I'm on 45mg mirt and 10mg of seroxat. All the side effects I had from citalopram have returned, but it does reduce my anxiety. So i chose to stick with it.
When i start on SSRIs they make me feel like death. I can't sleep, eat, function. So this time I cut the pill into 1/4s and took the smaller dose until I felt ready to take a 1/2 of the pill. It actually cut out most of the side effects from them.Maybe its something you could consider?