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Inform your doctor and if you have any unusual reactions to this medication please consult your health care professional. It takes several weeks for these pills to achieve their therapeutic effect. Celexa is used to treat depression and if it has been established that patient has depression then the health care provider will strongly advise the patient to take this medication for treatment. While pregnant. Depression ranges from 20 to 60 mg a day. You must wait at least 14 days before you start taking an antidepressant, especially if you are also taking astemizole, or Tramadol then do not take Celexa together with a monoamine oxidase inhibitor.