CELEXA (Citalopram)
CELEXA (Citalopram)
CELEXA (Citalopram)
CELEXA (Citalopram)
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CELEXA (Citalopram)

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LUNDBECK
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$71.99 USD
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prescription

What is this medication?

CELEXA (Citalopram)
Selective Serotonin Reuptake Inhibitor; Antidepressant

CELEXA (Citalopram) is officially indicated for major depressive disorder.  It is also prescribed off-label for use in aggression/agitation associated with dementia, binge eating disorder, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, premenstrual dysphoric disorder, social anxiety disorder, vasomotor symptoms associated with menopause and treatment of premature ejaculation.

ALERT: WARNING
Antidepressants increased the risk of suicidal thinking and behavior (suicidality) compared with placebo in short-term studies in children, adolescents, and young adults with major depressive disorder and other psychiatric disorders. Anyone considering the use of citalopram or any other antidepressant in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared with placebo in adults older than 24 years; there was a reduction in risk with antidepressants compared with placebo in adults 65 years and older. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Appropriately monitor and closely observe patients of all ages who are started on antidepressant therapy for clinical worsening, suicidality, or unusual changes in behavior. Advise families and caregivers of the need for close observation and communication with the health care provider. Citalopram is not approved for use in pediatric patients.

How does this medication work? 

CELEXA (Citalopram) selectively inhibits serotonin uptake.  It exhibits only weak affinity for alpha, beta, histaminic, muscarinic and serotonin receptors as well as has weak anticholinergic effects.

How should I take this medication?

Major depressive disorder
Oral: Take 20 mg once daily. Dose may be increased based on response and tolerability after 1 week, up to 40 mg/day in patients <60 years of age.

Premature ejaculation (off-label use)
Oral: Take 20 mg once daily. Dose may be increased based on response and tolerability after 1 week, up to 40 mg/day in patients <60 years of age.

How to Take: Can be taken with or without food and taken regularly as prescribed.

What should I watch for while using this medication? 

Before starting CELEXA (Citalopram), make sure your physician is aware of any allergies, medications you take, and current medical conditions. Do not use in patients receiving monoamine oxidase inhibitors currently or within 2 weeks because of the risk of serotonin syndrome. Use Citalopram with caution in patients with liver disease, a history of seizures, and/or underlying coagulation (platelet) defects.  If you have hypersensitivity to Citalopram or any of its components in the formulation; use of MAO inhibitors, linezolid, or intravenous methylene blue, pimozide or thioridazine. 

Stop taking this medication and contact your doctor if you experience a rash (particularly in combination with facial swelling, breathing difficulties or flu-like symptoms); severe agitation, anxiety or excitation, major sleep disturbance or unusual change mood, muscle twitching or convulsions.

What if I miss a dose?

If you miss a dose of medication, try to take it as soon as possible. However, if it is almost time for your next dose, take only that scheduled dose. Do not take double or extra doses.

How should I store this medication?

Keep out of the reach of children at all times. Store at room temperature, 59 to 86° F (15 to 30° C). Protect from light.  Keep the container tightly closed. Properly dispose of any unused medication after the expiration date.

What are the possible side effects of using this medication?

Drowsiness, insomnia, diaphoresis, nausea, xerostomia.

Note this is not a complete list of side effects for CELEXA (Citalopram), only common ones.