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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.
Posted. [/quote]. 20 mg is the lowest therapeutic dose and is the usual starting dose for citalopram. it can take up to about 6 weeks to feel full effects. some people will notice some effects within the 1st few weeks but u shouldnt really dismiss any AD until u have been taking it at least 6 - 8 weeks.t may work for some people, but for me 20mg only gave me side effects. When I increased to 30mg it started to work on my depression. At 40mg, it really helped with anxiety, though lethargy was a problem. Wellbutrin is a popular addition to Celexa to counteract the sluggishness and sexual side effects.