Its absorption does not increase when taken with food,  but doing so can help prevent nausea. Nausea is often caused when the 5HT3 receptors actively absorb free serotonin, as this receptor is present within the digestive tract.
This side effect, if present, should subside as the body adjusts to the medication. Citalopram is considered safe and well tolerated in the therapeutic dose range. Distinct from some other agents in its class, it exhibits linear pharmacokinetics and minimal drug interaction potential, making it a better choice for the elderly or comorbid patients.
Specifically, common side effects include difficulty becoming aroused, lack of interest in sex, and anorgasmia trouble achieving orgasm. One study showed, however, when remission of major depressive disorder is achieved, quality of life and sexual satisfaction is reported to be higher in spite of sexual side effects. They may also be more likely to develop a type of salt imbalance hyponatremia , especially if they are also taking "water pills" diuretics. Loss of coordination can increase the risk of falling.
Children may be more sensitive to the side effects of this drug, especially loss of appetite and weight loss. Monitor weight and height in children who are taking this drug. During pregnancy , this medication should be used only when clearly needed. Do not use citalopram if you have used an MAO inhibitor in the past 14 days.
A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others. To make sure citalopram is safe for you, tell your doctor if you have: Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms. Taking an SSRI antidepressant during pregnancy may cause serious lung problems or other complications in the baby.
However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant. Do not start or stop taking this medicine during pregnancy without your doctor's advice. Because any psychoactive drug may impair judgment, thinking, or motor skills, however, patients should be cautioned about operating hazardous machinery, including automobiles, until they are reasonably certain that Celexa therapy does not affect their ability to engage in such activities.
Use In Patients With Concomitant Illness Clinical experience with Celexa in patients with certain concomitant systemic illnesses is limited. Due to the risk of QT prolongation, citalopram use should be avoided in patients with certain cardiac conditions, and ECG monitoring is advised if Celexa must be used in such patients.
Electrolytes should be monitored in treating patients with diseases or conditions that cause hypokalemia or hypomagnesemia. In subjects with hepatic impairment, citalopram clearance was decreased and plasma concentrations were increased. Because citalopram is extensively metabolized, excretion of unchanged drug in urine is a minor route of elimination. Information For Patients Physicians are advised to discuss the following issues with patients for whom they prescribe Celexa.
Patients should be cautioned about the risk of serotonin syndrome with the concomitant use of Celexa and triptans, tramadol or other serotonergic agents. Patients should be advised that taking Celexa can cause mild pupillary dilation, which in susceptible individuals, can lead to an episode of angle closure glaucoma.
Pre-existing glaucoma is almost always open-angle glaucoma because angle closure glaucoma, when diagnosed, can be treated definitively with iridectomy.
Open-angle glaucoma is not a risk factor for angle closure glaucoma. Patients may wish to be examined to determine whether they are susceptible to angle closure, and have a prophylactic procedure e. Although in controlled studies Celexa has not been shown to impair psychomotor performance, any psychoactive drug may impair judgment, thinking, or motor skills, so patients should be cautioned about operating hazardous machinery, including automobiles, until they are reasonably certain that Celexa therapy does not affect their ability to engage in such activities.
Patients should be told that, although Celexa has not been shown in experiments with normal subjects to increase the mental and motor skill impairments caused by alcohol, the concomitant use of Celexa and alcohol in depressed patients is not advised. Patients should be advised to inform their physician if they are taking, or plan to take, any prescription or over-the-counter drugs, as there is a potential for interactions.
Patients should be cautioned about the concomitant use of Celexa and NSAIDs, aspirin, warfarin, or other drugs that affect coagulation since combined use of psychotropic drugs that interfere with serotonin reuptake and these agents has been associated with an increased risk of bleeding. Patients should be advised to notify their physician if they become pregnant or intend to become pregnant during therapy. Patients should be advised to notify their physician if they are breastfeeding an infant.
While patients may notice improvement with Celexa therapy in 1 to 4 weeks, they should be advised to continue therapy as directed. Prescribers or other health professionals should inform patients, their families, and their caregivers about the benefits and risks associated with treatment with Celexa and should counsel them in its appropriate use.
The prescriber or health professional should instruct patients, their families, and their caregivers to read the Medication Guide and should assist them in understanding its contents.
Patients should be given the opportunity to discuss the contents of the Medication Guide and to obtain answers to any questions they may have. The complete text of the Medication Guide is reprinted at the end of this document. This is not a complete list of the side effects associated with citalopram. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat.
Tell your health care provider about any negative side effects from prescription drugs. You can also report them to the U. Food and Drug Administration by visiting www. There are many causes of irritability. For more specific information, consult with your doctor for guidance based on your health status and current medications, particularly before taking any action. Derek Dore, PharmD Q: I take citalopram for depression. Can it make me gain weight?
Many antidepressants are reported to cause weight gain, especially when used for more than six months. A change in weight and appetite is one of the reported side effects of citalopram Celexa. A loss of appetite is listed as a serious side effect that should be reported to your doctor right away; increased hunger leading to rapid weight gain has been reported in some patients and is considered less serious.
Since the effects of antidepressants vary from person to person, it's best to discuss with your doctor any specific and bothersome side effects you're experiencing. What would happen if I stopped taking my citalopram all at once, without easing off it slowly? Citalopram is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors SSRIs.
This class of drugs can cause serious withdrawal side effects if you stop using them suddenly. Don't stop using citalopram without first talking to your doctor. Is citalopram causing my weight gain? Weight changes are a common side effect of citalopram. In some patients, that shows as a weight loss; others, unfortunately, put on extra pounds as a side effect. It is always a good idea to check with one's health care provider in matters like this.
Please consult your health care provider for guidance in your specific case. Gregory Latham, RPh Q: What happens if I stop taking my 40 mg prescription of citalopram completely without weaning off it? This class of drugs can cause serious withdrawal side effects if they are stopped suddenly. Citalopram should be weaned down under the supervision of your doctor. Does citalopram cause sleeplessness? Celexa citalopram is an antidepressant which is used to treat depression.
Insomnia is one of the more common side effects associated with citalopram. Some other side effects that are commonly associated with citalopram are nausea, dry mouth, somnolence, sweating, tremor, diarrhea, heartburn, anxiety, anorexia, nervousness, and decreased libido.
Megan Uehara, PharmD Q: What is the best way to get off of citalopram 10mg? I have been on it for 2 years, started at 20mg. There are tablet cutters available which you may be able to get at your local pharmacy that can help with splitting of tablets to achieve a lower dose.
The 10mg tablet of citalopram is the lowest strength available. I don't have depression problems, I have anxiety, should I be taking citalopram?
Citalopram Celexa is an antidepressant that belongs to a class of drugs called selective serotonin reuptake inhibitors SSRIs.
It is primarily used to treat depression. However, medications are often prescribed for uses that are not specifically listed in the prescribing information or patient leaflet. These are called "off-label," "unlabelled," or "unapproved" uses. Antidepressants, including citalopram, are often used off-label for the treatment of anxiety disorders. They help control the symptoms of anxiety and are used as part of an overall treatment plan that can include other medications and talk therapy.
I'm suffering from anger management problems as well as slight depression. Careful observation and cardiac and vital sign monitoring are recommended, along with general symptomatic and supportive care. Withdrawal symptoms such celexa nausea, celexa 20 mg used, headache, fatigue, and sweating may occur. Drowsiness is a side celexa of citalopram Celexa. Store at room temperature away from moisture and heat, celexa 20 mg used. Before using citalopram, tell your doctor or pharmacist of all the drugs you take and if you have any of the used conditions: Common citalopram used effects may include: Citalopram is considered safe and well tolerated in the therapeutic dose range. Older adults may be more sensitive to the side effects of this drug, especially bleeding, loss of coordination, and QT prolongation see above. In clinical trials of Celexa, revatio canada din occurred in 0.
Some data suggest citalopram may cause nightmares. Metabolites desmethylcitalopram and didesmethylcitalopram are used less energetic and their contribution to the overall action of citalopram is negligible. You may have unpleasant side effects if you stop taking this medication suddenly. Regarding Citalopram and its use in the treatment of celexa, the normal starting dose is 20 mg daily. No adjustment of dosage on the basis of gender is recommended. Celexa is approved for use to treat depression, celexa 20 mg used. Did I wean from it too quickly? I have recently stopped taking citalopram. Rare side effects include convulsions celexa, hallucinationssevere allergic reactions and photosensitivity. Patients may wish to be examined to determine whether they are susceptible to angle closure, and have a prophylactic procedure e. I have been used Citalopram, and have recently come off it. Follow all directions on your prescription label, celexa 20 mg used. Is it okay to drink alcohol with citalopram? Seizures Although anticonvulsant effects of citalopram have been observed in animal studies, Celexa has not been systematically evaluated in patients with a seizure disorder. Insoluble fibers, including whole grain breads and cereals, can help bulk up your stool if you have diarrhea. Your doctor may be able to give you suggestions on how to cope with withdrawal symptoms and how to taper your dose to help prevent withdrawal. Megan Uehara, PharmD Q:
Common symptoms in these cases include genital anesthesia, erectile dysfunction, anhedonia, decreased libido, premature ejaculation, used lubrication issues, and nipple insensitivity in women, celexa 20 mg used. You may develop withdrawal symptoms if you stop celexa abruptly. Ask your doctor before taking a nonsteroidal anti-inflammatory drug NSAID for pain, arthritis, fever, or swelling. I would contact your health care provider and let them him or her celexa how you are feeling. Pre-existing glaucoma is almost always open-angle glaucoma because angle closure glaucoma, used diagnosed, celexa 20 mg used, can be treated definitively with iridectomy. Did I wean from it too quickly? Drowsiness is a side effect of citalopram Celexa. Whether any of the symptoms described above represent such a conversion is unknown. There may be circumstances when it is necessary to initiate treatment with an MAOI such as linezolid or intravenous methylene blue in a patient taking Celexa. Families and caregivers of patients being treated with antidepressants for major depressive disorder or other indications, both psychiatric and nonpsychiatric, should be alerted about the need to monitor patients for the emergence of agitation, irritability, unusual changes in behavior, and the other symptoms described above, as well as the emergence of suicidality, and to report such symptoms immediately to health care providers. This rarely occurs but must be monitored.
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