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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.
1 The maximum recommended dose of citalopram is 20 mg per day for patients older than 60 years of age. 2  Citalopram should be discontinued in patients who are found to have persistent QTc measurements greater than 500 ms.DA Drug Safety Communication: Revised recommendations for Celexa (citalopram hydrobromide) related to a potential risk of abnormal heart rhythms with high doses.