The doses of Cilift (Citalopram ) usually used range from 20 to go mg a day, and it is an effective antidepressant for many people. Espiride ( Sulpiride ) is a drug peculiarly popular with some South African doctors. Originally an antipsychotic, it's mildly tranquilizing, NOT antidepressant, and not approved for use in the USA, Canada or Australia. Some think it might help to produce an earlier response in people taking antidepressants, so it shouldn't at least have lessened the benefits to you of the Cilift.
If an antidepressant such as Cilift starts to work, it usually doesn't stop having benefits, but people with significant depression who begin on a tarting dose of 20 mg a day often need at least 40 mg after an initial period. It would be wise to discuss this with your psychiatrist who could review the dosage or even consider a different drug. ( And if money is a problem, as it is for most of us, check whether there is a cheaper, generic version of the same drug, available. )
He should also discuss with you an important issue with all antidepressants and other drugs affecting the brain, that it is seldom if to stop them abruptly rather than gradually, as there are often unpleasant withdrawal effects which are worth avoiding.
Bipolar Disorder is indeed another possibility, and also common, and it's depressed episodes are much like those in Major Depressive Disorder. What makes it different are the hypomanic episodes which your psychiatrist would check for, to be sure of his diagnosis. Usually the depressive episodes would be treated with the same antidepressants ; one would add other drugs which serve as mood stabilizers. So discuss this concern with your psychiatrist
It's good that you're seeing a psychologist as well, especially if they are using a modern method well supported by research, such as CBT, Cognitive-Behavior Therapy
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