What is Celexa (Citalopram)?Celexa (Citalopram) is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). It affects a naturally occuring chemical in the brain called serotonin, which helps to improve certain mood problems, but may become unbalanced and cause depression.Celexa (Citalopram) is used to treat depression.Celexa (Citalopram) may also be used for purposes other than those listed in this medication guide.
Important information about Celexa (Citalopram)Do not take Celexa (Citalopram) together with a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Celexa (Citalopram). After you stop taking this medication, you must wait at least 14 days before you start taking an MAOI.You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment with Celexa (Citalopram).Call your doctor at once if you have any new or worsening symptoms 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. Some antidepressants may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking Celexa (Citalopram), do not stop taking the medication without first talking to your doctor.
Before taking Celexa (Citalopram)Do not use Celexa (Citalopram) if you are using an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam). Serious and sometimes fatal reactions can occur when these medicines are taken with Celexa (Citalopram). You must wait at least 14 days after stopping an MAO inhibitor before you can take Celexa (Citalopram). After you stop taking this medication, you must wait at least 14 days before you start taking an MAOI.Before taking this medicine, tell your doctor if you are allergic to any drugs, or if you have:liver or kidney disease; seizures or epilepsy;bipolar disorder (manic depression); ora history of drug abuse or suicidal thoughts.If you have any of these conditions, you may need a dose adjustment or special tests to safely take Celexa (Citalopram).
You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.
Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment with Celexa (Citalopram).FDA pregnancy category C. SSRI antidepressants may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking this medication, do not stop taking the medication without first talking to your doctor. Celexa (Citalopram) can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medicine to anyone younger than 18 years old without the advice of a doctor.
How should I take Celexa (Citalopram)?Take Celexa (Citalopram) exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.Try to take Celexa (Citalopram) at the same time each day. Follow the directions on your prescription label.To be sure you get the correct dose of liquid Celexa (Citalopram), measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.It may take 4 weeks or longer before you start feeling better. Do not stop using Celexa (Citalopram) without first talking to your doctor. You may have unpleasant side effects if you stop taking Celexa (Citalopram) suddenly.
Store this medication at room temperature away from moisture and heat.
What happens if I miss a dose?Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.
What happens if I overdose?Seek emergency medical attention if you think you have taken too much of Celexa (Citalopram). Symptoms of a Celexa (Citalopram) overdose may include nausea, vomiting, tremor, sweating, rapid heartbeat, confusion, dizziness, seizures, and coma.
What should I avoid while taking Celexa (Citalopram)?Avoid drinking alcohol, which can increase some of the side effects of Celexa (Citalopram).Celexa (Citalopram) can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.Tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures or anxiety). They can add to sleepiness caused by Celexa (Citalopram).
Side effects of Celexa (Citalopram) 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.Call your doctor at once if you have any new or worsening symptoms 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.Call your doctor at once if you have any of these serious side effects:very stiff (rigid) muscles, high fever, sweating, fast or uneven heartbeats, tremors, overactive reflexes;nausea, vomiting, diarrhea, loss of appetite, feeling unsteady, loss of coordination; orheadache, trouble concentrating, memory problems, weakness, confusion, hallucinations, fainting, seizure, shallow breathing or breathing that stops.
Less serious Celexa (Citalopram) side effects may include:drowsiness;sleep problems (insomnia);mild nausea, gas, upset stomach;weight changes;urinating more than usual;decreased sex drive, impotence, or difficulty having an orgasm;dry or watery mouth, yawning; orcold symptoms such as stuffy nose, sneezing, sore throat.This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.
What other drugs will affect Celexa (Citalopram)?Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin and NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with Celexa (Citalopram) may cause you to bruise or bleed easily.
Before taking Celexa (Citalopram), tell your doctor if you are using any of the following medicines:carbamazepine (Tegretol); cimetidine (Tagamet);lithium (Lithobid, Eskalith);a blood thinner such as warfarin (Coumadin);any other antidepressants such as amitriptyline (Elavil), esCelexa (Citalopram) (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), or sertraline (Zoloft); oralmotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig).If you are using any of these drugs, you may not be able to use Celexa (Citalopram), or you may need dosage adjustments or special tests during treatment.There may be other drugs not listed that can affect Celexa (Citalopram). Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.