"i had terrible side effects from taking tamoxifen.  i was diagnosed with irritable bowel syndrome, acid reflux, could not sleep due to hot flashes, cried all the time, often just felt like i had the flu.  my oncologist suggested i try citalopram.  my world is wonderful!  i feel better than i ever have.  not only did it help tremendously with the side effects of tamoxifen, but it has also taken care of anxiety and depression that i had been living with, but never did anything about it.  i have no side effects from the citalopram, except weight gain.  i am working on that, though. all my family and friends are amazed at the difference in me.  i have been taking 20mg for over a year."