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I was on max dose of Citralopram before it stopped working, but had been not doing well on that for a while, sadly.
Unfortunately, antidepressant poop-out (tachyphylaxis) happens, more so with SSRIs than SSRIs, TCAs and MAOIs.
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I will truck on through getting stabilised on the 50mg, and see if I need to increase. FWIW, when I first started on Citalopram, I was on the 20mg dose for several years- it was some depression that led to the increase...
SSRIs tend to be better anti anxiety than anti depression meds. I don't know why that is, but depression often needs a higher dose to bring under control and it can take longer for the med to kick-in.