Patient Drug Information
Citalopram
(Generic for Celexa)
This medication also comes with a medication guide.
Written information about this prescription has been provided for you. Please read this information before you take this medication. If you have questions concerning this prescription, a pharmacist is available during normal business hours to answer these questions.
Important Information About Your Prescription Antidepressants like this medication may increase suicidal thoughts or actions in some children, teens, or young adults. These may occur at the beginning (the first few weeks of taking your medication) or when the medication dose is changed. Watch for new or sudden changes in mood, behavior, actions, thoughts, or feelings. Contact your medical provider, the national suicide hotline, or 911 if you experience any of the following symptoms: attempts to commit suicide; acting on dangerous impulses; acting aggressive or violent; thoughts about dying or suicide; new or worse depression; new or worse anxiety or panic attack; feeling agitated, restless, angry, or irritable; trouble sleeping; an increase in activity or talking more than what is normal for you; or other unusual changes in behavior or mood. |
You may also experience changes in your vision such as eye pain or swelling or redness in or around the eye. An eye examination may help determine your risk of experiencing these symptoms.
Taking Your Prescription
Citalopram capsules are taken by mouth once daily with or without food, preferably in the morning, or as directed by your prescriber. Swallow medication whole; do not crush, chew, break, or dissolve. If you miss a dose, take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medication to make up for a missed dose. Check your prescription label for the correct dose prescribed by your medical provider.
Citalopram is FDA approved to treat major depressive disorder (MDD)
Precautions
Do not take if you have an allergy to citalopram or any of its components. Do not take this medication if you are
taking MAOIs or within 14 days of taking an MAOI (including linezolid). Citalopram is not recommended in pregnancy. Avoid operating vehicles or machinery until you know how this medication may affect you.
Check with your prescriber or pharmacist before starting any new supplements, vitamins or medications. Please be
sure you report all supplements, vitamins, and medications you are taking, as drug interactions may occur. This
medication may worsen or cause a heart condition called QT prolongation, especially when combined with certain
medications. This medication may interact with omeprazole, ciprofloxacin, fluvoxamine, buspirone, cimetidine, flecainide, lithium, phenytoin, propafenone, propranolol, St. John’s wort, tramadol, diazepam, tryptophan supplements, valproate, blood thinners (such as warfarin, edoxaban, rivaroxaban), diuretics (water pills), NSAID pain or arthritis medicines (such as aspirin, diclofenac, ibuprofen), tricyclic antidepressants, and triptan medicines for migraine headaches. Please note this is not an exhaustive list; check with your pharmacist or medical provider if you have additional concerns or questions.
Notify your prescriber before starting your medication if you have a history of heart problems, diabetes, liver problems, kidney problems, thyroid problems, a history of seizures or convulsions, low sodium levels, high blood pressure, high cholesterol, or a history of bleeding problems. Be sure to let your medical provider know if you have a family history of bipolar disorder or severe depression.
Do not stop taking this medication suddenly. Talk to your medical provider before discontinuing therapy. Avoid taking this medication in combination with alcohol or other medications that may impair your motor functions.
Talk with your medical provider if you are pregnant or planning to become pregnant. This medication should not be used during pregnancy. It is not advised to breastfeed while taking this medication.
Side Effects
It is important to seek medical attention immediately if you notice changes in your behavior or thoughts. The most
common side effects when taking citalopram are sweating, sexual side effects such as erectile dysfunction, ejaculation disorder or lowered interest in sex, headache, dizziness, dry mouth, loss of appetite, weight loss, mild diarrhea, constipation, nausea, yawning, nervousness, tremor, weakness, pharyngitis, vomiting, upset stomach, unusual dreams, sleepiness or trouble sleeping. If you feel more excited or energetic than usual let your prescriber know. Let your medical provider know if you experience seizures, slow heartbeat, unexplained bruising or bleeding, menstrual changes, more frequent urination, anxiety, swelling, chest pain, changes in hearing, restlessness, fast heartbeat, fever, muscle spasms, twitching, nausea, vomiting, diarrhea, seeing or hearing things that are not there, blistering, peeling or red skin rash, confusion, weakness, eye pain, vision changes, or seeing halos around lights.
This medication may cause an increase in blood pressure and risk of bleeding. Have your blood pressure checked as recommended by your prescriber. Use caution when taking with other medications that also increase the risk of bleeding.
If you’re experiencing a painful or threatening reaction to your medication such as thoughts of suicide or violence, or increased body temperatures or fevers, please get medical help now. Depending on the severity of your symptoms, you can either reach out to your prescriber, call 911, or visit a local urgent care clinic.
Once you have determined your safety, please contact us. One of our pharmacists will assess what happened and
provide guidance if needed. This may include pharmacist counseling to explain preventative techniques or recommend alternatives for your treatment.
This list may not describe all potential side effects. You may also report adverse events to the FDA by visiting:
https://www.accessdata.fda.gov/scripts/medwatch/index.cfm
Monitoring Drug Therapy
If taking Citalopram at the prescribed doses does not improve your symptoms, contact your medical provider.
If you are taking your medication daily, do not abruptly stop taking it without discussing with your medical provider, as adverse reactions may occur.
Citalopram side effects and interactions may continue for some time after discontinuing therapy. Ask your pharmacist or medical provider if you have questions regarding side effects and interactions of this medication.
Storage
Store your citalopram at room temperature (between 68 and 77 degrees F) in the packaging provided by the
pharmacy until you need it. Excursions are permitted between 59 and 86 degrees F. Keep out of reach of children.
Under certain circumstances, a prescription drug’s effectiveness may be affected by exposure to extremes
of heat, cold, or humidity.
Questions
This written information may not cover all possible information. If you have any questions, talk to your
pharmacist or medical provider.
A local or a toll-free telephone service is available, staffed by a registered pharmacist, to answer questions about
your medication. The suicide hotline can be reached at 800-273-8255 or at www.suicidepreventionlifeline.org
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