I was on 30-35mg normally with cipralex/ citalopram (cipralex is like a brand version of citalopram), I was ok with upping from 20mg, I think u may juist feel abit sicky. Was that reaction in the early weeks?? Cos i got that to initially. Hope your feeling ok ? may be ring NHS direct , did u forget when u took last one ?? Ive nearly done the same too.