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Precautions

Do NOT use Citalopram if:

• you might be allergic to your ingredient in Citalopram
• you take escitalopram
• you take or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort in the last 14 days
• you consider a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, or sibutramine.

Contact your doctor or doctor right away if any of these apply to you.

Some medical conditions may connect to Citalopram. Tell a medical expert or pharmacist if you have any health conditions, in particular when any from the following affect you:

• if you happen to be pregnant, about to get pregnant, or are breast-feeding
• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or another substances
• if you or even a member of the family has a good reputation for bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• for those who have a history of seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems
• if you might be dehydrated, have low blood sodium levels, or are drinking alcohol
• if you will end up having electroconvulsive therapy (ECT).

Some medicines may connect to Citalopram. Tell your medical provider if you consider another medicines, especially any of the following:

• Fenfluramine derivatives (eg, dexfenfluramine), linezolid, lithium, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT₁ receptor agonists (eg, sumatriptan), sibutramine, St. John's wort, or trazodone because severe unwanted effects, like a reaction that will include fever, rigid muscles, blood pressure levels changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of bleeding, including stomach bleeding, may be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) because the chance of low blood sodium levels could be increased
• Tramadol because the risk of seizures could be increased
• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart related illnesses, including irregular heartbeat, may occur
• Carbamazepine or cyproheptadine given that they may decrease Citalopram's effectiveness
• Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) because the probability of their unwanted side effects could possibly be increased by Citalopram.

This is probably not a total listing of all interactions that may occur. Ask your health care provider if Citalopram may talk with other medicines that you take. Check together with your health care provider prior to starting, stop, or alter the dose from a medicine.

Important safety information:

• Citalopram might cause drowsiness or dizziness. These effects could possibly be worse if you take it with alcohol or certain medicines. Use Citalopram with caution. Do not drive or perform other possible unsafe tasks and soon you understand how you answer it.
• Do not drink alcohol while you're using Citalopram.
• Check together with your doctor before you use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you're using Citalopram; it may well increase their effects. Ask your friendly phamacist for those who have questions regarding which medicines could potentially cause drowsiness.
• One to 4 weeks may pass before your symptoms improve. Do NOT take greater than the recommended dose, make positive changes to dose, or use Citalopram more than prescribed without checking using your doctor.
• Children, teenagers, and teenagers taking Citalopram may be at increased risk for suicidal thoughts or actions. Watch all patients taking Citalopram closely. Contact the physician immediately if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic and anxiety attacks; or any unusual difference in mood or behavior occur. Contact a doctor right away if any warning signs of suicidal thoughts or actions occur.
• Citalopram along with a medicine called escitalopram have a similar active component. Do not take Citalopram if you happen to be also taking escitalopram.
• If your physician lets you know to halt taking Citalopram, you will have to await several weeks prior to starting to consider certain other medicines (eg, MAOIs, nefazodone). Ask your medical professional once you should start to consider your medicines after you've got stopped taking Citalopram.
• Citalopram may rarely result in a prolonged, painful erection. This could happen even when you are certainly not having sex. If this is not treated without delay, it may cause permanent sexual difficulties such as impotence. Contact your doctor immediately should this happen.
• Serotonin syndrome can be a possibly fatal syndrome which can be a result of Citalopram. Your risk could possibly be greater invest the Citalopram with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact a medical expert at once when you have these symptoms.
• Neuroleptic malignant syndrome (NMS) is often a possibly fatal syndrome that may be caused by Citalopram. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact a medical expert immediately when you have any of these symptoms.
• Use Citalopram with caution within the elderly; they might be more sensitive to its effects, especially low blood sodium levels.
• Caution is recommended when utilizing Citalopram in children; they could possibly be more responsive to its effects, especially increased likelihood of suicidal thoughts or actions.
• Citalopram must be used with extreme caution in children; safety and effectiveness in youngsters are not confirmed.
• Citalopram could potentially cause weight changes. Children and teenagers might need regular weight and growth checks since they take Citalopram.
• Pregnancy and breast-feeding: Citalopram could cause harm to the fetus if it is utilized over the last a couple of months of being pregnant. If you conceive, get hold of your doctor. You will need to discuss the benefits and perils associated with using Citalopram while you might be pregnant. Citalopram can be found in breast milk. Do not breastfeed while taking Citalopram.