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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.
For depression and general anxiety disorder, the first recommended dosage is 20 mg twice a day. After a period of time, the dosage is increased to 30 mg twice a day. Eventually the dosage reaches 60 mg once per day. Fibromyalgia patients taking Cymbalta start with a 30 mg dose once daily for a week.After a week the dosage is increased to 60 mg once daily. Patients with diabetic nerve pain generally start with 60 mg a day.Cymbalta dosages do not increase above 60 mg and doctors strongly advise against taking more than the recommended amount.or depression and general anxiety disorder, the first recommended dosage is 20 mg twice a day. After a period of time, the dosage is increased to 30 mg twice a day. Eventually the dosage reaches 60 mg once per day. Fibromyalgia patients taking Cymbalta start with a 30 mg dose once daily for a week.