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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.
The recommended initial dose of mirtazapine in 15 mg taken at bedtime. The dose may be increased in 15-mg increments every one or two weeks as needed until symptoms of depression or anxiety resolve. Typical doses range between 15 and 45 mg. Dosages above 45 mg per day are not recommended.