citalopram 20 mg – What You Need to Know

If you’ve been prescribed citalopram 20 mg, you probably have a lot of questions. Is the dose right for you? How should you take it? What side effects might show up? Below we break down the basics in plain language so you can feel confident about your medication.

How to Take citalopram 20 mg

Doctors usually start most adults on 20 mg once a day. You can take it in the morning or evening, but pick a time you can stick to. Swallow the tablet whole with a glass of water; don’t crush or chew it because that can change how the drug works.

Take it at the same time every day. Consistency helps keep the medicine level steady in your blood, which reduces mood swings and makes the drug work better. If you miss a dose, take it as soon as you remember – unless it’s almost time for the next dose. In that case, skip the missed one and continue with your regular schedule. Never double up.

Food doesn’t usually affect citalopram, so you can take it with or without a meal. However, avoid heavy alcohol bingeing. Alcohol can make the side effects stronger and may worsen depression symptoms.

Common Side Effects and Safety Tips

Most people feel fine after a week or two, but some notice mild side effects early on. The most common are:

  • Nausea or upset stomach
  • Dry mouth
  • Sleepiness or trouble sleeping
  • Headache
  • Increased sweating

These usually fade as your body adjusts. If they linger beyond two weeks or become severe, call your doctor.

Serious, though rare, reactions include sudden mood changes, thoughts of self‑harm, or a fast heartbeat. If any of these happen, seek medical help right away.

Because citalopram affects serotonin, mixing it with other serotonin‑boosting drugs (like certain migraine meds, other antidepressants, or St. John’s wort) can cause a dangerous condition called serotonin syndrome. Always tell your doctor about every prescription, over‑the‑counter drug, and supplement you use.

Pregnant or nursing women should discuss risks with their provider. Citalopram can cross the placenta, and the decision to stay on it depends on weighing the benefits for the mother against potential risks for the baby.

When it comes to buying citalopram 20 mg online, stick to reputable pharmacies that require a prescription. Look for sites that display a licensed pharmacist, a clear privacy policy, and secure payment options. Cheap, no‑prescription sellers often sell counterfeit pills that may contain the wrong dose or harmful ingredients.

Store your tablets at room temperature, away from moisture and direct sunlight. Keep them out of reach of children and pets.

In short, citalopram 20 mg can be a helpful tool for managing depression and anxiety when you follow your doctor’s directions, watch for side effects, and purchase it from a trusted source. Have more questions? Talk to your pharmacist or healthcare provider – they’re there to help you feel your best.

September 9, 2025

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