General Question

Aethelwine's avatar

I have a question about an anti-anxiety medication. Can someone please help?

Asked by Aethelwine (42961points) January 26th, 2015

I take 20 mg of citalopram daily. I have one dose left and I won’t be able to pick up my refill until Wednesday. (today is Monday)

I’m already in a funk because my daughter is home from school with a high fever, and on top of that I can’t reach my husband. It’s not normal for him to not contact me when she’s ill. This probably means he’s having an extremely stressful day and it is making my anxiety worse.

My question is, should I take my last full dose and skip tomorrow, or should I cut my dose in half so I at least have something in my system? I’m asking the collective because I’m sure some of you have been in a similar situation and it takes forever to get a call back from my doc.

Observing members: 0 Composing members: 0

32 Answers

talljasperman's avatar

You shouldn’t be creative with your medications…I would call the pharmacist or doctor for an emergency refill.

Aethelwine's avatar

The refill is there. I just won’t have the money to pay for it until Wed..

Dutchess_III's avatar

They should be able to give you a couple to get you through at no charge. They’ve done it for me in the past.

talljasperman's avatar

@jonsblond Just break up (pro-rate) the purchase for a day at a time. You can also ask your pharmacist for credit. You also can tell your pharmacist about your plan to skip some doses.

Aethelwine's avatar

I use Walmart pharmacy.

Aethelwine's avatar

I should add that it would be a round trip of 40 miles for me to go pick up one dose. That factors in to my not having the money until Wed. because I’ll be using up gas that is needed for my trip on Wednesday.

janbb's avatar

Can you phone the pharmacist on duty at Walmart and ask what they advise?

janbb's avatar

@jonsblond Then that’s what I would do.

talljasperman's avatar

@jonsblond Walmart should see how this question can cause you anxiety. Just take a warm shower and take your pills normally. You can call Walmart for an extra two days and if they don’t then you should consider finding another pharmacist.

Aethelwine's avatar

I’m trying to keep my line open for Jon. Didnt think it would hurt to ask the collect. Sorry I’ve wasted your time.

talljasperman's avatar

@jonsblond You didn’t waste my time. I have lots of it to spare.

Dutchess_III's avatar

We’re happy to help @jonsblond. Can Jon possibly pick it up for you on his way home?

janbb's avatar

@jonsblond Not saying that at all, just don’t want to give you bad advice!

Dutchess_III's avatar

Let us know what WM says. I mean, if your refill is there, they can just take two from that and give them to you.

gailcalled's avatar

If this were me, I would cut the pill in half.

LuckyGuy's avatar

I agree with @gailcalled. I’d go with half and take the next half the following day. It hangs around in your system. I looked at the “What happens if I miss a dose?” section and they said just start up with the normal dose per schedule.

tinyfaery's avatar

I’m assuming it’s the take everyday kind. You can skip a day, but don’t be surprised if you feel a little wonky. You aren’t going to die or anything.

The pharmacy should give you a few to tide you over.

Breathe deep. Try to nap. If I remember correctly, your daughter must be a middle schooler now. She doesn’t need active monitoring. She should be able to tell if something is wrong.

Dutchess_III's avatar

But it’s a 40 mile round trip for her to get to the pharmacy.

Cupcake's avatar

I think if you’re having a shitty day, you should take the full dose today. Hopefully tomorrow will be better and you will be OK without meds for one day.

Have some self-soothing, calming practices ready to use tomorrow. And maybe ask hubby to bring home some chocolate.

tinyfaery's avatar

Yeah. I got that. But when you need to do it, you need to do it. No matter how many miles.

Another reason I like living in the city. Easy access to medical care when in an emergency. I can think of 4 pharmacies less than 2 miles away.

JLeslie's avatar

If it were me I’d cut the pill in half if you take it regularly, meaning daily. If you skip a full day and you take it every day your anxiety level will probably get very high.

You can take half, and then if you decide you really need the other half and will chance Tuesday, you can always take the other half before Tuesday. Once you take the whole pill you cannot change your mind.

gailcalled's avatar

I take 20 mg of citalopram daily.

Dutchess_III's avatar

That’s what she said, Gail.

Earthbound_Misfit's avatar

Cutting the pill in half will mean you at least have some of your medication. I agree that’s the sensible option here. It sounds as though you have plenty of additional stress without feeling worse because you haven’t had any of your medication. I’d be concerned that by not taking any your levels will drop quite significantly.

Dutchess_III's avatar

Have you heard from Jon?

talljasperman's avatar

@Earthbound_Misfit You can’t rely on spitting pills unless they are scored… the medication might not be uniform throughout the pill.

Earthbound_Misfit's avatar

I know @talljasperman, but taking some of her medication, even if it’s not a perfect dose, will be better than nothing.

Aethelwine's avatar

I forgot to pay the cell phone bill over the weekend so our service was disconnected today. The strange thing is that my phone was able to make and receive calls and texts until 2:30pm but my husband’s hadn’t worked all day. This is why he didn’t contact me. He assumed my phone was not working so he didn’t try to use the work phone. I was going to call my doctor for advice but I had to deal with the phone instead. ugh.

My heart was racing by the time he returned home. I was sure he was going to have bad news. Anxiety is a bitch. I spent 20 minutes on the phone with uscell after Jon and I figured out the problem, then I had to go buy more Kleenex for our daughter and make dinner.

I received a few pm’s with suggestions and they are similar to some of the responses here. My pills are scored so I decided to split the dose. When I first started taking the medication in October it was 10 mg and I had to cut the dose then because it only came in a 20 mg per dose package. My dosage was increased to 20 in December.

Thank you for your support. I know a lot of people frown upon medical questions here, but we’re all adults and we’ve been a cyber family for years. I feel comfortable asking for your suggestions concerning medical issues and I don’t think it’s any different than family members and friends having the same discussion. This means I care about you all. Aw shucks.

@tinyfaery Believe me, I often think about the advantages of living closer to a city. I’ve been looking online at 100 year old homes for sale near the city center and admiring the wood work and uniqueness of the homes. I also think about how nice it would be to live close to amenities. Then I remember how much I love nature and privacy. I’m torn.

Earthbound_Misfit's avatar

It’s not like you’re asking us to diagnose you. You have a situation and you’re asking for some guidance about how to manage it over a short term period. I’m glad we were able to help (even in a tiny way).

Dutchess_III's avatar

Bless your heart. I’m glad there was a logical explanation for Jon’s silence.

tinyfaery's avatar

Nature is never too far away, even in L.A. I know people who run in Griffith Park or Runyion Canyon everyday from there city homes and apartments. It would probably be easier for you if you were to move to the city.

Plus, I feed the birds so they are around a lot. The doves nest in one of our eaves. A falcon appeared in my yard a few weeks ago. I grow flowers that attract butterflies and hummingbirds. There are crickets chirping at night and there are always squirrels.

You have to do what’s best for you.

Answer this question

Login

or

Join

to answer.

This question is in the General Section. Responses must be helpful and on-topic.

Your answer will be saved while you login or join.

Have a question? Ask Fluther!

What do you know more about?
or
Knowledge Networking @ Fluther