What is Citalopram: How to Use, Dosage, Side Effects

What is Citalopram: How to Use, Dosage, Side Effects

What is Citalopram

Citalopram is being used to treat depression. It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain.

Citalopram is an antidepressant belonging to a group of drugs called selective serotonin reuptake inhibitors (SSRIs),

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How to use Citalopram

Read the Medication Guide and, if possible, the Patient Information Leaflet provided by your pharmacist before you start taking citalopram and each time you get a refill. If you have any questions, ask your doctor.

Take this drug with or without food as directed by your doctor, usually once daily in the morning or evening. The dosage is based on your medical condition, response to cure, age, laboratory tests, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). The maximum dosage for citalopram is 40 milligrams per day.

If you use the liquid form of this medication, cautiously measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.

Measure liquid medicine with the dosing syringe that has been provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.


Dosage of Citalopram

frequent Adult Dose to cure Depression:

Initial dose: 20 mg orally once a day

Maintenance dose: 20 to 40 mg orally once a day

Maximum dose: 40 mg orally per day

Comments:

-The initial dose may be increased if necessary to 40 mg once a day after at least 1 week of therapy (by your doctors' approval).

-Doses of 60 mg/day did not demonstrate an advantage in efficacy over 40 mg/day doses.

-Acute episodes of depression may require several months or more of sustained pharmacologic therapy

Use: Treatment of depression

Usual Geriatric Dose for Depression:

Over 60 years:

Recommended dose: 20 mg orally once a day

Comments:

-Doses of 60 mg/day did not demonstrate an advantage in efficacy over 40 mg/day doses.

-Acute episodes of depression may require several months or more of sustained pharmacologic therapy.


Side effects of Citalopram

Nausea, dry mouth, tiredness, drowsiness, loss of appetite, sweating, blurred vision, and yawning may happen. If any of these effects persist or worsen, tell your doctor or pharmacist quickly.

Get medical help right away if you have any of these serious side effects, including: fainting, fast/irregular heartbeat, black stools, vomit that looks like coffee grounds, seizures, eye pain/swelling/redness, widened pupils, vision changes (such as seeing rainbows around lights at night).

This medication may increase serotonin and rarely cause a very serious situation called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take (see Drug Interactions section). Get medical help right away if you develop some of the following symptoms, like: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Citalopram

Please if you have any questions about Citalopram, you can ask us by commenting below this text, we'll answer you as soon as possible.

Drugs that may interact to Citalopram

Drug interactions may change how your drugs work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Some products that may interact with this drug include: other drugs that can cause bleeding/bruising (including antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen, "blood thinners" such as warfarin).

Aspirin can increase the risk of bleeding when gets used with this medication. However, if your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you in other way. Ask your doctor or pharmacist for more information.

Taking MAO inhibitors with this drug might cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before and after treatment with this medication. Ask your doctor when to start or stop taking this medication.

The risk of serotonin syndrome/toxicity gets more if you are also taking other drugs that increase serotonin. Examples include street drugs such as MDMA/"ecstasy," St. John's wort, certain antidepressants (including other SSRIs such as fluoxetine/paroxetine, SNRIs such as duloxetine/venlafaxine), tryptophan, among others. The risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs.

Citalopram is very similar to escitalopram. Do not use medications containing escitalopram while using citalopram.

Taking citalopram with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or even death. Ask your doctor before taking a sleeping pill, narcotic pain medicine, prescription cough medicine, a muscle relaxer, or medicine for anxiety, depression, or seizures.

Many drugs can interact with citalopram. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any you start or stop using, especially:

tryptophan (sometimes called L-tryptophan);

a blood thinner (warfarin, Coumadin, Jantoven);

any other antidepressant;

heart medication;

medicine to treat a psychiatric disorder; or

"triptan" migraine headache medicine.

This list is not complete and many other drugs can interact with citalopram.

For whom Citalopram might not be safe

Children may be more sensitive to the side effects of this drug, especially loss of appetite and weight loss. Monitor weight and height in children who are taking this drug.

During pregnancy, this medication should be used only when clearly needed. It may harm an unborn baby. Also, babies born to mothers who have used this drug during the last 3 months of pregnancy may rarely develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn child, tell the doctor quickly.

This drug passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.


Warnings of Citalopram

Citalopram may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention quickly.

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 specific 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 drug may make you drowsy or blur your sight. Alcohol or marijuana can make you drowsier. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana.

Since untreated mental/mood problems (such as depression, obsessive-compulsive disorder, panic disorder) can be a serious condition, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss with your doctor the benefits and risks of using this medication during pregnancy.

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Citalopram

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