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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.
Dosing. 1  Citalopram (Celexa) Starting dose: 20 mg PO qd. Most effective dose: 40 mg PO qd. 2  Escitalopram (Lexapro) Starting Dose: 10 mg qd (equivalent to 40 mg Celexa) Higher dose at 20 mg is not more effective than 10 mg.