ouch - Increasing the dose of an SSRI, like Celexa™ (citalopram) does often increase the efficacy (effectiveness) of the antidepressant, especially if the lower dose resulted in a partial response. There is a point where an increase in dose of an SSRI will not result in any further effect. For most people this occurs at doses greater than 50mg to 60mg daily.

The increase recommended by your psychiatrist is a reasonable next step when the lower dose of Celexa™ has not resolved the symptoms. Since Celexa™ is a very "clean" drug, the risk of increased adverse effects is minimized. What I mean by "clean" is that Celexa™ does not bind, to any significant extent to receptors other than serotonin reuptake receptor.

Usually, if you do experience any further side effects from the increase in dose, they will be mild and transient. Any side effects (eg. dizziness, upset stomach, etc.) more than likely will disappear within a week of increasing the dose.

Give the dose increase a try.

I hope that this is of some help. - Cam