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Bill, LCSW, Consultant, Expert Witness
Category: Mental Health
Satisfied Customers: 3707
Experience:  35 years treating individuals, couples, families with mental health and substance abuse prob's
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How safe is it to take 80 mg of celexa a day. 40 mg does not

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how safe is it to take 80 mg of celexa a day. 40 mg does not work for me. i was on 80 mg daily for many years but when the FDA said it may cause heart problems. i have no risk factors for heart disease. i am a 57 year old female.
Hello- Thank you for asking the question. I have over 30 years of experience working with individuals, couples and families & am happy to reply.
I am sorry to hear about the long term need for this medication.
The dosage you are taking is unsafe and something that needs to be addressed with your doctor as soon as possible.
In fact, the FDA has provided a special warning to not exceed 40mg per as follows:
8-24-2011] The U.S. Food and Drug Administration (FDA) is informing healthcare professionals and patients that the antidepressant Celexa (citalopram hydrobromide; also marketed as generics) should no longer be used at doses greater than 40 mg per day because it can cause abnormal changes in the electrical activity of the heart. Studies did not show a benefit in the treatment of depression at doses higher than 40 mg per day.
See link here for more detail:
Again, I would suggest that you address this issue with your Doctor ASAP and get consider another medication within proper dosage range for maximum therapeutic benefit.
Should you have additional questions for me, please ask.
Otherwise, I wish you the very best.
Kindest regards, Bill
Customer: replied 4 years ago.

why is it unsafe. my doctor retired.

The reason that is unsafe is that studies have shown that doses in excess of 40mg per day can cause abnormal changes in the electrical activity of the heart.
If your Doctor has retired- I would be happy to identify an Expert in your area that can help you with this.
Simply respond with your Zip Code - and I will provide some names and contact information.
Kindest regards, Bill
Customer: replied 4 years ago.

my zip code is 01060

I suggest the following Board Certified Psychiatrist to help you with this:
Dr. Catherine Durie *****
Northampton, MA 01060 (###) ###-####
Dr.Michael Perlman *****
Northampton, MA 01060 (###) ###-####
Dr. Marc Bleicher *****
Northampton, MA 01060 (###) ###-####
Should you have further questions for me, feel free to ask.
Otherwise, I wish you the very best.
I appreciate your Positive Rating So that I receive Credit for my time.
Thank you.
Bill and other Mental Health Specialists are ready to help you