First, a little about yourself Male Female. What tips would you provide a friend before taking Citalopram? Choose one. Back Next.
How well did Citalopram work for you? Did you experience many side effects while taking this drug? How likely would you be to recommend Citalopram to a friend?
Back Submit. Citalopram Cautionary Labels Back to Top. Uses of Citalopram Back to Top. Citalopram Brand Names Back to Top. Citalopram may be found in some form under the following brand names: Celexa. Citalopram Drug Class Back to Top. Citalopram is part of the drug class: Selective serotonin reuptake inhibitors. Side Effects of Citalopram Back to Top. Common side effects include: nausea sleepiness weakness dizziness feeling anxious trouble sleeping sexual problems sweating shaking not feeling hungry dry mouth constipation diarrhea respiratory Infections yawning Other side effects in children and adolescents include: increased thirst abnormal increase in muscle movement or agitation nose bleed urinating more often heavy menstrual periods possible slowed growth rate and weight change.
Citalopram Interactions Back to Top. Especially tell your healthcare provider if you are taking certain drugs such as: medicines for heart problems medicines that lower the potassium or magnesium levels in your body cimetidine Tagamet medicines for migraine headaches called triptans, such as sumatriptan Imitrex , rizatriptan Maxalt , naratriptan Amerge , zolmitriptan Zomig , and almotriptan Axert tricyclic antidepressants TCAs such as amitriptyline Elavil , desipramine Norpramin , and nortriptyline Pamelor lithium Eskalith, Lithobid, lithium citrate antidepressant medicines called selective serotonin reuptake inhibitors SSRIs antidepressant medicines called selective norepinephrine reuptake inhibitors SNRIs antipsychotic medicines other medicines used to treat mood, anxiety, psychotic, or thought disorders tramadol Ultram over-the-counter products that contain tryptophan or St.
John's Wort This is not a complete list of citalopram drug interactions. Citalopram Precautions Back to Top. Citalopram and other antidepressant medicines may cause serious side effects , including: 1. Suicidal thoughts or actions : Citalopram and other antidepressant medicines may increase suicidal thoughts or actions in some children, teenagers, or young adults within the first few months of treatment or when the dose is changed.
Depression or other serious mental illnesses are the most important causes of suicidal thoughts or actions Watch for these changes and call your healthcare provider right away if you notice: New or sudden changes in mood, behavior, actions, thoughts, or feelings, especially if severe.
Pay particular attention to such changes when citalopram is started or when the dose is changed. Call your healthcare provider right away if you have any of the following symptoms, or call if an emergency, especially if they are new, worse, or worry you: attempts to commit suicide acting on dangerous impulses acting aggressive or violent thoughts about suicide or dying new or worse depression new or worse anxiety or panic attacks feeling agitated, restless, angry, or irritable trouble sleeping an increase in activity or talking more than what is normal for you other unusual changes in behavior or mood Call your healthcare provider right away if you have any of the following symptoms, or call if an emergency.
Citalopram may be associated with these serious side effects: 2. Symptoms may include: chest pain fast or slow heartbeat shortness of breath dizziness or fainting 3. Symptoms may include: agitation, hallucinations, coma, or other changes in mental status coordination problems or muscle twitching overactive reflexes racing heartbeat, high or low blood pressure sweating or fever nausea, vomiting, or diarrhea muscle rigidity 4.
Severe allergic reactions : trouble breathing swelling of the face, tongue, eyes, or mouth rash, itchy welts hives or blisters, alone or with fever or joint pain 5. Seizures or convulsions 7. Manic episodes : greatly increased energy severe trouble sleeping racing thoughts reckless behavior unusually grand ideas excessive happiness or irritability talking more or faster than usual 8. Symptoms may include: headache weakness or feeling unsteady confusion, problems concentrating or thinking, or memory problems Do not stop citalopram without first talking to your healthcare provider.
Stopping citalopram too quickly may cause serious symptoms including: anxiety, irritability, high or low mood, feeling restless, or changes in sleep habits headache, sweating, nausea, dizziness electric shock-like sensations, shaking, confusion Do not take citalopram if you: are allergic to citalopram hydrobromide or escitalopram oxalate or any of the ingredients in citalopram.
Ask your healthcare provider or pharmacist if you are not sure if you take an MAOI, including the antibiotic linezolid. Do not take an MAOI within 14 days of stopping citalopram. Do not start citalopram if you stopped taking an MAOI in the last 14 days.
Get medical help right away if you have any of these symptoms: high fever uncontrolled muscle spasms stiff muscles rapid changes in heart rate or blood pressure confusion loss of consciousness pass out take the antipsychotic medicine pimozide Orap because this can cause serious heart problems.
Citalopram Food Interactions Back to Top. Inform MD Back to Top. Before starting citalopram, tell your healthcare provider if you: have liver problems have kidney problems have heart problems have or had seizures or convulsions have bipolar disorder or mania have low sodium levels in your blood have a history of a stroke have high blood pressure have or had bleeding problems are pregnant or breastfeeding Tell your healthcare provider about all the medicines that you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.
Citalopram and Pregnancy Back to Top. Citalopram and Lactation Back to Top. Citalopram Usage Back to Top. Take citalopram exactly as prescribed. Your healthcare provider may need to change the dose of citalopram until it is the right dose for you. Use caution when performing tasks that require alertness, as citalopram can cause dizziness, anxiety or blurred vision.
This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
She underwent cardiopulmonary resuscitation CPR for approximately 50 min but ultimately expired. Case discussion: Citalopram overdoses often have only mild to moderate symptoms, particularly with ingestions under mg in adults. However, with higher doses, severe manifestations have been described, including QTc prolongation, TdP, and seizures.
Serotonin syndrome has also been described in SSRI overdose, and our patient exhibited signs consistent with SS, including increased muscle tone and autonomic dysregulation. Our patient's serum concentration suggests a massive overdose, with major clinical effects, possible SS, and death. Conclusions: Although most patients recover from citalopram overdose, high-dose ingestions can produce severe effects and fatalities may occur.
A study conducted in by the Centre for Suicide Research in Oxford, England aimed to identify which antidepressant drugs were more closely linked to suicide or attempted suicide. What they found was that TCAs had the overall highest toxicity and the highest rate of fatality compared to SSRIs and all other classes of antidepressants. Never stop taking antidepressants suddenly; always talk with your doctor before making changes with your medication.
Your doctor will advise you how best to discontinue your medication and whether you should stop your antidepressant gradually. Antidepressants can be a life-restoring therapy, but you should be aware of the risks so you can prevent overdoses and get treatment immediately if you recognize the signs. If you or a loved one is taking an antidepressant, call your doctor or get emergency help if the depression seems to be getting worse or is causing suicidal thoughts that may lead to an overdose.
If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call For more mental health resources, see our National Helpline Database. Everything feels more challenging when you're dealing with depression.
Get our free guide when you sign up for our newsletter. Toxicity of antidepressants: rates of suicide relative to prescribing and non-fatal overdose. Br J Psychiatry. Tackett B. Can You Overdose on Antidepressants? American Addiction Centers Resource. Updated November 1, Liebelt EL. An update on antidepressant toxicity: An evolution of unique toxicities to master.
Clin Ped Emer Med. Tricyclic antidepressant poisoning: an evidence-based consensus guideline for out-of-hospital management. Clin Toxicol Phila. Friedman RA. Antidepressants' black-box warning years later. N Engl J Med. Your Privacy Rights.
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