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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.
Citalopram Dosing for Depression. The recommended starting citalopram dose for people with depression is 20 mg once daily. Your healthcare provider may choose to increase this amount if symptoms continue or decrease it if side effects occur.The maximum recommended dosage of citalopram is 40 mg once daily.Amounts above 40 mg are generally not recommended because higher doses have not been shown to be more effective than 40 mg and the higher amounts increase the risk of an irregular heart rhythm. If it causes insomnia, try taking it in the morning. 2  You can take the medication with or without food. 3  If it bothers your stomach, try taking it with food. 4  Citalopram should be taken at the same time each day to maintain an even level of the drug in your blood.