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CITALOPRAM DRUG INFORMATION, ABOUT CITALOPRAM

WHAT IS CITALOPRAM?

Citalopram is used in the treatment of depression. It works by helping to restore balance to certain natural chemicals in your brain.

OTHER CITALOPRAM USES

Citalopram (Generic Celexa®) is also sometimes used to treat eating disorders like anorexia nervosa, bulimia.

HOW TO USE CITALOPRAM

Take your Citalopram prescription by mouth usually once a daily, with or without food, or as directed by your doctor.

Your Citalopram dose will be based on your medical condition and your response to therapy. It is important to continue taking Citalopram as prescribed even if you begint to feel better. Do not stop taking Citalopram without consulting your physician.

It may take up to several weeks before the full benefit of Citalopram takes effect.

CITALOPRAM SIDE EFFECTS

Possible Citalopram side effects. Tell your physician if they become worse or do not go away:

• nausea or upset stomach
• difficulty sleeping
• diarrhea
• drowsiness
• dry mouth

Serious Citalopram side effects. Notify your physician immediately if they occur:

• loss of appetite
• vomiting
• fatigue
• mental or mood changes that are unusual or severe
• flushing or sweating
• tremors or uncontrollable movements

Unlikely but serious Citalopram side affects. Notify your physician immediately if they occur:

• rapid heartbeat
• blurry vision
• muscle pain
• joint pain
• stomach pain
• fever
• change in sexual ability
• decreased interest in sex
• decrease or increase in amount of urine

Highly unlikely, but very serious side effects. Notify your physician immediately if they occur:

• seizures
• swelling of the hands, feet or face
• change in menstrual period
• change in taste
• change in weight
• painful and/or prolonged erection

PRECAUTIONS

Tell your doctor your medical history. It is especially important to mention any of the following:

IMPORTANT NOTE: This information is intended to be supplemental only and not a substitute for the judgment and expertise of your pharmacist, physician or other healthcare professional. It should not be interpreted to indicate that use of this drug is safe, appropriate or effective for you. Consult your physician before this medicine is used

• other mental or mood disorders, bipolar disorder, for example
• thyroid problems
• liver problems
• kidney problems
• heart problems
• seizures
• any allergies

Citalopram may make you dizzy or drowsy. Be careful when doing activities which require alertness, like using machinery or driving.

Limit alcohol consumption.

The elderly may be more sensitive to the effects of Citalopram. Be caution in its use.

CITALOPRAM and PREGNANCY

Tell your doctor if you are pregnant or trying to get pregnant. Citalopram should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.

CITALOPRAM and BREAST FEEDING

Citalopram will pass into breast milk. Because of the potential risk to the infant, breast feeding while using Citalopram is not recommended. Consult your doctor before breast feeding.

CITALOPRAM DRUG INTERACTIONS

Avoid MAO inhibitors within 2 weeks before or after treatment with Citalopram. Examples are:

• furazolidone
• isocarboxazid
• moclobemide
• linezolid
• phenelzine
• procarbazine
• selegiline
• tranylcypromine

Citalopram should not be used with weight loss drugs like

• phentermine
• sibutramine

Tell your physician about all prescription and over-the-counter medicines you use, especially:

• other SSRI antidepressants like
  • fluoxetine
  • sertraline
    
    
• "triptan" migraine drugs like
  • sumatriptan
  • zolmitriptan
    
    
• tricyclic antidepressants like
  • nortriptyline
  • amitriptyline
    
    
• macrolide antibiotics like
  • clarithromycin
  • erythromycin
    
    
• any herbal or natural product like
  • melatonin
  • St. John's wort
  • ayahuasca
    
    
• lithium
• trazodone
• nefazodone
• cimetidine
• tramadol
• venlafaxine
• itraconazole

Tell your doctor if you take any drugs which cause drowsiness like:

• anti-anxiety drugs like diazepam
• anti-seizure drugs like carbamazepine
• tranquilizers
• sleep aids
• sedatives
• certain anti-histamines like diphenhydramine
• narcotic pain relievers like codeine
• psychiatric medications like phenothiazines (chlorpromazine)
• muscle relaxants

Do not start or stop this or any medicine without your physician's approval.

CITALOPRAM OVERDOSE

If an overdose is suspected, immediately call the poison control center at (1-800-222-1222). Or call emergency services at (911).

Symptoms of Citalopram overdose may include:

• severe dizziness
• irregular heartbeat
• fainting

NOTES

Do not share your Citalopram medication with anyone.

Your doctor may order laboratory and/or medical tests to monitor your progress.

MISSED DOSE

If you miss a dose, take it as soon as remembered. But if it is near the time for the next dose, skip the missed dose and continue with your usual schedule. Do not take a double dose to catch up.

STORAGE

Store at room temperature and away from light and moisture. Do not store in a bathroom.

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