Hi,
I am currently on 20mg of citalopram and have been for 18 months. It's mainly for anxiety. I discovered I was pregnant on Monday and today I am 4weeks 4days. I went to see one of the dr's at my surgery this morning to talk about coming off citalopram. He advised me to go cold turkey and just stop as there is evidence that taking citalopram in early pregnancy can cause heart defects. He also said that risk was very small and that I should try not to worry. I said that I didn't feel I could just stop taking the tablets as I know that this isn't safe for me and that the side effects are dreadful. I agreed with him to cut down to 10mg for 1 week and then to do alternate days for 1 week and then stop taking them. I will be 6 weeks 4 days when I am off them (all being well).
I now feel extremely guilty about the fact that I can't just stop them. I am just too scared to come off them so abrubtly. Does anyone else have this concern right now or have some advice? 
I read the older thread about citalopram which ran from 2008 which was reassuring, but I would value any input from people who are going through this dilemma now, or have been through it. With my previous pregnancy I was on 10mg citalopram when I discovered I was pregnant and stopped taking it at 5 ish weeks. I didn't have too many ill effects during pregnancy but had bad PND after she was born. My daughter suffered no ill effects from the 10mg in early preg. My dr from the first preg didn't even tell me about the possible problems with citalopram but now I know I am worrying. I am concerned that I will panic until my 20 week scan and they tell me that everything is ok.
Thanks so much.
Lolabell