Citalopram is used for treating depression. Citalopram is a discerning serotonin re-uptake inhibitor (SSRI). It works by restoring the balance of serotonin, a natural substance in the mind, which aids to enhance certain mood problems.
Use Citalopram as directed by your physician.
Take Citalopram by mouth with or without any food.
Using Citalopram at exactly the same time daily can help you remember to take it.
Continue to take Citalopram actually if you are feeling well. Don't skip any amounts.
Don't abruptly stop taking Citalopram without checking with your doctor. Side effects might occur. They may include psychological or mood changes, numbness or prickling of the skin, dizziness, confusion, headache, difficulty sleeping, or unusual fatigue.
If you miss a dose of Citalopram, take it as as soon as you can. If it's almost time for your next dose, omit the missed dose and return to your usual dosing schedule. Don't take 2 doses at the same time.
Ask your health care provider any questions you might have concerning how to use Citalopram.
Don't use Citalopram if:
you are allergic to any ingredient in Citalopram
you are 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're taking a fenfluramine derivative (eg, dexfenfluramine), a H1 antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, or sibutramine.
Contact your physician or doctor at once if one of these apply to you.
Some health conditions may interact with Citalopram. If you got any health conditions, particularly if any of the following apply to you tell your physician or druggist:
if you are pregnant, planning to become pregnant, or are breastfeeding
If you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
When you are allergic to medicines, foods, or other materials
if you or even a relative has a brief history of bipolar disorder (manic depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance misuse
In case you have a history of convulsions, liver difficulties, serious kidney difficulties, tummy or bowel bleeding, or metabolism problems
In case you are dehydrated, have low blood salt levels, or consume alcohol
if You are going to be having electroconvulsive therapy (ECT).
Some medicines may interact with Citalopram. Communicate to your health care provider should you be getting 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 severe side effects, such as a reaction that may include fever, inflexible muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti inflammatory medicines (NSAIDs) (eg, motrin) because the risk of bleeding, including stomach bleeding, may be increased
Diuretics (eg, furosemide, hydrochlorothiazide) because the danger of reduced blood salt levels might be raised
Because the chance of convulsions may be raised tramadol
H1 antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because intense heart issues, including irregular pulse, may occur
Carbamazepine or cyproheptadine because they may possibly reduce Citalopram's effectiveness
Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) because the risk of the side effects might be increased by Citalopram.
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 which you take. Check with your own health care provider before you begin, stop, or change the dosage of any medication.
Essential safety information:
Citalopram can cause drowsiness or dizziness. These effects might be worse for it with alcohol or specific medicines. Use Citalopram with caution. Do not drive or perform other potential unsafe jobs until you know how you react to it.
Don't drink alcohol as you are using Citalopram.
Check with your doctor before you use while you're using Citalopram) medicines that may cause drowsiness (eg, sleep aids, muscle relaxers; it may add to their effects. Ask your pharmacist if you have questions about which medicines can cause drowsiness.
One to four weeks may pass before your symptoms improve. Do NOT take more than the recommended dosage, change your dose, or use Citalopram for longer than prescribed without consulting your doctor.
Kids, teens, and adults who take Citalopram may be at increased risk for suicidal thoughts or actions. Watch all patients who take Citalopram closely. Contact the physician at once if new, worsened, or surprising symptoms like depressed mood; uneasy, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor immediately if any signs of suicidal thoughts or actions occur.
Citalopram along with a medication named escitalopram have the same active component. Do not take Citalopram if you are also taking escitalopram.
You'll have to wait for several weeks before beginning to take certain other medications (eg, MAOIs, nefazodone, if your doctor informs you to stop taking Citalopram). Request your doctor when you should start to bring your medicines once you have stopped taking Citalopram.
Citalopram might rarely cause a protracted, painful erection. This could occur even when you are not making love. If this isn't handled immediately, it might lead to permanent sexual problems like impotence. Contact your physician immediately if this occurs.
This syndrome is a potentially fatal syndrome which can result from Citalopram. Your own risk might be greater if you take Citalopram with certain other medications (eg, "triptans," MAOIs). Signs may include hallucinations; confusion; agitation; coma; temperature; fast or irregular pulse; tremor; excessive sweating; and nausea, vomiting, or diarrhoea. Get in touch with your doctor at once if you have any of these symptoms.
Neuroleptic malignant syndrome (NMS) is a possibly deadly syndrome that can result from Citalopram. Signs might include fever; stiff muscles; confusion; strange thinking; rapidly or irregular heartbeat; and sweating. Contact your doctor at once if you have any of these symptoms.
Use Citalopram with caution in the elderly; they may be more sensitive to its effects, notably low blood sodium levels.
Caution is advised when working with Citalopram in children; they might become more sensitive to its effects, particularly heightened risk of suicidal thoughts or actions.
Citalopram should be utilized with extreme care in children; safety and effectiveness in children have not been affirmed.
Citalopram can cause weight changes. Children and teenagers may want growth checks and regular weight while they take Citalopram.
Pregnancy and breast-feeding: Citalopram might cause harm to the fetus if it's used during the past 3 weeks of pregnancy. In the event you become pregnant, contact your physician. When you are pregnant you'll have to talk about the advantages and hazards of using Citalopram. Citalopram is available in mother's milk. Don't breast-feed while taking Citalopram.

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