I would think you would have worse side effects from the Citalopram, are they not supposed to be linked with heart issues? I may be wrong but I would not hesitate to take the bio identical hormones such as the rub on gel and a friendly as possible Progesterone, before I would even consider an AD if its meno symptoms you are having....and see how you get on....and yes the anxiety, mood swings, panic attacks all that are def peri meno, it annoys me when Drs are so quick to rush for the script pad for AD really....