Medication cause of missed period?

Patient : My doctor recently upped my medication (citalopram) from 20mg to 40mg (about a week and a half ago) and I am now 5 days late for my period. I have heard this can have an effect. With my last baby all hpt were faint positives or negatives and even bloods were negative. Do you think it could be pregnancy or just a side effect from the medication?
Symptoms:  Negative home pregnancy tests
spotting about two weeks ago
spotting yesterday
spotting this morning
mild period like cramps
on and off diarreah
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