I am on the 5th week of 10mg Citalopram for a second time, still feel down. I really have not been sleeping well at all during this time some nights not sleeping at all. Am not sure whether the reason i'm still feeling down is because i have not been sleeping or because the dosage needs to be increased or if Citalopram is working for me now?? Any suggestions if i should wait a little longer on 10mg as that was all i was on the first time around and it worked very well for me at only 10mg then. The second time around citalopram seems to take a lot longer to start working. Also if i need to go up to 20mg is it best to go straight up or take it 10mg then 20mg on alternate days?

---------- Post added at 11:28 ---------- Previous post was at 11:10 ----------

How hard is it going from 10 to 20 i really don't want to feel any more down doing so? Thanks