CITALOPRAM

(si TAL o pram) Brand: CeleXA

What is the most significant information I must know about citalopram?

• You must not use citalopram if you are allergic to it, if you also take pimozide, or if you are being treated with methylene blue injection.

• 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 isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

• 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 another caregivers must 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.

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 medicine guide.

What must I discuss with my healthcare provider till taking citalopram?

• You must not use citalopram if you are allergic to it, if you also take pimozide, or if you are being treated with methylene blue injection.

• To create certain citalopram is safety for you, speak your doctor if you have:

· a bleeding or blood clotting disorder;

· liver or kidney disease;

· seizures or epilepsy;

· heart malady, heart failure, a heart rhythm mess, slow heartbeats, or last history of heart attack;

· private or family history of Long QT syndrome;

· an electrolyte imbalance (such as low levels of potassium or magnesium in your blood);

· bipolar mess (manic depression); or

· a history of drug abuse or suicidal thoughts.

• FDA pregnancy category C. Taking an SSRI antidepressant during pregnancy may reason serious lung problems in the child. However, you may have a relapse of depression if you stop taking your antidepressant. Speak your doctor right away if you become pregnant while taking citalopram. Do not start or stop taking this medication during pregnancy without your doctor's advice.

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

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

How must I take citalopram?

• Follow all directions on your prescription label. Your doctor may occasionally change your doze to create certain you get the excellent results. Do not take this medication in larger or less amounts or for longer than recommended.

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

• It may take 4 weeks or longer till your symptoms improve. Hold using the medicine as directed and speak 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.

• Store at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.

What must I avoid while taking citalopram?

• Ask your doctor till 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 reason you to bruise or bleed easily.

• Drinking alcohol can magnify determined 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 are the possible side effects of citalopram?

• Get abnormal medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Call your doctor at once if you have:

· very stiff (rigid) muscles, tall fever, sweating, confusion, quick 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, quick or pounding heartbeats; or

· headache, slurred speech, severe weakness, muscle cramps, feeling unsteady, seizure (convulsions), shallow breathing (breathing may stop).

• General side effects may include:

· drowsiness, weary feeling;

· sleep problems (insomnia);

· mild nausea, diarrhea, upset stomach, dry mouth;

· cool symptoms such as stuffy nose, sneezing, sore throat, cough;

· heighten 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 message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect citalopram?

• Taking citalopram with another drugs that create you sleepy or slow your breathing can magnify these effects. Ask your doctor till taking citalopram with a sleeping pill, narcotic pain medication, muscle relaxer, or medication for anxiety or seizures.

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

· another antidepressants--amitriptyline, doxepin, clomipramine, desipramine, imipramine, nortriptyline, protriptyline, trimipramine;

· lithium;

· St. John's wort;

· tacrolimus;

· 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;

· medication 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;

· pain medication--fentanyl, methadone, tramadol;

· seizure medicine; or

· stomach acid reducers--cimetidine, lansoprazole, omeprazole.

• This list is not complete and much another drugs can interact with citalopram. This includes prescription and over-the-counter medicines, vitamins, and herbal commodity. 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, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each 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 external 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 must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help 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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