* Generic Name: citalopram hydrobromide
* Brand Name: Celexa
* What is citalopram (CeleXA)?
* What are the possible side effects of citalopram (CeleXA)?
* What is the most important information I should know about
citalopram (CeleXA)?
* What should I discuss with my healthcare provider before taking
citalopram (CeleXA)?
* How should I take citalopram (CeleXA)?
* What happens if I miss a dose (CeleXA)?
* What happens if I overdose (CeleXA)?
* What should I avoid while taking citalopram (CeleXA)?
* What other drugs will affect citalopram (CeleXA)?
* Where can I get more information (CeleXA)?
What is citalopram (CeleXA)?
Citalopram is an antidepressant in a group of drugs called
selective serotonin reuptake inhibitors (SSRIs).
Citalopram is used to treat depression.
Citalopram may also be used for purposes not listed in this medication
guide.
What are the possible side effects of citalopram (CeleXA)?
Get emergency medical help if you have signs of an allergic reaction:
skin rash or hives; difficulty breathing; swelling of your face, lips,
tongue, or throat.
Report any new or worsening symptoms to your doctor, such as: mood or
behavior changes, anxiety, panic attacks, trouble sleeping, or if
you feel impulsive, irritable, agitated, hostile, aggressive, restless,
hyperactive (mentally or physically), more depressed, or have thoughts
about suicide or hurting yourself.
Call your doctor at once if you have:
* a light-headed feeling, like you might pass out;
* blurred vision, tunnel vision, eye pain or swelling, or
seeing halos around lights;
* headache with chest pain and severe dizziness, fainting, fast
or pounding heartbeats;
* severe nervous system reaction--very stiff (rigid) muscles, high
fever, sweating, confusion, fast or uneven heartbeats,
tremors, feeling like you might pass out;
* high levels of serotonin in the body--agitation,
hallucinations, fever, fast heart rate, overactive reflexes,
nausea, vomiting, diarrhea, loss of coordination, fainting; or
* low levels of sodium in the body--headache, confusion, slurred
speech, severe weakness, vomiting, feeling unsteady.
Common side effects may include:
* problems with memory or concentration;
* headache, drowsiness;
* dry mouth, increased sweating;
* numbness or tingling;
* increased appetite, nausea, diarrhea, gas;
* fast heartbeats, feeling shaky;
* sleep problems (insomnia), feeling tired;
* cold symptoms such as stuffy nose, sneezing, sore
throat;
* changes in weight; or
* difficulty having an orgasm.
This is not a complete list of side effects and others may occur. Call
your doctor for medical advice about side effects. You may report side
effects to FDA at 1-800-FDA-1088.
What is the most important information I should know about citalopram
(CeleXA)?
You should not use citalopram if you also take pimozide, or if you are
being treated with methylene blue injection.
Do not use this medicine if you have used an MAO inhibitor in the past
14 days, such as isocarboxazid, linezolid, methylene blue
injection, phenelzine, rasagiline, selegiline, or tranylcypromine.
Some young people have thoughts about suicide when first taking an
antidepressant. Stay alert to changes in your mood or symptoms. Report
any new or worsening symptoms to your doctor.
Citalopram is not approved for use in children.
Celexa Patient Information including How Should I Take
Depression Overview:What is Depression?
Understanding Depression Slideshow
RxList
Take the Depression Quiz
Depression:Tips for Exercise Diet and Stress Reduction
Depression Tips Slideshow Pictures
What should I discuss with my healthcare provider before taking citalopram
(CeleXA)?
You should not use this medicine if you are allergic to citalopram or
escitalopram (Lexapro), or if you also take pimozide.
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:
* a bleeding or blood clotting disorder;
* liver or kidney disease;
* narrow-angle glaucoma;
* seizures or epilepsy;
* heart disease, heart failure, a heart rhythm disorder, slow
heartbeats, or recent history of heart attack;
* personal or family history of Long QT syndrome;
* an electrolyte imbalance (such as low levels of potassium
or magnesium in your blood);
* bipolar disorder (manic depression); or
* a history of drug abuse or suicidal thoughts.
Some young people have thoughts about suicide when first taking an
antidepressant. 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.
Citalopram can pass into breast milk and may harm a nursing baby. You
should not breast-feed while you are using citalopram.
Do not give this medicine to anyone under 18 years old without medical
advice. Citalopram is not approved for use in children.
How should I take citalopram (CeleXA)?
Follow all directions on your prescription label. Your doctor may
occasionally change your dose. Do not use this medicine in larger or
smaller amounts or for longer than recommended.
Measure liquid medicine with the dosing syringe provided, or with a
special dose-measuring spoon or medicine cup. If you do not have a
dose-measuring device, ask your pharmacist for one.
It may take up to 4 weeks before your symptoms improve. Keep using the
medication as directed and tell your doctor if your symptoms do not
improve.
Do not stop using citalopram suddenly, or you could have unpleasant
withdrawal symptoms. Ask your doctor how to safely stop using this
medicine.
Store at room temperature away from moisture and heat.
Celexa Patient Information including If I Miss a Dose
Depression Overview:What is Depression?
Understanding Depression Slideshow
RxList
Take the Depression Quiz
Depression:Tips for Exercise Diet and Stress Reduction
Depression Tips Slideshow Pictures
What happens if I miss a dose (CeleXA)?
Take the missed dose as soon as you remember. Skip the missed dose if
it is almost time for your next scheduled dose. Do not take extra
medicine to make up the missed dose.
What happens if I overdose (CeleXA)?
Seek emergency medical attention or call the Poison Help line at
1-800-222-1222.
What should I avoid while taking citalopram (CeleXA)?
Ask your doctor before taking a nonsteroidal anti-inflammatory drug
(NSAID) for pain, arthritis, fever, or swelling. This includes
aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib
(Celebrex), diclofenac, indomethacin, meloxicam, and
others. Using an NSAID with citalopram may cause you to bruise or bleed
easily.
Drinking alcohol can increase certain side effects of citalopram.
Citalopram may impair your thinking or reactions. Be careful if you
drive or do anything that requires you to be alert.
What other drugs will affect citalopram (CeleXA)?
Taking citalopram with other drugs that make you sleepy or slow your
breathing can cause dangerous side effects or death. Ask your doctor
before taking a sleeping pill, narcotic pain medicine, prescription
cough medicine, a muscle relaxer, or medicine for anxiety, depression,
or seizures.
Many drugs can interact with citalopram. Not all possible interactions
are listed here. Tell your doctor about all your current medicines and
any you start or stop using, especially:
* cimetidine;
* lithium;
* St. John's wort;
* tryptophan (sometimes called L-tryptophan);
* a blood thinner (warfarin, Coumadin, Jantoven);
* any other antidepressant;
* heart medication;
* medicine to treat a psychiatric disorder; or
* "triptan" migraine headache medicine.
This list is not complete and many other drugs can interact with
citalopram. This includes prescription and over-the-counter medicines,
vitamins, and herbal products. Give a list of all your medicines to any
healthcare provider who treats you.
Where can I get more information (CeleXA)?
Your pharmacist can provide more information about citalopram.
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