Can celexa (citalopram) be working against me... been on it for 15 years. .. last 2 years 40mg.... I am having panic attacks and anxiety.. .. on ativan too now since hospital visit... I also been smoking over a year. ... almost a pack a day. .. plus cof

Are you in therapy? In some rare situations the Celexa (citalopram) could be creating a problem such as if you had a bipolar condition. There are other medications and therapy approaches which may be used for panic attacks and anxiety. The coffee may work against you and of course smoking can be quite dangerous.The important thing here is that you have a psychiatric evaluation and develop a treatment plan.