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citalopram

Pronunciation: si TAL o pram

Brand: CeleXA

Celexa 10 mg

oval, beige, imprinted with F P, 10 MG

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Celexa 20 mg

elliptical, pink, imprinted with F P, 20 MG

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Celexa 40 mg

elliptical, white, imprinted with F P, 40 MG

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Citalopram 10 mg-AMN

oval, orange, imprinted with IP 52

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Citalopram 10 mg-APO

oval, pink, imprinted with APO, CI10

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Citalopram 10 mg-CAM

round, beige, imprinted with IG, 206

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Citalopram 10 mg-EON

oblong, orange, imprinted with E 371

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Citalopram 10 mg-GRE

round, peach, imprinted with 05, A

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Citalopram 10 mg-PER

round, beige, imprinted with 280, KALI

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Citalopram 10 mg-TEV

oblong, peach, imprinted with 93, 4740

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Citalopram 10 mg-TOR

round, brown, imprinted with 10

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Citalopram 10 mg-WAT

round, white, imprinted with 3176, WPI

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Citalopram 20 mg-AMN

oval, pink, imprinted with IP 53

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Citalopram 20 mg-APO

oblong, pink, imprinted with APO, CI 20

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Citalopram 20 mg-CAM

round, pink, imprinted with 207, I G

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Citalopram 20 mg-EON

oblong, pink, imprinted with E 372

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Citalopram 20 mg-PER

round, pink, imprinted with 281, KALI

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Citalopram 20 mg-RED

round, pink, imprinted with RDY 343

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Citalopram 20 mg-TEV

oblong, pink, imprinted with 9 3, 4741

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Citalopram 20 mg-TOR

oval, brown, imprinted with 1010, 2 0

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Citalopram 20 mg-WAT

round, white, imprinted with WPI, 3177

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Citalopram 40 mg-AMN

oval, white, imprinted with IP 54

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Citalopram 40 mg-APO

oval, white, imprinted with APO, CI 40

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Citalopram 40 mg-CAM

round, white, imprinted with I G, 209

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Citalopram 40 mg-PER

round, white, imprinted with 282, KALI

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Citalopram 40 mg-RED

round, white, imprinted with RDY 344

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Citalopram 40 mg-TEV

oblong, white, imprinted with 9 3, 4742

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Citalopram 40 mg-TOR

oval, brown, imprinted with 1011, 4 0

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Citalopram 40 mg-WAT

round, white, imprinted with WPI, 3178

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What is the most important information I should know about citalopram?

Multum donot

You should not use citalopram if you are allergic to it, or if you also take pimozide.

Do not use citalopram if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include furazolidone, isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

Before taking citalopram, tell your doctor if you have a heart rhythm disorder, a personal or family history of Long QT syndrome, or an electrolyte imbalance (such as low levels of potassium or magnesium in your blood).

Tell your doctor about all other medicines you use. There are many other medicines that can increase your risk of heart rhythm problems if you use them together with citalopram.

Some young people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using citalopram. Your family or other caregivers should also be alert to changes in your mood or symptoms.

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.

Tell your doctor right away if you become pregnant while taking this medication. Do not start or stop taking citalopram during pregnancy without your doctor's advice.

What is citalopram?

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 should I discuss with my healthcare provider before taking citalopram?

Multum donot

You should not use citalopram if you are allergic to it, or if you also take pimozide.

Do not use citalopram if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include furazolidone, isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

To make sure citalopram is safe for you, tell your doctor if you have:

  • a bleeding or blood clotting disorder;
  • liver or kidney disease;
  • 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);
  • a history of drug abuse or suicidal thoughts; or
  • if you are being treated with methylene blue injection.

Some young people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using citalopram. Your family or other caregivers should also be alert to changes in your mood or symptoms.

FDA pregnancy category C. Taking an SSRI antidepressant during pregnancy may cause serious lung problems 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 while taking citalopram. Do not start or stop taking this medicine during pregnancy without your doctor's advice.

Multum nobrfeed

Citalopram can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using citalopram.

Multum nochild

Do not give this medication to anyone under 18 years old without medical advice.

How should I take citalopram?

Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Measure liquid medicine with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

Multum finish

It may take 4 weeks or longer before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 4 weeks of treatment.

Do not stop using citalopram suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using citalopram.

Multum rt

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

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?

Multum emt

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking citalopram?

Avoid taking tryptophan while you are taking citalopram.

Multum noalcohol

Drinking alcohol can increase certain side effects of citalopram.

Multum dizzy

Citalopram may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

What are the possible side effects of citalopram?

Multum emt

Get emergency medical help if you have any of these 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.

Multum calldoc

Call your doctor at once if you have:

  • very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out;
  • agitation, hallucinations, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, feeling like you might pass out;
  • headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats; or
  • headache, slurred speech, severe weakness, muscle cramps, feeling unsteady, seizure (convulsions), shallow breathing (breathing may stop).

Common side effects may include:

  • drowsiness, tired feeling;
  • sleep problems (insomnia);
  • mild nausea, diarrhea, upset stomach, dry mouth;
  • cold symptoms such as stuffy nose, sneezing, sore throat, cough;
  • increased sweating or urination, weight changes; or
  • decreased sex drive, impotence, 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 other drugs will affect citalopram?

Multum dizzy

Taking citalopram with other drugs that make you sleepy or slow your breathing can increase these effects. Ask your doctor before taking citalopram with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Ask your doctor before taking a nonsteroidal anti-inflammatory drug (NSAID) for pain, arthritis, fever, or swelling. This includes aspirin, celecoxib, diclofenac, indomethacin, meloxicam, and others, and others. Using an NSAID with citalopram may cause you to bruise or bleed easily.

Many drugs can interact with citalopram. Not all possible interactions are listed here. Tell your doctor about all your medications and any you start or stop using during treatment with citalopram, especially:

  • other antidepressants--amitriptyline, doxepin, clomipramine, desipramine, imipramine, nortriptyline, protriptyline, trimipramine;
  • lithium;
  • St. John's wort;
  • tacrolimus;
  • tramadol;
  • trytophan (sometimes called L-tryptophan)
  • arsenic trioxide, vandetanib;
  • an antibiotic--azithromycin, clarithromycin, erythromycin, levofloxacin, moxifloxacin, pentamidine;
  • anti-malaria medication--chloroquine, halofantrine, mefloquine;
  • a blood thinner such as warfarin, Coumadin;
  • heart rhythm medication--amiodarone, dofetilide, disopyramide, dronedarone, flecainide, ibutilide, procainamide, propafenone, quinidine, sotalol;
  • HIV or AIDS medications;
  • medicine to prevent or treat nausea and vomiting--dolasetron, droperidol, ondansetron;
  • medicines to treat psychiatric disorders--chlorpromazine, clozapine, haloperidol, mesoridazine, pimozide, thioridazine, ziprasidone;
  • migraine headache medicine--sumatriptan, zolmitriptan;
  • narcotic medication--fentanyl, methadone;
  • seizure medication; or
  • stomach acid reducers--cimetidine, lansoprazole, omeprazole.

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?

Your pharmacist can provide more information about citalopram.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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