If your doctor mentioned citalopram 20 mg, you probably wonder how it works and whether it’s right for you. Citalopram belongs to a group called SSRIs that help lift mood by balancing serotonin in the brain. The 20 mg tablet is a common starting dose for many adults dealing with depression or anxiety.
Most people take the pill once a day, usually in the morning or evening—whatever fits your routine best. Swallow it whole with water; don’t crush or chew it because that can change how the medicine is absorbed.
Start by following your doctor’s exact instructions. If they say one tablet daily, stick to that amount unless they tell you otherwise. Taking more than prescribed won’t make it work faster and can raise the risk of side effects.
It may take a week or two before you notice any improvement, and up to six weeks for the full effect. Be patient—SSRIs need time to build up in your system.
If you miss a dose, take it as soon as you remember unless it’s almost time for the next one. In that case, skip the missed pill and continue with your regular schedule. Never double‑dose to catch up.
Keep an eye on how you feel during the first few weeks. Some people experience mild nausea, headache, or a dry mouth. These usually fade after a short period. If they linger or get worse, call your doctor.
Common side effects include:
Most of these are mild and temporary. However, watch out for more serious signs such as:
If any of these appear, seek medical help right away. Stopping the medication abruptly can cause withdrawal symptoms, so always discuss a taper plan with your doctor before you quit.
Alcohol can increase drowsiness and interfere with how citalopram works. It’s safest to limit or avoid drinks while on this medicine.
Some other drugs—like certain pain relievers, blood thinners, or other antidepressants—can interact with citalopram 20 mg. Always give your pharmacist a full list of medicines you’re taking.
Pregnant or breastfeeding women should talk to their doctor before starting citalopram. The benefits and risks need careful weighing.
In summary, citalopram 20 mg is a reliable option for many people battling depression or anxiety. Take it exactly as prescribed, give it time to work, and stay alert for side effects. When in doubt, reach out to your healthcare provider—they’re there to help you feel better safely.
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