I started at 20mg and it was great, but then doctor said to try 40mg to see if even better, but it wasn't, so back to 20mg. It has been a couple years now. I had to start taking it at night, because I was getting too sleepy while driving to work and back. That made it better. Definitely has helped with emotions, pain in my arm, and small daily headaches. I have gained weight, and can not sit still long-or I get sleepy. I didn't know blurred vision and concentration were side effects, until reading this. I think I may try to go to 10mg. Really, never want to get off of it, because I have lived with IBS my whole life, which is very painful, and makes me have to get to a bathroom quick. Celexa has changed my life in this regard. Now have daily movements that are healthy. No more pain. It has to be the Celexa, because it happened at the same time I started taking it. The doctor says he has had others say it, and it is probably because it calms you down.
Good luck to all of you!