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Read More. I have been on citalopram 20 mg for five years; working great; over the past few months I have been having heart palpatations (ECG normal) and increased blood pressure; my physician increased the dose to 40 mg.Since this has been increased I feel awful and am still having the heart palps.ead More. I have been on citalopram 20 mg for five years; working great; over the past few months I have been having heart palpatations (ECG normal) and increased blood pressure; my physician increased the dose to 40 mg.
Most people begin taking 20 mg of citalopram daily. The dose can be increased to 40 mg after a week if necessary. The maximum recommended dose is 60 mg/day. Elderly people and people with liver disease may need a lower dose of citalopram and may start with 10 mg/day. Talk to your doctor before you stop taking citalopram. 2  Your dose may need to be tapered down slowly to prevent uncomfortable withdrawal symptoms. 3  Most people experience a few mild side effects, like dry mouth, fatigue or drowsiness when they begin taking citalopram.