My First Drug: Citalopram (Celexa)

Well, ladies and gents, I am embarking on my first test of pharmacological aids for stuttering. On my latest visit to my neurologist for my Essential Tremor, I asked her about stuttering medications, specifically Paglacone (she'd never heard of it...still not available, no big surprise). She asked if I was interested in traditional speech therapy again and I told her that I was not, since I had been through years and years of speech therapy as a child and teenager with virtually no result, aside from becoming more accepting of and comfortable with my stutter. We then began discussing various medications that have been used in the treatment of stuttering, and she suggested that I start a regimen of 20mg daily of Citalopram (Celexa).

But...isn't Celexa an antidepressant? Why, yes...it is. But...I'm not depressed? It seems a few antidepressant medications are also somewhat effective in the treatment of stuttering/stammering. Perhaps, in part, due to their anti-anxiety effects, which may account for at least some increased stuttering in people who tend to stutter more in stressful situations. Like, me. And probably almost all stutterers/stammerers.

According to Dr. John Paul Brady (as reported by The Stuttering Foundation), Citalopram has been effective in limited stuttering individuals in achieving some level of improved fluency. Notably, those with a severe impediment benefit best by the implementation of two medications, Citalopram (Celexa) and Aprazolam (Xanax). Since I would not consider myself a severe stutterer, I opted for only the one medication. Also, if I were to greatly benefit from both medications, I would then wonder if only one of the medications would have had the same effect. Starting with the least intrusive amount seems more scientific...at least to me.

I am concerned with side effects. As a rule, I do not like taking medications unless I am in a great deal of pain. Swallowing pills is not something I enjoy, and side effects I enjoy even less. Citalopram offers side effects that range from drowsiness, dry mouth, nausea, vomiting and nervousness...to loss of appetite and loss of sexual drive. Some of the more severe possible side effects are hallucinations and confusion. Since Citalopram is an antidepressant, the latter two, while remote, are a little distressing. Be sure that if I experience any of the latter, I will cease taking it.

My neurologist suggests that I try this medication for 2 months and then I will report back to her on the effectiveness. I will also report back to this blog, so that you can benefit from my experience. I am a bit skeptical. I am not anticipating a dramatic effect, if any at all. I hope I am pleasantly surprised. If you have tried either of these medications for stuttering (or for any reason) your input would be tremendously appreciated.

Happy Spring!!