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Posted by: Irene | 08/01/2019

Q
My son was given Cilift 20mg by Doctor but pill makes him sick

My son was prescribed cilift 20mg for anger issues and depression. He is 17 years old. It makes him sick, he feels nauseous mostly and loses weight. Is there an alternative we can try or something natural? Because it makes his so sick he does not want to drink it and it is really important for him to drink something for the aggression. Would appreciate your assistance. Thanks in advance.

EXPERT’S REPLY

Posted 09/01/2019

A
Hello Irene,
Yes, Cilift (Citalopram is its chemical name ) and some other antidepressants in its close family, can indeed cause nausea in some people ; that's a well-recognized possible side-effect. There are rather a lot of alternative antidepressants, many of which don't usually have this side-effect.
Also, where people do feel nauseated as a side-effect, this is usually worst in the first week or so and then tends to fade away. It also helps to take the medication with or after a meal.  Like all antidepressants, it's not wise to combine it with alcohol, as this can reduce its benefits and increase side-effects.
But though citalopram and it's relatives can apparently reduce aggression and anger in some of us ( this has mainly been shown in  people whose anger / irritability is associated with depression ) there are also some reports that in some people, especially in adolescents, these drugs can be associated with increased anger, irritability and aggression, and there is a general warning that in some cases this can be related to an increase risk of self-harm. 
This issue is best discussed with his own doctor who can explain his opinion, and discuss alternatives.  Remember it's not a good idea to abruptly stop any psych drug,  as they should be more gradually reduced in dose.
Also ask the psychiatrist about the possibility of using a specific form of counseling called CBT ( Cognitive-Behaviour Therapy ) from a suitably capable counsellor or psychologist as it can be highly effective in depression, anxiety, and in anger problems, and through which your on might learn valuable personal skills in controlling anger
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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