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Generic CelexaAnti Depressants / Generic Celexa
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Information about Celexa

Citalopram is a selective serotonin reuptake inhibitor (SSRI) used to treat depression. It restores the brain's chemical balance by increasing the supply of serotonin, which helps improve mood.

It may also be administered for other conditions as determined by your physician.

You should not use Citalopram in the following cases:

you are allergic to any ingredient in Citalopram; you are taking or have taken a monoamine oxidase (MAO) inhibitor (eg, phenelzine) or St. John's wort within the last 14 days; you are taking astemizole, pimozide, dexfenfluramine, fenfluramine, phenothiazines (eg, thioridazine), sibutramine, or terfenadine.

In such cases it is obligatory to consult with your doctor or health care provider before taking this drug.

Before using Citalopram

Before using Citalopram you should tell your doctor if you have any medical conditions listed below: you are pregnant, planning pregnancy, or are breast-feeding a baby; you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement; you have allergies to medicines, foods, or other substances; you have suicidal tendencies or have attempted suicide, liver or kidney disease, stomach bleeding, seizures, or mania.

Be aware that Citalopram may interact with some medicines. Consult with your health care provider in case you are taking any other drugs, especially any of the following: cyproheptadine or risperidone because the effectiveness of Citalopram may be decreased; anorexiants (eg, phentermine), linezolid, lithium, or sumatriptan because side effects such as irritability or altered consciousness may occur; clozapine, H1 antagonists (eg, diphenhydramine), metoclopramide, phenothiazines (eg, thioridazine), risperidone, or trazodone because the actions and side effects of these medicines may be increased; sumatriptan because the effectiveness of Citalopram may be decreased; anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because of increased risk of bleeding of the stomach and bowels; fenfluramine and derivatives, MAO inhibitors (eg, phenelzine), selegiline, sibutramine, St. John's wort, and tramadol because the actions and side effects, such as irritability or altered consciousness, of these medicines may be increased; pimozide because the risk of a change in heart rhythm may be increased.

It may not be a complete list of all interactions with other drugs. To prevent any complications you should check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Citalopram

Use Citalopram as recommended by your physician. Citalopram should be taken with or without food. Improvement in your depression may start in 1 to 4 weeks. Do not stop taking Citalopram even if depression improves.

It is important to stop Citalopram gradually over a few days to a week.

Try not to miss any doses. In case you miss a dose of Citalopram, take it as soon as possible. If it is almost time for your next intake, skip the missed dose and take it according to your regular dosing schedule. Do not take double doses to catch up.

Important safety information

Be careful when driving, operating machinery, or performing other hazardous activities as Citalopram usage may lead to dizziness or drowsiness. Try to avoid such activities. Alcohol and certain other medicines may increase the risk of unfavorable reactions while taking Citalopram.

If your symptoms become worse (anxiety, agitation, insomnia, irritability, restlessness, or suicidal thinking), consult with your doctor immediately.

It is recommended to start additional monitoring of your condition at the beginning of treatment with Citalopram and whenever a change in your dose is made.

Lab tests may be performed while you are using Citalopram. It is important to control your progress or to check for side effects. Follow all doctor and lab appointments strictly.

Do not use Citalopram in CHILDREN, as safety and effectiveness have not been proved.

PREGNANCY and BREAST-FEEDING

Citalopram is deleterious to the human fetus. In case you become pregnant, consult with your doctor and discuss the benefits and risks of taking Citalopram while pregnancy. In case you are pregnant, consult with your doctor about gradually decreasing your dose during the last trimester of pregnancy. It is known that Citalopram passes into breast milk. Avoid breast-feeding a baby while taking Citalopram.

Possible side effects of Citalopram

You should consult with your doctor in case you have any of side effects especially bothersome listed below: change in taste; decreased menstrual flow or painful periods; diarrhea; dry mouth; ejaculation disorder; impotence; increased sweating; loss of appetite; nausea; runny nose; sinus inflammation; tiredness; tremor; upset stomach; weight loss or gain.

Seek emergency immediately in case you have any of these severe side effects: severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); anxiety; cold sweat; confusion; dizziness; fatigue; hostility; impulsiveness; irritability; lack of concern; mania; mental/mood changes; panic attacks; restlessness; seizures; shakiness; sleeplessness; sore throat or fever; suicidal thoughts or behaviors; vision changes; worsening of depression.

What is the expiration date of the pills?

This information is mentioned on each blister. The expiration date is 2 years from the date of manufacture.

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