CITALOPRAM DRUG INFO
The following information is intended to supplement, not substitute
for, the expertise and judgment of your physician, pharmacist or
other healthcare professional. It should not be construed to indicate
that use of the drug is safe, appropriate, or effective for you.
Consult your healthcare professional before using this drug.
CITALOPRAM - ORAL (sye-TAL-oh-pram)
COMMON BRAND NAME(S): Celexa
USES: Citalopram is used to treat
depression. This medication works by helping to restore the balance
of certain natural chemicals in the brain.
OTHER USES: This medication has
also been used to treat certain eating disorders (e.g., anorexia
CITALOPTRAM USAGE: Take this medication exactly as it was prescribed for you.
Do not take the medication in larger amounts, or take it for longer than recommended
by your doctor. Your doctor may occasionally adjust the dose to make sure you get
the best results from the medication. Try to take the medicine at the same time
each day. To be sure you get the correct dose of liquid citalopram, measure the
liquid with a marked measuring spoon or medicine cup, not with a regular table
spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
It may take 4 weeks or more for you to start feeling the effects of an improved mood. Do not stop using
citalopram without first talking to your doctor. Uncomfortable side effects may appear
if you stop taking the medication upbruptly. Store citalopram at room
temperature away from moisture and heat.
SIDE EFFECTS: Nausea, drowsiness,
diarrhea, trouble sleeping, upset stomach, or dry mouth may occur.
If any of these effects persist or worsen, notify your doctor promptly.
Tell your doctor immediately if any of these serious side effects
occur: vomiting, loss of appetite, unusual or severe mental/mood
changes, increased sweating/flushing, unusual fatigue, uncontrolled
movements (tremor). Tell your doctor immediately if any of these
unlikely but serious side effects occur: blurred vision, stomach
pain, fever, joint pain, muscle pain, unusually fast heartbeat,
decreased interest in sex, changes in sexual ability, change in
amount of urine. Tell your doctor immediately if any of these highly
unlikely but very serious side effects are experienced: weight changes, alterations in taste
, changes in menstrual period, unusual swelling of the hands/feet/face,
seizures, painful and/or prolonged erection. If you notice other
effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS: Tell your doctor your
medical history, especially of: liver problems, kidney problems,
seizures, heart problems, other mental/mood disorders (e.g., bipolar
disorder), thyroid problems, any allergies. This drug may make you
dizzy or drowsy; use caution engaging in activities requiring alertness
such as driving or using machinery. Limit alcoholic beverages. Caution
is advised when using this product in the elderly because they may
be more sensitive to the effects of the drug. Citalopram should
be used only when clearly needed during pregnancy. Discuss the risks
and benefits with your doctor. This drug passes into breast milk.
Because of the potential risk to the infant, breast-feeding while
using this drug is not recommended. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: Certain medications taken with Citalopram
could result in serious, even fatal, drug interactions. Avoid taking
MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide,
phenelzine, procarbazine, selegiline, tranylcypromine) within 2
weeks before or after treatment with this medication. Consult your
doctor or pharmacist for additional information. This drug is not
recommended for use with: various weight loss drugs (e.g., sibutramine,
phentermine). Ask your doctor or pharmacist for more details. Tell
your doctor of all prescription and nonprescription medication you
may use, especially: other SSRI antidepressants (e.g., fluoxetine,
sertraline), nefazodone, trazodone, tramadol, venlafaxine, "triptan"
migraine drugs (e.g., sumatriptan, zolmitriptan), tricyclic antidepressants
(e.g., amitriptyline, nortriptyline), cimetidine, lithium, itraconazole,
macrolide antibiotics (e.g., clarithromycin, erythromycin), any
herbal/ natural products (e.g., melatonin, St John's wort, ayahuasca).
Tell your doctor if you take any drugs that cause drowsiness such
as: medicine for sleep, sedatives, tranquilizers, anti- anxiety
drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine),
psychiatric medicines (e.g., phenothiazines such as chlorpromazine),
anti-seizure drugs (e.g., carbamazepine), muscle relaxants, certain
antihistamines (e.g., diphenhydramine). Do not start or stop any
medicine without first consulting your doctor or pharmacist.
OVERDOSE: If overdose is suspected,
contact your local poison control center or emergency room immediately.
Symptoms of overdose may include: irregular heartbeat, passing out,
severe dizziness or lightheadedness.
NOTES: Do not share Citalopram
with others. Laboratory and/or medical tests may be performed to
monitor your progress.
MISSED DOSE: If you miss a dose,
use it as soon as you remember. If it is near the time of the next
dose, skip the missed dose and resume your usual dosing schedule.
Do not double the dose to catch up.
STORAGE: Store this medication at room temperature, typically between 59 and 86 degrees
F (15 and 30 degrees C) and away from light and moisture.
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