Citalopram is used to take care of depression. It might improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by assisting to bring back the balance of a certain substance that is naturalserotonin) into the brain.
OTHER USES: This section contains uses of the drug that are not placed in the approved professional labeling for the medication but that may be prescribed by your health care professional. Use this drug for a condition which is listed in this part only when it was therefore prescribed by your quality of life care pro.
This medication may also be utilized to treat other conditions that are mentalsuch as obsessive-compulsive disorder, panic disorder). It may also be used to treat hot flashes that occur with menopause.
Read the Medication Guide and, if available, the Patient Information Leaflet provided by the pharmacist before you start taking citalopram and each time you get a refill. If you have any relevant concerns, ask your physician or pharmacist.
Take this medicine with or without meals 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 using. Be sure to tell your doctor and pharmacist about most of the items you use (including prescription drugs, nonprescription medications, and herbal services and products). The utmost dosage for citalopram is 40 milligrams a day.
If you work with the liquid form of this medication, carefully measure the dosage using a measuring device/spoon that is special. Do not use a household spoon because you may not get the correct dose.
To reduce your risk of part effects, your medical practitioner may direct you to definitely start taking this medication at a dose that is low 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 shall not enhance any faster, and your risk of side effects will increase. Just take this medication frequently to get the most benefit from it. Each day to help you remember, take it at the same time.
It's important to continue using 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, frustration, tiredness, sleep changes, and brief feelings much like 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 to get more details. Report any new or symptoms that are worsening away.
It might take 1 to 4 weeks to feel an advantage from this drug or more to many weeks before you have the benefit that is full.
Tell your physician in the event your condition doesn't improve or if it worsens.
See also Warning and Precautions sections.
Nausea, dry mouth, lack 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 adverse effects. Many people using this medication do not have serious adverse effects.
Tell your doctor straight away when you have any serious part effects, including: shaking (tremor), decreased interest in intercourse, changes in intimate ability, easy bruising/bleeding.
Get medical help right away when you have any very serious adverse effects, including: fainting, fast/irregular heartbeat, black stools, vomit that looks like coffee grounds, seizures, attention pain/swelling/redness, vision changes (such as for instance seeing rainbows around lights through the night).
This medicine may increase serotonin and hardly ever cause a tremendously condition that is serious serotonin syndrome/toxicity. The risk increases you take (see Drug Interactions section) if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs. Get medical help right away in the event that you develop a few of the following symptoms: fast heartbeat, hallucinations, lack of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.
Rarely, males may have a prolonged or painful erection lasting 4 or more hours. If this occurs, stop using this drug and get help that is medical away, or permanent dilemmas could occur.
a very serious allergic reaction to this drug is rare. However, get help that is medical away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially regarding the face/tongue/throat), serious dizziness, difficulty respiration.
This really is perhaps not a list that is complete of adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
Within the US -
Call your physician for medical advice about side-effects. You'll report adverse effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Phone your doctor for medical advice about negative effects. You may possibly report adverse effects to wellness Canada at 1-866-234-2345.
Before taking citalopram, tell your medical practitioner 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 could cause allergic reactions or other issues. Talk to your pharmacist for more information.
Before using this medicine, 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 infection, seizures, low sodium in the blood, intestinal ulcers/bleeding (peptic ulcer disease) or bleeding problems, personal or family members history of glaucoma (angle-closure kind).
Citalopram may cause a condition which affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as for instance severe dizziness, fainting) that require medical attention right away.
The risk of QT prolongation may be increased in the event that you have certain medical conditions or are taking other drugs that will cause QT prolongation. Before using citalopram, tell your doctor or pharmacist of the many drugs you simply take and when you have any of the following conditions: specific heart disease (heart failure, slow heartbeat, recent heart attack, QT prolongation in the EKG), family history of certain heart disease (QT prolongation in the EKG, unexpected 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 will make you drowsy or cause vision that is blurred. Do not drive, use machinery, or do any activity that requires alertness or clear vision you can perform such activities safely until you are sure. Avoid beverages that are alcoholic.
Before having surgery, tell your medical professional or dentist about all the products you utilize (including prescription drugs, nonprescription drugs, and organic products).
Older adults may become more painful and sensitive to the relative 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"water that is taking" (diuretics). Loss of coordination increases the possibility of falling.
Kiddies may be more sensitive to your relative side effects of this drug, especially loss of appetite and weight loss. Monitor height and weight in children that are using this drug.
During maternity, this medication should be used only when demonstrably needed. It could 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 for instance feeding/breathing difficulties, seizures, muscle tissue stiffness, or constant crying. If you see any of those symptoms in your newborn, tell the doctor promptly.
Since untreated mental/mood dilemmas (such as depression, obsessive-compulsive disorder, anxiety attacks) can be a critical condition, usually do not stop taking this medication unless directed by your physician. You may be pregnant, immediately discuss with your doctor the benefits and risks of using this medication during pregnancy if you are planning pregnancy, become pregnant, or think.
This drug passes into breast milk and could have effects that are undesirable a nursing infant. Consult your physician before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
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Airmail: 2-3 business weeks, EMS: 3-8 business days.