdn.images.express.co.uk\/img\/dynamic\/11\/1200x712\/secondary\/woman-drinking-pill-with-water-at-office-in-a-relaxed-setting-6692394.jpg?r=1769185694428\" alt=\"Woman Drinking Pill With Water\" title=\"Woman Drinking Pill With Water\" width=\"590\" height=\"393\" fetchpriority=\"high\"\/><\/p>\n<p>People have been warned to visit their GP before they stop (Image: Getty)<\/p>\n<p>The NHS has warned people taking medication for depression not to stop suddenly without speaking to a doctor, even if they feel better. The NHS says that while you may feel better, stopping citalopram without consulting your doctor could <a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.express.co.uk\/life-style\/health\/2157313\/3-early-warning-signs-depression\" target=\"_blank\" rel=\"nofollow noopener\">cause you to feel worse<\/a>. And its guidance also reminds users about the six-week rule &#8211; which is how long you should give it to work.<\/p>\n<p>The medication is part of a group of antidepressants called selective serotonin reuptake inhibitors, often just called SSRIs. It works by increasing serotonin levels in the brain, which helps to lift mood, emotions and <a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.express.co.uk\/life-style\/health\/2161197\/experts-share-exact-number-times-s-normal-wake-up-during-night\" target=\"_blank\" rel=\"nofollow noopener\">regulate sleep.<\/a><\/p>\n<p>The <a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.nhs.uk\/medicines\/citalopram\/side-effects-of-citalopram\/\" rel=\"nofollow noopener\" target=\"_blank\">NHS<\/a> explains that &#8220;it may take 1 or 2 weeks before citalopram starts to work on your symptoms. It usually takes between 4 and 6 weeks before you feel the full <a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.express.co.uk\/life-style\/health\/2160276\/tasty-food-reduce-dementia-risk\" target=\"_blank\" rel=\"nofollow noopener\">benefits<\/a>.&#8221;<\/p>\n<p>It adds: &#8220;Do not stop taking citalopram after 1 or 2 weeks just because you feel it is not helping your symptoms. Give the medicine at least 6 weeks to work.&#8221;<\/p>\n<p>But it&#8217;s not just this you need to be aware of. The NHS says: &#8220;Taking citalopram for panic attacks can sometimes make anxiety worse during the first few weeks of treatment. But this usually wears off after a few weeks. If it bothers you, speak to your doctor about it. A lower dose may help reduce your symptoms.&#8221;<\/p>\n<p> Read more: <a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.express.co.uk\/life-style\/cars\/2161368\/drivers-warned-100-fines-common-parking-mistakes-near-home\" rel=\"nofollow noopener\" target=\"_blank\"> Drivers parking near home can face \u00a3100 fine due to common mistakes <\/a><\/p>\n<p> Read more: <a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.express.co.uk\/life-style\/health\/2161197\/experts-share-exact-number-times-s-normal-wake-up-during-night\" rel=\"nofollow noopener\" target=\"_blank\"> Expert shares &#8216;normal&#8217; number of times you should wake up during night <\/a><\/p>\n<p>Common side effects<\/p>\n<p>These common side effects of citalopram happen in more than 1 in 100 people. There are things you can do to help cope with them:<\/p>\n<p>Having a dry mouthSweating a lotBeing unable to sleepFeeling tired, weak or sleepyHeadacheNausea<\/p>\n<p>Serious side effects are rare and happen in less than 1 in 1,000 people.\u00a0Book an appointment with your doctor if:<\/p>\n<p>you have changes in your periods, such as heavy bleeding, spotting or bleeding between periodsyou gain or lose weight without trying<\/p>\n<p>Call a doctor or call 111 now if you:<\/p>\n<p>start bleeding from the gums or get bruises that appear without a reason or that get biggerhave strong feelings of happiness, enthusiasm or excitement, or feeling restless and you cannot sit or stand stillstart coughing up blood or have blood in your peehave black or red poo, or blood in your vomit \u2013 these can be signs of bleeding from the gut<\/p>\n<p>Call 999 or go to A&amp;E now if:<\/p>\n<p>you have chest pain or pressure or shortness of breathyou have a fit or seizure for the first time, or the seizures you have had in the past become more frequentyou feel very dizzy, or pass outyou have painful erections that last longer than 2 hours \u2013 this may happen even when you&#8217;re not having sexyou get bleeding from any cuts or nosebleeds that is very heavy or does not stop within 10 minutesyou have thoughts about harming yourself or ending your lifeyou get headaches, have trouble focusing, have memory problems, cannot think clearly, have weakness, have a seizure or fit, or lose your balance \u2013 these can be signs of low sodium levels<\/p>\n<p>In rare cases, it&#8217;s possible to have a serious allergic reaction (<a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.nhs.uk\/conditions\/anaphylaxis\/\" rel=\"nofollow noopener\" target=\"_blank\">anaphylaxis<\/a>) to citalopram.\u00a0Call 999 now if:<\/p>\n<p>your lips, mouth, throat or tongue suddenly become swollenyou&#8217;re breathing very fast or struggling to breathe (you may become very wheezy or feel like you&#8217;re choking or gasping for air)your throat feels tight or you&#8217;re struggling to swallowyour skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)you suddenly become very confused, drowsy or dizzysomeone faints and cannot be woken upa child is limp, floppy or not responding like they normally do (their head may fall to the side, backwards or forwards, or they may find it difficult to lift their head or focus on your face)You or the person who&#8217;s unwell may also have a rash that&#8217;s swollen, raised, itchy, blistered or peeling. These can be signs of a serious allergic reaction and may need immediate treatment in hospitalCan I take citalopram?<\/p>\n<p>The medication\u00a0can affect blood sugar stability, making it harder to manage. This means that if you have diabetes, you need to check your blood sugar levels more frequently during the first few weeks of treatment.<\/p>\n<p>You may also need to change your diabetes medication while taking citalopram. Remember to always discuss your diabetes management plan with your doctor before starting this medication.<\/p>\n<p>Citalopram is not suitable for some people. To make sure it\u2019s safe for you, tell your doctor if you:<\/p>\n<p>have ever had an allergic reaction to citalopram or any other medicinehave a heart problem \u2013 citalopram can make your heart beat faster or cause an irregular heartbeat (<a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.nhs.uk\/conditions\/arrhythmia\/\" rel=\"nofollow noopener\" target=\"_blank\">arrhythmia<\/a>)are trying to become pregnant, are already pregnant or breastfeedinghave an eye condition called\u00a0<a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.nhs.uk\/conditions\/glaucoma\/\" rel=\"nofollow noopener\" target=\"_blank\">glaucoma<\/a>\u00a0\u2013 citalopram can increase the pressure in your eyehave\u00a0<a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.nhs.uk\/conditions\/epilepsy\/\" rel=\"nofollow noopener\" target=\"_blank\">epilepsy<\/a>\u00a0or are having electroconvulsive treatment \u2013 citalopram may increase your risk of having a seizurehave ever had a bleeding disorder such as haemophiliahave ever had a stomach ulcerStopping citalopram<\/p>\n<p>If you feel better and want to stop, always tell your doctor and never just stop taking the medication. The NHS states: &#8220;If you have been feeling better for 6 months or more, your doctor may suggest coming off citalopram. They will probably recommend reducing your dose gradually over several weeks, or longer if you have been taking citalopram for a long time. This helps to stop any withdrawal symptoms you might get as a reaction to coming off the medicine.&#8221;<\/p>\n<p>feeling dizzyfeeling sicknumbness or tingling in the hands or feettrouble sleepingfeeling agitated or anxiousheadachesshaking<\/p>\n<p>For more information on Citalopram, visit the NHS website\u00a0<a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.nhs.uk\/medicines\/citalopram\/\" rel=\"nofollow noopener\" target=\"_blank\">here<\/a>. Call\u00a0<a data-link-tracking=\"InArticle|Link\" href=\"http:\/\/tel:116123\/\">116 123<\/a>\u00a0to talk to\u00a0<a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.samaritans.org\/how-we-can-help\/contact-samaritan\/\" rel=\"nofollow noopener\" target=\"_blank\">Samaritans<\/a>, or email\u00a0<a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.express.co.uk\/life-style\/health\/2161346\/mailto:jo@samaritans.org\" rel=\"nofollow noopener\" target=\"_blank\">jo@samaritans.org<\/a>\u00a0for a reply within 24 hours.<\/p>\n<p>Text &#8220;SHOUT&#8221; to 85258 to contact the\u00a0<a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.giveusashout.org\/\" rel=\"nofollow noopener\" target=\"_blank\">Shout Crisis Text Line<\/a>, or text &#8220;YM&#8221; if you&#8217;re under 19. If you&#8217;re under 19, you can also call\u00a0<a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/https\/\/tel:0800%201111\" rel=\"nofollow\">0800 1111<\/a>\u00a0to talk to\u00a0<a data-link-tracking=\"InArticle|Link\" href=\"https:\/\/www.childline.org.uk\/\" rel=\"nofollow noopener\" target=\"_blank\">Childline<\/a>. The number will not appear on your phone bill.<\/p>\n","protected":false},"excerpt":{"rendered":"People have been warned to visit their GP before they stop (Image: Getty) The NHS has warned people&hellip;\n","protected":false},"author":2,"featured_media":387416,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[13883,87534,59,102,104,18782,56,54,55],"class_list":{"0":"post-387415","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"tag-antidepressants","9":"tag-citalopram","10":"tag-gb","11":"tag-health","12":"tag-nhs","13":"tag-ssris","14":"tag-uk","15":"tag-united-kingdom","16":"tag-unitedkingdom"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/387415","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/comments?post=387415"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/387415\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media\/387416"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media?parent=387415"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/categories?post=387415"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/tags?post=387415"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}