Can you take 30mg of citalopram? (5 factors)

In this article, we will explore whether you can take 30mg of citalopram. Furthermore, we will discuss the dosage recommendations for citalopram, the safety of self-adjustment of citalopram dose, and factors influencing the appropriate dosage of citalopram.

Can you take 30mg of citalopram?

Yes, you can take 30mg of citalopram, but citalopram treatment should not be started with 30mg. In the initial phase, citalopram should be given at lower doses and gradually increase the dose as per the patient’s response. 

Citalopram, also known as Celexa, is a selective serotonin reuptake inhibitor (SSRI) antidepressant that is FDA-approved to treat depression in adult patients. However, citalopram can be used in clinical settings to treat obsessive-compulsive disorder. panic disorder, premenstrual dysphoric disorder, and hit flashes during menopause (1).

Citalopram works by blocking the reuptake of serotonin, a neurotransmitter in the synaptic regions of the brain. Citalopram does not impact other neurotransmitters such as norepinephrine or dopamine. Serotonin helps to regulate various body functions including sleep, mood, appetite, emotions, and the body’s response to stressful situations (2). 

What are the dosage recommendations for citalopram?

The dosage recommendations for citalopram as approved by the FDA are discussed below:

  • Citalopram treatment should be started at a lower dose of 20mg per day in adults with major depressive disorder. 
  • The dose can be increased at least after a week’s gap up to 40mg per day as per the patient’s specific needs. 
  • Citalopram dose is increased at a weekly increment of 10mg up to the maximum daily limit of 40mg. 
  • For elderly patients who have comorbid conditions and delayed metabolism due to age factors, the maximum daily recommended dose of citalopram is 20mg per day. 
  • Citalopram can be consumed with or without food once daily. 
  • You can take citalopram either in the morning or night depending on your symptoms and response to the medication (3). 

Is it safe to self-adjust the dose of citalopram to 30mg?

No, it is not safe to self-adjust the dose of citalopram to 30mg or other strengths. It is your doctor’s responsibility to determine the appropriate dosage for you that best suits your needs.

Your doctor will evaluate your current symptoms, family or medical history, and response to the medication while determining the right dosage for you. If you think that your condition is not improving with citalopram, you should wait for a while as antidepressants like citalopram may take some time to show their therapeutic benefits.

What are the side effects associated with 30mg of citalopram?

In the initial phase of citalopram treatment, you may observe some common side effects such as:

These side effects associated with the early phase of citalopram treatment may subside once your body adapts to the medication (4). Some side effects can be serious, but they are rare, including:

  • Abnormal bleeding
  • Headaches
  • Seizures
  • Loss of concentration
  • Unconsciousness 
  • Vertigo
  • Chest pains
  • Difficulty in breathing or swallowing

If your side effects persist or worsen, you should consult your doctor. They will adjust your citalopram dose as per your specific needs. Do not change the time or dose, and never stop taking citalopram on your own, as sudden discontinuation may result in withdrawal symptoms (5). 

What factors influence the appropriate dosage of citalopram?

The factors that influence the appropriate dosage of citalopram may include: 

  • Age factors influence the choice of dosage as the maximum daily recommended dose for adults is 40mg and for the elderly, it is 20mg. 
  • If there are certain underlying health issues, such as kidney or liver problems, the dose of citalopram should be adjusted accordingly. 
  • The intensity of depression symptoms may also impact the choice of dosage of citalopram. 
  • Individuals vary from each other in their genetic makeup and physiological responses, therefore they may require adjustment to citalopram dose depending on individual sensitivity. 
  • If you are taking other medications along with citalopram that may interact with citalopram, your doctor may adjust your dose accordingly (3). 

In my opinion, you can take 30mg of citalopram tablets but the treatment should not be started with this much dose. Citalopram is an antidepressant and its dose should only be decided by your healthcare provider. Always consult with your heathcare provider of you want to change your doage, timings, or medicine due to any side effects. 

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Sharbaf Shoar N, Fariba KA, Padhy RK. Citalopram. 2023 Nov 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 29489221. Available from:


Bamalan OA, Moore MJ, Al Khalili Y. Physiology, Serotonin. 2023 Jul 30. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 31424752. Available from:


Citalopram-MedlinePlus [Internet]. Bethesda (MD): National Library of Medicine (US); [Last Revised – 01/15/2022]. Available from:


Benazzi F. Citalopram withdrawal symptoms. Eur Psychiatry. 1998 Jul;13(4):219. doi: 10.1016/S0924-9338(98)80007-2. PMID: 19698629. Available from:

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