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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.
Posted. I started on 20mg for about a month, then got increased to 40mg a little over a month ago. My therapist said that I should see the full benefit of the increase within 6 weeks of upping the dosage (which means by next week).The depression is a lot better, but still not 100%, and it hasn't helped with anxiety (although the doctor said it should). have been on 20mgs of Citalopram since Sept. 9th and although it has helped, I still do not feel like myself and have bouts of bad days and feelings. I am considering an increase as well.