Citalopram is used for treating depression. Citalopram is a selective serotonin reuptake inhibitor (SSRI). It works by restoring the balance of serotonin, a natural substance in the brain, which aids to enhance certain mood issues.
Use Citalopram as instructed by your physician.
Consider Citalopram orally with or without any food.
Taking Citalopram at exactly the same time every day can help you be sure you go on it.
Continue to have Citalopram actually when you are feeling well. Do not skip any amounts.
Don't suddenly stop taking Citalopram without checking with your doctor. Side effects may occur. They could include psychological or mood changes, numbness or tingling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual fatigue.
If you miss a dose of Citalopram, take it as soon as possible. If it is nearly time for your following dose, omit the missed dosage and return to your regular dosing schedule. Do not take 2 doses at the same time.
Ask your health care provider any questions you might have concerning how to use Citalopram.
Do NOT use Citalopram if:
you are allergic to any ingredient in Citalopram
You're taking escitalopram
You're getting or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort in the last 2 weeks
You are taking a fenfluramine derivative (eg, dexfenfluramine), a H1 antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, or sibutramine.
Contact your doctor or doctor immediately if any of these apply to you personally.
Some medical conditions may interact with Citalopram. If you hold any health conditions, especially if any of these apply to you tell your doctor or druggist:
In case you are pregnant, planning to get pregnant, or are breast feeding
If you're using any prescription or nonprescription medicine, herbal preparation, or dietary supplement
For those who are allergic to medications, foods, or other materials
In case you or even a relative has a brief history of bipolar disorder (manic depression), other mental or mood problems, suicidal ideas or even attempts, or alcohol or substance abuse
In case you have a history of convulsions, liver problems, severe kidney issues, gut or bowel bleeding, or metabolism problems
if you are dehydrated, have low blood sodium levels, or drink alcohol
if you will be having electroconvulsive therapy (ECT).
Some medications may interact with Citalopram. Inform your doctor if you're taking any other medicines, particularly any of the following:
Fenfluramine derivatives (eg, dexfenfluramine), linezolid, lithium, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT1 receptor agonists (eg, sumatriptan), sibutramine, St. John's wort, or trazodone because intense side effects, like a response that may include temperature, inflexible muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of bleeding, including stomach bleeding, may be raised
Diuretics (eg, furosemide, hydrochlorothiazide) because the chance of reduced blood sodium levels might be raised
Tramadol because the risk of convulsions may be increased
H1 antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because intense heart problems, including irregular pulse, may occur
Carbamazepine or cyproheptadine because they might reduce Citalopram's effectiveness
Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) because the danger of their side effects might be raised by Citalopram.
This may not be a whole record of all interactions that may occur. Ask your doctor if Citalopram may interact with several other medicines which you take. Check with your doctor before you start, stop, or adjust the dose of any medication.
Essential security information:
Citalopram may cause sleepiness or dizziness. These effects may be worse for it with alcohol or specific medications. Use Citalopram with caution. Do not drive or perform other possible unsafe tasks until you know how you respond to it.
Don't drink alcohol as long as you're using Citalopram.
Talk with your physician before using medications that might cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Citalopram; it could add to their effects. Request your pharmacist if you've got questions regarding which medicines may cause drowsiness.
One to 4 weeks may pass before your symptoms improve. Don't take much more than the recommended dosage, change your dose, or use Citalopram for longer than prescribed without consulting your physician.
Children, teens, and adults who take Citalopram could be at increased risk for suicidal thoughts or actions. Watch all patients who take Citalopram closely. Contact the physician at the same time if new, worsened, or abrupt symptoms like depressed mood; nervous, unsettled, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the physician immediately if any indications of suicidal thoughts or actions happen.
Citalopram plus a medicine called escitalopram have the same active component. Don't take Citalopram in case you are also taking escitalopram.
You're going to have to pause for several months before starting to consider certain other medications (eg, MAOIs, nefazodone, if your physician tells you to avoid taking Citalopram). Ask your physician if you should begin to take your new medicines once you have stopped taking Citalopram.
Citalopram may infrequently cause a protracted, painful erection. This might occur also if you aren't sex. If this isn't handled instantly, it may cause permanent sexual problems such as impotence. Contact your physician immediately if that occurs.
Serotonin syndrome is a possibly lethal syndrome which can be caused by Citalopram. Your risk could be higher if you take Citalopram with certain other medications (eg, "triptans," MAOIs). Signs may include tremor; confusion; hallucinations; coma; temperature; fast or irregular pulse; agitation; excessive perspiration; and nausea, vomiting, or diarrhoea. Get in touch with your physician at once if you have some of these signs.
Neuroleptic malignant syndrome (NMS) is a possibly deadly syndrome that may result from Citalopram. Signs might include confusion; stiff muscles; fever; strange thinking; swiftly or irregular pulse; and perspiration. Contact your doctor at once if you have some of these symptoms.
Use Citalopram with caution in the elderly; they might become more sensitive to its effects, notably low blood sodium levels.
Caution is recommended when using Citalopram in children; they may become more sensitive to the effects, especially heightened risk of suicidal thoughts or actions.
Citalopram should be utilized with extreme care in children; safety and effectiveness in children have not yet been verified.
Citalopram might cause weight changes. While they take Citalopram kids and teens may need increase checks and regular weight.
Maternity and breast feeding: Citalopram might cause harm to the fetus when it is used during the past 3 months of pregnancy. If you become pregnant, contact your doctor. When you are pregnant you'll need to talk about the advantages and dangers of utilizing Citalopram. Citalopram is found in mother's milk. Do not breastfeed while taking Citalopram.
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