• Stronger relief for severe depression and anxiety
• Proven higher response rate at 20mg strength
• Once-daily dosing with excellent long-term safety
• Restores energy, sleep, and enjoyment of life
• Helps prevent relapse when continued as maintenance

1. Take Citanew 20mg exactly as prescribed, usually once daily (morning or evening)
2. Swallow the tablet whole with water—can be taken with or without food
3. Take at the same time every day to maintain steady blood levels
4. If you miss a dose, take it as soon as remembered unless it’s nearly time for the next—never double up
5. Continue treatment for at least 6–12 months after feeling better to prevent relapse

Q1: When is 20mg prescribed instead of 10mg?
A1: When symptoms are more severe or when 10mg provides only partial relief—20mg is the usual maximum effective dose.

Q2: How soon will Citanew 20mg start working?
A2: Anxiety and sleep often improve in 1–2 weeks; full antidepressant effect takes 4–6 weeks.

Q3: Can I cut the 20mg tablet in half if needed?
A3: No—tablets should not be split; your doctor will adjust using 10mg tablets if dose reduction is required.

Q4: Will it affect my weight or sex drive?
A4: Some patients experience mild weight changes or sexual side effects—discuss with your doctor if persistent.

Q5: How long do people stay on Citanew 20mg?
A5: Often 9–12 months or longer for recurrent depression; many continue maintenance therapy at this dose.

• Do not stop abruptly—gradual tapering is essential to avoid withdrawal symptoms
• May cause drowsiness or dizziness; avoid driving or operating machinery until you know its effect
• Inform your doctor if you have history of mania, seizures, liver/kidney disease, or bleeding disorders
• Increased suicide risk in early weeks (especially under 25)—close monitoring required
• Avoid alcohol as it intensifies side effects
• Keep out of reach of children