I took citalopram to control the horrendous mood swings I experienced during the early stages of menopause and I can honestly say it was a life saver. It helped me enormously and I was able to come off it gradually after about 6 months. Perhaps I was lucky but I had no side effects at all. Talk to your doctor - mine insisted on seeing me every month to monitor things. You shouldn't have to get through the days feeling foggy.