side effects tend to be at their worst in the beginning I think, and may go down a bit after awhile. But if, when you see your doctor, you have the same problem, talk to them about it. If its such a big deal to you, maybe request to be given a different med. There's six type of 'SSRIs', which is what citlopram is. Some have different side effects, or effect an individual in different ways. For me, prozac/fluxotine just made me tired all the time. Citalopram had no side effects for me.