IMPORTANT NOTE: The following information
is intended to supplement, not substitute for, the
expertise and judgment of your physician, pharmacist
or other healthcare professional. It should not be
construed to indicate that use of the drug is safe,
appropriate, or effective for you. Consult your healthcare
professional before using this drug.
CITALOPRAM - ORAL (sye-TAL-oh-pram)
COMMON BRAND NAME(S): Celexa
USES: Citalopram is used to treat depression.
This medication works by helping to restore the balance
of certain natural chemicals in the brain.
OTHER USES: This medication has also been used
to treat certain eating disorders (e.g., anorexia
nervosa, bulimia).
HOW TO USE: Take this medication by mouth usually
once daily, with or without food; or as directed by
your doctor. The dosage is based on your medical condition
and response to therapy. It is important to continue
taking this medication as prescribed even if you feel
well. Also, do not stop taking this medication without
consulting your doctor. It may take up to several
weeks before the full benefit of this drug takes effect.
SIDE EFFECTS: Nausea, drowsiness, diarrhea,
trouble sleeping, upset stomach, or dry mouth may
occur. If any of these effects persist or worsen,
notify your doctor promptly. Tell your doctor immediately
if any of these serious side effects occur: vomiting,
loss of appetite, unusual or severe mental/mood changes,
increased sweating/flushing, unusual fatigue, uncontrolled
movements (tremor). Tell your doctor immediately if
any of these unlikely but serious side effects occur:
blurred vision, stomach pain, fever, joint pain, muscle
pain, unusually fast heartbeat, decreased interest
in sex, changes in sexual ability, change in amount
of urine. Tell your doctor immediately if any of these
highly unlikelybut very serious side effects occur:
weight changes, taste changes, changes in menstrual
period, unusual swelling of the hands/feet/face, seizures,
painful and/or prolonged erection. If you notice other
effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS: Tell your doctor your medical
history, especially of: liver problems, kidney problems,
seizures, heart problems, other mental/mood disorders
(e.g., bipolar disorder), thyroid problems, any allergies.
This drug may make you dizzy or drowsy; use caution
engaging in activities requiring alertness such as
driving or using machinery. Limit alcoholic beverages.
Caution is advised when using this product in the
elderly because they may be more sensitive to the
effects of the drug. This medication should be used
only when clearly needed during pregnancy. Discuss
the risks and benefits with your doctor. This drug
passes into breast milk. Because of the potential
risk to the infant, breast-feeding while using this
drug is not recommended. Consult your doctor before
breast-feeding.
DRUG INTERACTIONS: Certain medications taken
with this product could result in serious, even fatal,
drug interactions. Avoid taking MAO inhibitors (e.g.,
furazolidone, isocarboxazid, linezolid, moclobemide,
phenelzine, procarbazine, selegiline, tranylcypromine)
within 2 weeks before or after treatment with this
medication. Consult your doctor or pharmacist for
additional information. This drug is not recommended
for use with: weight loss drugs (e.g., sibutramine,
phentermine). Ask your doctor or pharmacist for more
details. Tell your doctor of all prescription and
nonprescription medication you may use, especially:
other SSRI antidepressants (e.g., fluoxetine, sertraline),
nefazodone, trazodone, tramadol, venlafaxine, "triptan"
migraine drugs (e.g., sumatriptan, zolmitriptan),
tricyclic antidepressants (e.g., amitriptyline, nortriptyline),
cimetidine, lithium, itraconazole, macrolide antibiotics
(e.g., clarithromycin, erythromycin), any herbal/
natural products (e.g., melatonin, St John's wort,
ayahuasca). Tell your doctor if you take any drugs
that cause drowsiness such as: medicine for sleep,
sedatives, tranquilizers, anti- anxiety drugs (e.g.,
diazepam), narcotic pain relievers (e.g., codeine),
psychiatric medicines (e.g., phenothiazines such as
chlorpromazine), anti-seizure drugs (e.g., carbamazepine),
muscle relaxants, certain antihistamines (e.g., diphenhydramine).
Do not start or stop any medicine without doctor or
pharmacist approval.
OVERDOSE: If overdose is suspected, contact
your local poison control center or emergency room
immediately. Symptoms of overdose may include: irregular
heartbeat, fainting, severe dizziness or lightheadedness.
NOTES: Do not share this medication with others.
Laboratory and/or medical tests may be performed to
monitor your progress.
MISSED DOSE: If you miss a dose, use 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.
STORAGE: Store at room temperature between
59 and 86 degrees F (15 and 30 degrees C) away from
light and moisture.
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