I am a 33 year old working male. About 16 months ago, I began exhibiting signs of anxiety (attacks and persistent symptoms). For the past year, I have experienced persistent and extreme fatigue and leg weakness. Occasionally, I would have an "attack" (of course at the most inopportune moments) of lightheadedness and feeling extremely faint. This event would quickly escalate to palpitations and the sudden urge to "get to a hospital" or seek help (seemingly classic symptoms of an anxiety attack).
All blood work has come back normal. I went through four months of (torturous) CPAP therapy which provided no relief (of course, I have never known of anyone to emerge from a sleep lab without some kind of "label" and a CPAP device). As a seemingly "last ditch effort," my doctor prescribed Celexa - 20 mg.
I have had the worst time trying to get started on this medication. I understand that this drug is normally highly tolerated; however, my reactions begin within one hour of taking a 20 mg tablet. I become extremely weak and tired (to the point of not getting off of the couch). Feelings of skin tingling, disconnectedness, nausea, jitteriness, and fast heart rate persist for the next 8-9 hours. I have had a great deal of difficulty sleeping, even after trying to take my dosage in the morning and evening.
Needless to say, after having a go at this medication twice, I have quickly ceased both times after only one dose. I understand that these SSRIs take time to "kick in" (4-6 weeks), but that just doesn't work with my job. I need to travel quite a bit, we have a baby on the way, and "laying in bed" for 4 weeks just can't happen.
My question is bifold. Have any of you encountered primary anxiety symptoms of severe and debilitating fatigue (before medicating), and if so, did you find a medication/resolution that helped you? To those with experience with Celexa, did you experience these debilitating symptoms in the first few doses? How did you deal with these effects?
Thank you for this friendly forum, and God Bless.