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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.
Usual Adult Dose for Depression. Immediate-release tablets: 150 mg orally per day in divided doses; this may be increased by 50 mg orally per day every 3 to 4 days. Maximum dose: 400 mg orally per day in divided doses (outpatients); 600 mg orally per day in divided doses (inpatients) Extended-release tablets: