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Citalopram should be administered as a single oral dose of 20 mg daily. Dependent on individual patient response, the dose may be increased to a maximum of 40 mg daily. The recommended dose is 20 mg daily.
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.