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Treating depression. It may also be used for other conditions as determined by your doctor.
Citalopram is a selective serotonin reuptake inhibitor (SSRI). It helps to restore the brain's chemical balance by increasing the supply of serotonin, which helps improve mood.
Do NOT use Citalopram if:
you are allergic to any ingredient in Citalopram
you are taking or have taken a monoamine oxidase (MAO) inhibitor (eg, phenelzine) or St. John's wort within the last 14 days
you are taking astemizole, pimozide, dexfenfluramine, fenfluramine, phenothiazines (eg, thioridazine), sibutramine, or terfenadine
Contact your doctor or health care provider right away if any of these apply to you.
Before using Citalopram :
Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have suicidal tendencies or have attempted suicide, liver or kidney disease, stomach bleeding, seizures, or mania
Some MEDICINES MAY INTERACT with Citalopram. Tell your health care provider if you are taking any other medicines (especially any of the following):
Cyproheptadine or risperidone because the effectiveness of Citalopram may be decreased
Anorexiants (eg, phentermine), linezolid, lithium, or sumatriptan because side effects such as irritability or altered consciousness may occur
Clozapine, H1
antagonists (eg, diphenhydramine), metoclopramide, phenothiazines (eg,
thioridazine), risperidone, or trazodone because the actions and side
effects of these medicines may be increased
Sumatriptan because the effectiveness of Citalopram may be decreased
Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because of increased risk of bleeding of the stomach and bowels
Fenfluramine and derivatives, MAO inhibitors (eg, phenelzine), selegiline, sibutramine, St. John's wort, and tramadol because the actions and side effects, such as irritability or altered consciousness, of these medicines may be increased
Pimozide because the risk of a change in heart rhythm may be increased
This may not be a complete list of all interactions that may occur. Ask your health care provider if Citalopram may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Citalopram :
Use Citalopram as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Citalopram comes with an additional patient information sheet called a Medication Guide. Read it carefully and reread it each time you get Citalopram refilled.
Citalopram may be taken with or without food.
You may notice improvement in your depression in 1 to 4 weeks. Continue to take your medicine as directed even when depression improves.
If it is necessary to stop Citalopram , your doctor will need to reduce the dosage over a few days to a week.
Do not miss any doses. If you miss a dose of Citalopram , skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Citalopram.
Important safety information:
Citalopram may cause dizziness or drowsiness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Citalopram. Using Citalopram alone, with other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous
tasks.
If you experience a worsening of your symptoms (anxiety, agitation, insomnia, irritability, restlessness, or suicidal thinking) contact your doctor immediately.
Citalopram will add to the effects of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants.
Additional monitoring of your condition is recommended at the start of treatment with Citalopram and whenever a change in your dose is made.
LAB TESTS may be performed to monitor your progress. Be sure to keep all doctor and lab appointments.
Citalopram is not recommended for use in CHILDREN. Safety and effectiveness have not been confirmed.
PREGNANCY and BREAST-FEEDING: Citalopram has been shown to cause harm to the human fetus. If you become pregnant, discuss with your doctor the benefits and risks of using Citalopram during pregnancy. If you are pregnant, talk with your doctor about gradually decreasing your dose during the last trimester
of pregnancy. Citalopram is excreted in breast milk. Do not breast-feed
while taking Citalopram.
Possible side effects of Citalopram :
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Change in taste; decreased menstrual flow or painful periods; diarrhea; dry mouth; ejaculation disorder; impotence; increased sweating; loss of appetite; nausea; runny nose; sinus inflammation; tiredness; tremor; upset stomach; weight loss or gain.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); anxiety; cold sweat; confusion; dizziness; fatigue; hostility; impulsiveness; irritability; lack of concern; mania; mental/mood changes; panic attacks; restlessness; seizures; shakiness; sleeplessness; sore throat
or fever; suicidal thoughts or behaviors; vision changes; worsening of
depression.
Whistleblower Claims Forest Bribed Study's Investigator to Favor CelexaBloomberg BNA20 in a federal district court alleged that Forest Pharmaceuticals paid the principal investigator of a federally funded antidepressant drug study to fix the results in favor of the company's drug Celexa (United States ex rel.
Common anti-depressant may cause heart problems: Health Canada - London Free Press
Common anti-depressant may cause heart problems: Health CanadaLondon Free PressCelexa, which is available in 20 mg and 40 mg tablets, should no longer be taken at doses higher than 40 mg a day.
Why Are More Than a Dozen Girls in Upstate New York Twitching? - Slate Magazine
Slate MagazineWhy Are More Than a Dozen Girls in Upstate New York Twitching?Slate MagazineA month later, she lost consciousness again at her school's homecoming dance in upstate Corinth, NY Brownell says her doctors put her on Celexa, but she only developed more symptoms, including involuntary twitching and clapping.
Common anti-depressant may cause heart problems: Health Canada - Toronto Sun
Common anti-depressant may cause heart problems: Health CanadaToronto SunCelexa, which is available in 20 mg and 40 mg tablets, should no longer be taken at doses higher than 40 mg a day.
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