<s>[INST] i am using citalopram for a week now 10mg in morning and 10 at night. started two days ago i started getting the chills diarrhea and these intense pains in all of my joints that seems to get worse everyday and transfer to new parts of my body. i felt like i had the flew two days ago and did not take medication yesterday which got rid of those symptoms but now the intense pain and sore throat seem to be worsening [/INST] Hello, The sore throat needs proper oral antibiotics for relief. The joint pain can be relieved with anti-inflammatory pain killers. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon </s>