Citalopram Oral : Uses, Side Effects, Interactions
COMMON BRAND(S): Celexa
GENERIC NAME(S): Citalopram
Citalopram is used to treat depression. It can improve your energy level and welfare feelings. Citalopram is known as the selective serotonin reuptake inhibitor (SSRI). This medicine works by helping to restore the balance of a certain natural substance (serotonin) in the brain.
How To Use Citalopram HBR
Read the medication guide and, if available, the patient information sheet is provided by your pharmacist, before you start taking the Citalopram and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication with your doctor-guided food or with it, usually once in the morning or evening. Dosage is based on your medical condition, treatment response, age, laboratory tests, and other medicines you take. Be sure to tell your doctor and pharmacist about all the products you use (including Prescription Drugs, nonprescription Drugs and Herbal Products). The maximum dose of Citalopram is 40 mg per day.
If you are using the liquid form of this drug, then carefully measure the dose using special measurement equipment / spoon. Do not use domestic spoon because you can not get the right dose.
To reduce your risk of side effects, your doctor may direct you to start taking this medication on low dose and gradually increase your dose. Follow your doctor’s instructions carefully. Do not increase your dose or use this drug more often than prescribed. There will be no improvement in your situation, and the risk of your side effects will increase. Take this medication regularly to get the most benefit of it. To help you remember, take it at the same time every day.
It is important to continue taking this medicine even if you feel OK. Do not stop taking this medicine without consultation with your doctor. When this medicine suddenly stops, some conditions may get worse. In addition, you may experience symptoms such as mood swings, headache, fatigue, changes in sleep, and short emotions similar to electric shock. When you are stopping treatment with this medicine, your doctor may gradually reduce your dose to stop these symptoms. Contact your doctor or pharmacist for more information. Report any new or deteriorating symptoms instantly.
Before receiving full benefits, it may take 1 to 4 weeks to feel a benefit from this drug and for several weeks.
Tell your doctor if your condition does not improve or if it worsens.
See also the Warnings and Precautions section.
Nausea, dry mouth, loss of appetite, fatigue, drowsiness, sweating, blurred vision and yawning may occur. If any of these effects persists or worsens, tell your doctor or pharmacist immediately.
Remember that your doctor has prescribed this drug because he or she has decided that the benefit is higher than the risk of side effects. Many people using this drug do not have serious side effects.
Tell your doctor immediately if you have a serious side effect, including: shaking (shuddering), decreased interest in sex, changes in sexual ability, easy injury / bleeding.
If you have a very serious side effect, get medical help, including: unconsciousness, fast / irregular heartbeat, dark stool, vomiting coffee grounds, seizures, eye pain / swelling / redness, wide mannequin, in sight Variations (such as watching the rainbows around night lights).
Citalopram can increase serotonin and rarely cause a very serious condition, which is called serotonin syndrome / toxicity. The risk increases if you are taking other medicines that increase the serotonin, so tell your doctor or pharmacist about all the medicines that you take (see the drug interaction section). Get medical help immediately when some of the following symptoms develop: Fast heartbeats, hallucinations, loss of coordination, severe dizziness, severe nausea / vomiting / diarrhea, muscle shaking, unexplained fever, abnormal movement or restlessness
Rarely, men can have painful or longer build for 4 or more hours. If this happens, stop using this medicine and get medical help immediately, or there may be permanent problems.
A very serious allergic reaction to this drug is rare. However, if you see symptoms of a serious allergic reaction, get medical help immediately, including: granular, itching / swelling (especially the face / tongue / throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you do not list other effects above, contact your doctor or pharmacist.
In America – Call your doctor for medical advice about side effects. You can notify the FDA of side effects on 1-800-FDA-1088 or www.fda.gov/medwatch.
In Canada – Call your doctor for medical advice about side effects. You can report the health effects of Canada on 1-866-234-2345.
Before taking Citalopram, tell your doctor or pharmacist whether you are allergic to it; Or for escitalopram; Or if you have any other allergens. This product can have passive elements, which can cause allergic or other problems. Talk to your pharmacist for more details.
Before using this drug, tell your doctor or pharmacist your medical history, in particular: personal or family history of bipolar / manic-depressive disorder, personal or family history of suicide attempts, liver disease, seizures, blood Low sodium, intestinal ulcers / bleeding (peptic ulcer disease) or bleeding problem, personal or family history of glaucoma (angle-closure type).
Citalopram can cause a condition that affects the rhythm of the heart (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast / irregular heartbeat and other symptoms (such as severe dizziness, unconsciousness) that require immediate medical attention.
The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using citalopram, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, recent heart attack, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).
Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/”water pills”) or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using citalopram safely.
This medication can make you sore or blur your vision. Alcohol or marijuana (cannabis) can make you more stupid. Unless you can safely do it, do not drive, use machinery, or do anything that requires caution or clear vision. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).
Before surgery, tell your doctor or dentist about all the products that you use (including prescription drugs, nonprescription drugs and herbal products).
Older adults may be more susceptible to the side effects of this drug, especially bleeding, loss of coordination, and QT prolongation (see above). They may be more likely to develop a type of salt imbalance (especially hyponatremia), especially if they are also taking “water pills” (diuretics). The risk of falling from the loss of coordination can increase.
Children may be more susceptible to the side effects of this drug, especially less appetite and weight loss. Monitor weight and height in children taking this medicine.
During pregnancy, Citalopram should be used only when it is clearly necessary. It can harm an unborn child. Also, mothers who have used this medicine during the last 3 months of pregnancy, children born in them may rarely develop symptoms of withdrawal such as feeding / difficulty breathing, visits, muscles Cramping or crying constantly. If you see any of these symptoms in your newborn, then tell the doctor immediately.
Since untreated mental / mood problems (such as depression, obsessive-compulsive disorder, panic disorder) can be a serious condition, do not stop taking this medicine until your doctor is directed. If you are planning a pregnancy, become pregnant, or think that you may be pregnant, discuss the benefits and risks of using your medicine immediately during your pregnancy.
This medicine passes in breast milk and can have an undesirable effect on the nursing infant. Consult your doctor before breastfeeding.
If someone is treated and has serious symptoms like having trouble going out or breathing, call 911. Otherwise, call the Poison Control Center immediately. US residents can call their local venom control center at 1-800-222-1222. Canadians can call a provincial poison control center.
Do not share this medication with others.
Labs and / or medical tests (such as EKGs) should be periodically monitoring your progress or checking side effects. Consult your doctor for more details.
Keep all regular medical and psychiatric appointments.
If you miss a dose, then as soon as you remember, take it. If it is near the next dose time, then leave the thesis dose. Take your next dose at regular times. Do not double the dose to catch up.
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.
Until instructed not to do so, do not flush the medicines in the toilet and do not drain in the drain. When this period expires or does not need it, then properly release this product. Consult your pharmacist or local waste disposal company.
Disclaimer: DrLinex has made every effort to ensure that all information is factually accurate, comprehensive and up-to-date. However, this article should not be used as a licensed health care professional’s choice of knowledge and expertise. You should always consult your doctor or other health care professional before taking any medication. The information given here is subject to change and it has not been used to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions or adverse effects. The lack of warning or other information for any drug does not indicate that the combination of medicine or medication is safe, effective or appropriate for all patients or all specific uses.