- that what I am providing is NOT meant in any way to replace the conversation between you, your doctor, or your pharmacist
- please do not self-diagnose or make medical decisions about this drug without talking with qualified professionals
- the information provided here is the reference sheet you would find at WebMD. During my journey I found this site to be helpful in providing support. All credit for this information belongs to them. I copied it right from their website and I have removed the hyper-links. Please visit their site if you would like to read further.
For this installment, I have chosen Celexa GENERIC NAME(S): CITALOPRAM HYDROBROMIDE
Uses: Citalopram is 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.
**Please read this information carefully**
If you have any questions about what is provided here....talk with your doctor or pharmacist please.
GENERIC NAME(S): CITALOPRAM HYDROBROMIDE
Citalopram is 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.
This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.
This medication may also be used to treat other mental conditions (such as obsessive-compulsive disorder, panic disorder). It may also be used to treat hot flashes that occur with menopause.
How to use Celexa
Read the Medication Guide and, if available, 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 or pharmacist.
Take this medication 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 treatment, 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 are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.
To reduce your risk of side effects, your doctor may direct you to start taking this drug at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day.
It is important to continue taking this medication even if you feel well. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped. Also, you may experience symptoms such as mood swings, headache, tiredness, sleep changes, and brief feelings similar to electric shock. To prevent these symptoms while you are stopping treatment with this drug, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more details. Report any new or worsening symptoms immediately.
It may take 1 to 4 weeks to feel a benefit from this drug and up to several weeks before you get the full benefit.
Tell your doctor if your condition does not improve or if it worsens.
See also Warning and Precautions sections.
Nausea, dry mouth, loss of appetite, tiredness, drowsiness, sweating, blurred vision, and yawning may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if you have any serious side effects, including: shaking (tremor), decreased interest in sex, changes in sexual ability, easy bruising/bleeding.
Get medical help right away if you have any very serious side effects, including: fainting, fast/irregular heartbeat, black stools, vomit that looks like coffee grounds, seizures, eye pain/swelling/redness, vision changes (such as seeing rainbows around lights at night).
This medication may increase serotonin and rarely cause a very serious condition 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: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.
Rarely, males may have a painful or prolonged erection lasting 4 or more hours. If this occurs, stop using this drug and get medical help right away, or permanent problems could occur.
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.
In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
CELEXA Side Effects List
Celexa side effects by likelihood and severity. The following side effects are associated with Celexa:
Common side effects of Celexa: ·
Inability to have an Erection Severe
· Problem with Ejaculation Severe
· Sexual Problems Severe
· Chronic Trouble Sleeping Less Severe
· Diarrhea Less Severe
· Drowsiness Less Severe
· Dry Mouth Less Severe
· Excessive Sweating Less Severe
· Feel Like Throwing Up Less Severe
· Involuntary Quivering Less Severe
Infrequent side effects of Celexa: ·
Altered Interest in Having Sexual Intercourse Severe
· Confused Severe
· Excess Urination Severe
· Feeling Restless Severe
· Fever Severe
· Itching Severe
· Loss of Memory Severe
· Problem with Periods Severe
· Rash Severe
· Trouble Breathing Severe
· Absence of Menstrual Periods Less Severe
· Anxious Less Severe
· Blood Pressure Drop Upon Standing Less Severe
· Gas Less Severe
· Increased Production of Saliva Less Severe
· Indigestion Less Severe
· Inflammation of the Nose Less Severe
· Joint Pain Less Severe
· Loss of Appetite Less Severe
· Low Energy Less Severe
· Migraine Headache Less Severe
· Muscle Pain Less Severe
· Numbness and Tingling Less Severe
· Sinus Irritation and Congestion Less Severe
· Stomach Cramps Less Severe
· Taste Problems Less Severe
· Throwing Up Less Severe
· Weight Loss Less Severe
· Yawning Less Severe
Rare side effects of Celexa:
A Feeling of Restlessness with Inability to Sit Still Severe
· Abnormal Heart Rhythm Severe
· Abortion Severe
· Acute Inflammation of the Pancreas Severe
· Acute Kidney Disease Severe
· Aggressive Behavior Severe
· Behaving with Excessive Cheerfulness and Activity Severe
· Bleeding of the Stomach or Intestines Severe
· Blood Clot Severe
· Breast Fullness due to Milk Production Severe
· Breast Tenderness Severe
· Continued Painful Erection Severe
· Decrease in the Blood-Clotting Protein Prothrombin Severe
· Decreased Blood Platelets Severe
· Delusions Severe
· Discharge of Milk in Men or Women when Not Breastfeeding Severe
· Erythema Multiforme Severe
· Extrapyramidal Reaction Severe
· Extreme Sense of Well Being Severe
· Giant Hives Severe
· Hallucination Severe
· Having Thoughts of Suicide Severe
· Hemolytic Anemia Severe
· Hemorrhage Severe
· Hemorrhage of Blood Under the Skin Severe
· Life Threatening Allergic Reaction Severe
· Liver Tissue Death Severe
· Loss of One's Own Sense of Reality or Identity Severe
· Low Amount of Sodium in the Blood Severe
· Mental Disorder with Loss of Normal Personality & Reality Severe
· Mental Impairment Severe
· Mood Changes Severe
· Myoclonus Severe
· Neuroleptic Malignant Syndrome Severe
· Panic Disorder Severe
· Paranoia Severe
· Paroxysmal Choreoathetosis Severe
· Prolonged Q-T Interval on EKG Severe
· Reaction due to an Allergy Severe
· Seizures Severe
· Serious Muscle Damage that may Lead to Kidney Failure Severe
· Serotonin Syndrome - Adverse Drug Interaction Severe
· Toxic Epidermal Necrolysis Severe
· Very Rapid Heartbeat - Torsades de Pointes Severe
· Voluntary Movement Difficulty Severe
· Abnormal Dreams Less Severe
· Abnormally Low Blood Pressure Less Severe
· Cannot Focus Thoughts Less Severe
· Cataracts Less Severe
· Cough Less Severe
· Fast Heartbeat Less Severe
· Frequent Urination Less Severe
· Grinding of the Teeth Less Severe
· Increased Levels of Prolactin in the Blood Less Severe
· Indifferent Behavior Less Severe
· Involuntary Eye Movement Less Severe
· Mild Degree of Mania Less Severe
· Nosebleed Less Severe
· Temporary Redness of Face and Neck Less Severe
· Weight Gain Less Severe
Before taking citalopram, tell your doctor or pharmacist if you are allergic to it; or to escitalopram; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: personal or family history of bipolar/manic-depressive disorder, personal or family history of suicide attempts, liver disease, seizures, low sodium in the blood, intestinal ulcers/bleeding (peptic ulcer disease) or bleeding problems, personal or family history of glaucoma (angle-closure type).
Citalopram may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can infrequently result in serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away.
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 drug may make you drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Avoid alcoholic beverages.
Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
Older adults may be more sensitive to the side effects of this drug, especially bleeding, loss of coordination, and QT prolongation (see above). They may also be more likely to develop a type of salt imbalance (hyponatremia), especially if they are also taking "water pills" (diuretics). Loss of coordination can increase the risk of falling.
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 infrequently develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell the doctor promptly.
Since untreated depression 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.
This drug passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.
Interactions See also Precautions section.
Drug interactions may change how your medications 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 and pharmacist. 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 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 otherwise. Ask your doctor or pharmacist for more details.
Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, 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 increases 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.
Tell your doctor or pharmacist if you are taking other products that cause drowsiness including alcohol, antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants, and narcotic pain relievers (such as codeine).
Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.
Many drugs besides citalopram may affect the heart rhythm (QT prolongation), including amiodarone, pimozide, procainamide, quinidine, sotalol, among others.
Citalopram is very similar to escitalopram. Do not use medications containing escitalopram while using citalopram.
This medication may interfere with certain medical/laboratory tests (including brain scan for Parkinson's disease), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.
If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.
Do not share this medication with others.
Laboratory and/or medical tests (such as EKG) should be done periodically to monitor your progress or check for side effects. Consult your doctor for more details.
Keep all regular medical and psychiatric appointments.
If you miss a dose, take 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.
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
Information last revised December 2014. Copyright(c) 2014 First Databank, Inc.