Why would a doc increase citalopram from 20mg to 40mg?

Answer:
Preumably because he is not yet getting the desired theraputic effect. Why don't you ask him?

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if he thinks your anti-depressants not working he will double the dose!

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I have taken this medication for depression. I will assume that is why you are taking it. The doctor increased my dose from 20mg to 40mg as it was not proving effective at 20mg. In fact a couple of months later she changed me to a different medication altogether. Anti-depressants are a bit trial and error and the doctor will want to manage it closely i.e. by increasing the dose and giving it a sufficient chance to work. If you see no improvements in the next 4-6 weeks talk to your GP about trying a different anti-depressant.

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Hi, the usual starting dose is 20mg, and is often then increased until you get the desired result. Doctors aim to find the minimum effective dose of a medication, as this is cost effective and prevents less strain on our bodies - less side effects too usually.The maximum dose - that is approved in the UK - is 60mg .Good luck! Rob

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hi, i have taken this drug in the past when i was having a bit of a bad time and became slightly depressed,just like somebody has already mentioned anti depressants and especially from the ssri group are very much trial and error,your gp will normally start you off at the lowest dosage to see if you take to tht particular one, i personally had to come off citalopram and try another which i'm glad to say worked very well and i'm back on track now,so i think the answer is your gp may jusy want to up the dosage to perhaps give you better result from whatever it is your suffering from, i wouldn't stress to much about it, i hope it works out for you, feel free to contact me if you have anything else you wanna know about anti depressants, it sometimes is easier to speak to someone who has been there, cheers Dave

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