### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello,I am writing to enquire about arrow citropram.  The purpose of me taking this medication is for generalised anxiety which has increased over the last few months.  Its not severe anxiety, but enough to intervere with my quality of life.  I have taken it for 6 days and already feel incredibly tired 2 hours upon taking it in the mornings.  This tiredness is prolonged and my concentration is severely interfered with.  As the days move on I continue to feel wiped out and have lost my apetite by at least 40%.  I also feel nauseated and my tummy is bloating.  I also have celiacs disease and have a tendancy to have a sensitive stomach - that often does not respond to medication well.  On top of this im starting to get breathless and develop slight asthma which is usually only brought on by allergens from the environment and induced by exercise.  I feel tired in the legs and generally mentally not myself.  If anything this drug is making me feel flat and lifeless and strange.  I felt a million dollars before I started taking this in comparision.Do you believe these symptoms will decrease over time?  Do you suggest I try to get through this initial period of my body adapting or drop it all together?  I am only on 10mg/day.Thanks for your help,Janna

### output:

Hi there ~ You need to call your doctor.  Citalopram is an effective medication for depression and anxiety, and you might need to start taking the medication at night.  There may be side effects, but that will get better over time.  You need to not worry about having to deal with them forever.  You will get better but it will take time.  In the meantime you might need some of the other sedatives which might help get you through the side effects.  I would like you to see your psychiatrist you trust as soon as you can.  I hope this helps. Take care and have a lovely day!