Cipram Dosage/Direction for Use

Depression: Adults: Cipram should be administered as a single oral dose of 20 mg. Depending on individual patient response and severity of depression, the dose may be increased to a maximum of 60 mg daily.
Elderly (>65 years): The recommended daily oral dose is 20 mg. Dependent on individual patient response and severity of depression the dose may be increased to a maximum of 40 mg daily.
Panic Disorder: Adults: 10 mg daily for the 1st week, then increase to 20 mg daily, up to a maximum of 60 mg daily.
Obsessive-Compulsive Disorder: Adults: Initially 20 mg, may be increased to a maximum of 60 mg. Elderly: Half of the adult dose and a maximum of 40 mg daily.
Children: Not recommended, as safety and efficacy have not been established in this population.
Patients with Reduced Renal Function: Dosage adjustment is not necessary in patients with mild to moderate renal impairment. No information is available for treatment of patients with severely reduced renal function (creatinine clearance <20 mL/min).
Patients with Reduced Hepatic Function: Patients with reduced hepatic function should receive dosages of >30 mg/day. Citalopram can be taken any time of the day without regard to food intake.
Duration of Treatment: The antidepressive effect usually sets in after 2-4 weeks. Treatment with antidepressants is symptomatic and must therefore be continued for an appropriate length of time usually for ≥6 months in order to prevent relapse.