It is also essential to call if someone is having suicidal thoughts and is at immediate risk of self-harm, suicide, or hurting another person. The National Suicide Prevention Lifeline is available at to provide support to those having thoughts of suicide. The long-term use of citalopram is safe when people take it as their doctor prescribes.
However, research indicates that using any antidepressant for more than 6 weeks can cause withdrawal symptoms on tapering or stopping the drug. Those taking citalopram or other antidepressants for an extended period should work with their doctor to find effective treatments and strategies to minimize withdrawal effects.
It is also important to monitor for the return of depressive symptoms after stopping long-term antidepressant use. Coming off citalopram can lead to withdrawal symptoms, particularly if people have been taking it for more than 6 weeks.
It is important that people who wish to stop taking antidepressants do so under medical supervision. Individuals should discuss their options with a doctor. These may include alternative medications and strategies for minimizing withdrawal symptoms and preventing the return of depressive symptoms. Fluoxetine oral capsule is a prescription medication used to treat conditions such as depression, obsessive-compulsive disorder OCD , eating….
Find out about the different types of antidepressants, how they work, any adverse effects, when you can take them, and the alternatives available. Serotonin is a chemical that transmits messages between nerve cells.
Known as the happy chemical, it may help prevent depression. Read on to find out…. Depression is an illness characterized by feelings of hopelessness, sadness and apathy. It is chronic and debilitating condition. This article will…. Patients, their families, and caregivers should be alert to the emergence of anxiety, restlessness, irritability, aggressiveness and insomnia. All patients being treated with antidepressants for any indication should watch for and notify their health care provider for worsening symptoms, suicidality and unusual changes in behavior, especially during the first few months of treatment.
Last Updated: January This information is being provided as a community outreach effort of the College of Psychiatric and Neurologic Pharmacists. This information is for educational and informational purposes only and is not medical advice. This information contains a summary of important points and is not an exhaustive review of information about the medication. Always seek the advice of a physician or other qualified medical professional with any questions you may have regarding medications or medical conditions.
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You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies. Citalopram pronounced as sye tal' oh pram.
Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names. Other uses for this medicine. What special precautions should I follow? Before taking citalopram, tell your doctor and pharmacist if you are allergic to citalopram, escitalopram Lexapro , any other medications, or any of the ingredients in the citalopram product you are taking.
Talk to your pharmacist or check the Medication Guide for a list of the ingredients. Your doctor will probably tell you not to take citalopram.
If you stop taking citalopram, you should wait at least 14 days before you start to take an MAO inhibitor. You should not take these two medications together. Be sure to mention any of the following: amiodarone Cordarone ; anticoagulants 'blood thinners' such as warfarin Coumadin, Jantoven ; aspirin and other nonsteroidal anti-inflammatory drugs NSAIDs such as ibuprofen Advil, Motrin and naproxen Aleve, Naprosyn ; carbamazepine Tegretol ; cimetidine Tagamet ; cisapride Propulsid ; diuretics 'water pills ; disopyramide Norpace ; dofetilide Tikosyn ; erythromycin E.
Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Many other medications may also interact with citalopram, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list. John's wort or tryptophan. Also tell your doctor if you are older than 60 years of age and if you have or have ever had a slow or irregular heartbeat, high blood pressure; bleeding problems; stroke; low levels of magnesium or potassium in your blood, a heart attack, heart failure condition in which the heart cannot pump enough blood to other parts of the body or other heart conditions; seizures; or kidney or liver disease.
These include:. You can also call the American Association of Poison Control Centers at or use their online tool. But if your symptoms are severe, call or go to the nearest emergency room right away.
When you get Celexa from the pharmacy, the pharmacist will add an expiration date to the label on the bottle. This date is typically 1 year from the date they dispensed the medication. The expiration date helps guarantee the effectiveness of the medication during this time. If you have unused medication that has gone past the expiration date, talk with your pharmacist about whether you might still be able to use it.
How long a medication remains good can depend on many factors, including how and where you store the medication. Avoid keeping this medication in areas where it could get damp or wet, such as in bathrooms. This helps prevent others, including children and pets, from taking the drug by accident.
It also helps keep the drug from harming the environment. The FDA website provides several useful tips on medication disposal. You can also ask your pharmacist for information on how to dispose of your medication. There are several off-label uses of Celexa that have varying levels of evidence behind them. Celexa is a selective serotonin reuptake inhibitor SSRI that blocks neuronal reuptake of serotonin in the central nervous system, increasing available serotonin concentrations.
Celexa has little impact on dopamine and norepinephrine receptors. Celexa reaches peak blood concentrations about 4 hours after dosing. Steady-state concentrations are expected after about 1 week.
Elimination half-life is about 35 hours. In clinical trials , Celexa had longer half-lives in older adults and was found in higher concentrations in this population. Most clinically significant changes occur through augmentation of the CYP2C19 pathway.
Poor metabolizers of CYP2C19 should receive a maximum dose of 20 mg of Celexa due to increased risk for QT prolongation and torsades de pointes with increased drug concentrations observed in people with certain polymorphisms.
The two treatments should not overlap at any time as this increases the risk of serotonin syndrome. Concomitant use of pimozide and Celexa places the patient at risk for serious cardiac side effects such as QT prolongation or arrhythmias. Celexa is contraindicated in people who have had a hypersensitivity allergic reaction to citalopram or any inactive ingredients in Celexa in the past.
Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date.
However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or other healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.
The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. A recent study examined how air pollutants impact brain networks to mediate changes in cognitive function and enhance the risk of depression.
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Depression's physical symptoms can include fatigue, appetite changes, sleeping more or less than usual, and pain. Learn more here. Celexa citalopram. Medically reviewed by Dena Westphalen, Pharm. What is Celexa? Celexa comes as a tablet that you swallow once a day. Effectiveness In clinical studies that lasted 4 to 6 weeks, depression symptoms eased more in people who took Celexa. Celexa generic. Citalopram also comes as an oral liquid solution and as a tablet that dissolves on your tongue.
Celexa side effects. More common side effects The more common side effects of Celexa can include: sweating, including hot flashes tremor digestive system problems, such as nausea , vomiting, diarrhea , upset stomach , constipation fatigue lack of energy or sleepiness muscle or joint aches insomnia trouble sleeping anxiety or feeling agitated appetite changes weight gain or weight loss dysmenorrhea painful menstrual periods sexual problems, such as a decreased interest in sex , ejaculation disorder, impotence trouble getting or keeping an erection upper respiratory infection infection in your nose or throat Most of these side effects may go away within a few days or a couple of weeks.
Serious side effects and their symptoms can include the following: Suicidal thinking and behavior. Hyponatremia low levels of sodium. Symptoms can include: headache brain fog feeling weak or unsteady fainting Mania or hypomania racing thoughts or periods of high energy.
Symptoms can include: increased energy feeling restless trouble sleeping racing thoughts Bleeding. Symptoms can include: increased bruising nosebleeds blood in urine or stool QT prolongation and torsades de pointes types of heart rhythm problems. Symptoms can include: heart palpitations feeling of skipped or extra heartbeats dizziness fainting Serotonin syndrome high levels of the chemical serotonin.
Symptoms can include: sweating or fever tremor blood pressure changes racing heart feeling agitated dizziness Seizures changes in the electrical activity of your brain. Side effect details You may wonder how often certain side effects occur with this drug. Allergic reaction As with most drugs, some people can have an allergic reaction after taking Celexa. Symptoms of a mild allergic reaction can include: skin rash itchiness flushing warmth and redness in your skin A more severe allergic reaction is rare but possible.
Symptoms of a severe allergic reaction can include: swelling under your skin, typically in your eyelids, lips, hands, or feet swelling of your tongue, mouth, or throat trouble breathing or speaking Call your doctor right away if you have a severe allergic reaction to Celexa. Weight gain or weight loss Changes in appetite may occur while taking Celexa, which can lead to weight gain or weight loss.
Sexual side effects Sexual problems may occur with Celexa use. Insomnia Sleep problems may occur while taking Celexa. Diarrhea Diarrhea is a possible side effect of taking Celexa, but it may get better over time. Sweating Sweating including night sweats may occur when taking Celexa.
Celexa dosage. The Celexa dosage your doctor prescribes will depend on several factors. Drug forms and strengths Celexa is available as mg, mg, and mg tablets that you swallow. Dosage for depression The starting dose of Celexa is 20 mg a day. In certain situations, your doctor may want you to keep taking 20 mg of Celexa a day: You have side effects that bother you when taking 40 mg of Celexa a day. You take certain medications such as cimetidine Tagamet , clopidogrel Plavix , or omeprazole Prilosec.
Your body is expected to metabolize break down the medication differently. What if I miss a dose? Will I need to use this drug long term? Celexa uses. Celexa for depression Celexa is FDA-approved for the treatment of depression in adults. Examples of these symptoms include: a depressed mood less interest in usual activities appetite changes weight gain or weight loss sleeping more than usual or having trouble falling asleep fatigue lack of energy guilty feelings low self-worth trouble thinking or concentrating In clinical studies that lasted 4 to 6 weeks, depression symptoms eased more in people who took Celexa.
Celexa for other conditions In addition to the use listed above, Celexa may be used off-label. Celexa for menopausal symptoms off-label use Celexa may be prescribed off-label for symptoms of menopause , usually at doses smaller than those used for depression. Celexa for IBS off-label use Celexa may be used off-label to treat irritable bowel syndrome IBS , a condition that affects your intestines. Celexa for pediatrics off-label use Celexa may be used off-label to treat depression in children.
Celexa for agitation associated with dementia off-label use Celexa may be used off-label to treat agitation caused by dementia. Alternatives to Celexa. Celexa vs. Ingredients Celexa contains the active drug citalopram.
Drug forms and administration Celexa and Lexapro are both available as tablets that you swallow. Side effects and risks Celexa and Lexapro belong to the same class of drugs. More common side effects These lists contain examples of more common side effects that can occur with Celexa, with Lexapro, or with both drugs when taken individually.
Can occur with Celexa: dysmenorrhea painful menstrual periods Can occur with Lexapro: few unique common side effects Can occur with both Celexa and Lexapro: tremor fatigue lack of energy or sleepiness muscle or joint aches insomnia trouble sleeping anxiety or feeling agitated appetite changes weight gain or weight loss digestive system problems, such as nausea , vomiting, diarrhea , upset stomach , constipation sexual problems, such as a decreased interest in sex , ejaculation disorder, impotence trouble getting or keeping an erection upper respiratory infection infection in your nose or throat sweating, including hot flashes Serious side effects These lists contain examples of serious side effects that can occur with Celexa, with Lexapro, or with both drugs when taken individually.
Effectiveness The only condition both Celexa and Lexapro are used to treat is depression. Costs Celexa and Lexapro are both brand-name drugs. Zoloft contains the active drug sertraline.
Drug forms and administration Celexa and Zoloft are both available as tablets that you swallow. Side effects and risks Celexa and Zoloft belong to the same class of drugs.
More common side effects These lists contain examples of more common side effects that can occur with Celexa, with Zoloft, or with both drugs when taken individually. Can occur with Celexa: dysmenorrhea painful menstrual periods upper respiratory infection infection in your nose or throat Can occur with Zoloft: few unique common side effects Can occur with both Celexa and Zoloft: sweating, including hot flashes digestive system problems, such as nausea , vomiting, diarrhea , upset stomach , constipation sexual problems, such as a decreased interest in sex , ejaculation disorder, impotence trouble getting or keeping an erection appetite changes weight gain or weight loss tremor fatigue lack of energy or sleepiness muscle or joint aches insomnia trouble sleeping anxiety or feeling agitated Serious side effects These lists contain examples of serious side effects that can occur with Celexa, with Zoloft, or with both drugs when taken individually.
Effectiveness The only condition both Celexa and Zoloft are used to treat is depression. Costs Celexa and Zoloft are both brand-name drugs. Celexa withdrawal. Celexa and alcohol. Celexa interactions. Celexa and other medications Below is a list of medications that can interact with Celexa. Celexa and tramadol Taking Celexa and the pain medication tramadol may increase your risk for serotonin syndrome high levels of the chemical serotonin. Celexa and certain depression medications Using Celexa with certain other antidepressants may increase your risk for serotonin syndrome.
Celexa and drugs that can increase the risk of bleeding Celexa can increase the risk of bleeding, especially if you take it with other drugs that can also increase bleeding risk. Celexa and certain drugs used for migraine Drugs known as triptans can be used to treat migraine.
Celexa and carbamazepine The medication carbamazepine Tegretol may speed up the breakdown of Celexa in the body. Celexa and lithium Taking Celexa and lithium Lithobid together may increase the risk of serotonin syndrome.
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