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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.
What dosage of celexa (citalopram) to doctors perfer in order to help with physical anxiety symptoms such as lightheadedness, body tremors, and ill feeling daily? More to it...: 20 mg/day is typical, but with anxiety (vs. Depression), it is best to start with a smaller dose (e.g., 5 mg) and increase slowly, because the drug will likely increase your anxiety first, before it helps. Also, medication alone is not optimal treatment.