Thanks for the valuable inputs.
Well I agree that you should have started on 20 mg dose and then after a week or two titrated the dose to 40 mg / day but having said that now that you have already passed 5 days on 40 mg dose , so there is no point in going back to 20 mg dose since soon in a next few days your body will have adjusted itself to this dose, so it will only waste more time to go back to 20 mg and then up the dose to 40 mg again after 1-2 weeks.
Also until the 40 mg dose kicks in without causing any side effects on it's own, you shall continue to take Xanax at 0.5 mg 3 times a day so that this drug helps to counter your heightened anxiety at present until the 40 mg drug begins to kick in , that shall take place in about a week's time from now and when that happens you shall start taking Xanax only on PRN basis that is as and when required basis.
So to summarize--
-- Continue on 40 mg for another week , most likely you will start responding to it and your anxiety will be subdued.
-- If after 1 week of taking 40 mg of citalopram with 3 times a day dosing of Xanax your anxiety does not wane off or becomes more troublesome then in that case you may go back to 20 mg dose but I feel this scenario may not occur in the first place.
-- 3 times a day dosing of 0.5 mg Xanax will help you to pass this waiting time by maintaining you protected from anxiety.
I hope this helps.
Wish you all the best.
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