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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.
Escitalopram Dosage Recommendations. The recommended starting dosage of escitalopram for adults or adolescents (age 12 to 17 years old) with depression or adults with generalized anxiety disorder is escitalopram 10 mg once a day.or elderly people or people with liver problems, the maximum dose of escitalopram is escitalopram 10 mg once daily.