citalopram

Pronunciation: si TAL o pram

Brand: CeleXA

Citalopram Hydrobromide

slide 1 of 57, Citalopram Hydrobromide,

10 mg, round, orange, imprinted with A, 05

slide 1 of 57

Citalopram Hydrobromide

slide 2 of 57, Citalopram Hydrobromide,

20 mg, capsule, pink, imprinted with A, 0 6

slide 2 of 57

Citalopram Hydrobromide

slide 3 of 57, Citalopram Hydrobromide,

10 mg, round, orange, imprinted with MX31

slide 3 of 57

Citalopram Hydrobromide

slide 4 of 57, Citalopram Hydrobromide,

20 mg, round, pink, imprinted with MX 32

slide 4 of 57

Citalopram Hydrobromide

slide 5 of 57, Citalopram Hydrobromide,

40 mg, round, white, imprinted with MX 33

slide 5 of 57

CeleXA

slide 6 of 57, CeleXA,

10 mg, oval, beige, imprinted with F P, 10 MG

slide 6 of 57

CeleXA

slide 7 of 57, CeleXA,

40 mg, elliptical, white, imprinted with F P, 40 MG

slide 7 of 57

Citalopram Hydrobromide

slide 8 of 57, Citalopram Hydrobromide,

10 mg, round, pink, imprinted with A, 05

slide 8 of 57

Citalopram Hydrobromide

slide 9 of 57, Citalopram Hydrobromide,

20 mg, capsule, pink, imprinted with A, 0 6

slide 9 of 57

Citalopram Hydrobromide

slide 10 of 57, Citalopram Hydrobromide,

40 mg, capsule, white, imprinted with 07, A

slide 10 of 57

Citalopram Hydrobromide

slide 11 of 57, Citalopram Hydrobromide,

10 mg, round, brown, imprinted with 10

slide 11 of 57

Citalopram Hydrobromide

slide 12 of 57, Citalopram Hydrobromide,

20 mg, oval, brown, imprinted with 1010, 2 0

slide 12 of 57

Citalopram Hydrobromide

slide 13 of 57, Citalopram Hydrobromide,

10 mg, round, beige, imprinted with IG, 206

slide 13 of 57

Citalopram Hydrobromide

slide 14 of 57, Citalopram Hydrobromide,

20 mg, round, pink, imprinted with 207, I G

slide 14 of 57

Citalopram Hydrobromide

slide 15 of 57, Citalopram Hydrobromide,

40 mg, round, white, imprinted with I G, 208

slide 15 of 57

Citalopram Hydrobromide

slide 16 of 57, Citalopram Hydrobromide,

20 mg, oval, white, imprinted with E 20

slide 16 of 57

Citalopram Hydrobromide

slide 17 of 57, Citalopram Hydrobromide,

40 mg, capsule, white, imprinted with E 21

slide 17 of 57

Citalopram Hydrobromide

slide 18 of 57, Citalopram Hydrobromide,

10 mg, round, brown, imprinted with 342, RDY

slide 18 of 57

Citalopram Hydrobromide

slide 19 of 57, Citalopram Hydrobromide,

20 mg, round, pink, imprinted with RDY 343

slide 19 of 57

Citalopram Hydrobromide

slide 20 of 57, Citalopram Hydrobromide,

40 mg, round, white, imprinted with RDY 344

slide 20 of 57

Citalopram Hydrobromide

slide 21 of 57, Citalopram Hydrobromide,

10 mg, round, peach, imprinted with c

slide 21 of 57

Citalopram Hydrobromide

slide 22 of 57, Citalopram Hydrobromide,

40 mg, oval, white, imprinted with 509

slide 22 of 57

Citalopram Hydrobromide

slide 23 of 57, Citalopram Hydrobromide,

10 mg, oval, white, imprinted with E19

slide 23 of 57

Citalopram Hydrobromide

slide 24 of 57, Citalopram Hydrobromide,

20 mg, oval, white, imprinted with E 20

slide 24 of 57

Citalopram Hydrobromide

slide 25 of 57, Citalopram Hydrobromide,

40 mg, capsule, white, imprinted with E 21

slide 25 of 57

Citalopram Hydrobromide

slide 26 of 57, Citalopram Hydrobromide,

20 mg, oval, pink, imprinted with IP 53

slide 26 of 57

Citalopram Hydrobromide

slide 27 of 57, Citalopram Hydrobromide,

10 mg, round, peach, imprinted with 05, A

slide 27 of 57

Citalopram Hydrobromide

slide 28 of 57, Citalopram Hydrobromide,

20 mg, capsule, pink, imprinted with A, 0 6

slide 28 of 57

Citalopram Hydrobromide

slide 29 of 57, Citalopram Hydrobromide,

10 mg, round, beige, imprinted with IG, 206

slide 29 of 57

Citalopram Hydrobromide

slide 30 of 57, Citalopram Hydrobromide,

20 mg, round, pink, imprinted with I G, 207

slide 30 of 57

Citalopram Hydrobromide

slide 31 of 57, Citalopram Hydrobromide,

40 mg, round, white, imprinted with I G, 208

slide 31 of 57

CeleXA

slide 32 of 57, CeleXA,

10 mg, oval, beige, imprinted with F P, 10 MG

slide 32 of 57

CeleXA

slide 33 of 57, CeleXA,

20 mg, elliptical, pink, imprinted with F P, 20 MG

slide 33 of 57

CeleXA

slide 34 of 57, CeleXA,

40 mg, elliptical, white, imprinted with F P, 40 MG

slide 34 of 57

Citalopram Hydrobromide

slide 35 of 57, Citalopram Hydrobromide,

10 mg, oval, orange, imprinted with IP 52

slide 35 of 57

Citalopram Hydrobromide

slide 36 of 57, Citalopram Hydrobromide,

10 mg, oval, pink, imprinted with APO, CI10

slide 36 of 57

Citalopram Hydrobromide

slide 37 of 57, Citalopram Hydrobromide,

10 mg, round, beige, imprinted with IG, 206

slide 37 of 57

Citalopram Hydrobromide

slide 38 of 57, Citalopram Hydrobromide,

10 mg, round, peach, imprinted with 05, A

slide 38 of 57

Citalopram Hydrobromide

slide 39 of 57, Citalopram Hydrobromide,

10 mg, round, beige, imprinted with 280, KALI

slide 39 of 57

Citalopram Hydrobromide

slide 40 of 57, Citalopram Hydrobromide,

10 mg, oblong, peach, imprinted with 93, 4740

slide 40 of 57

Citalopram Hydrobromide

slide 41 of 57, Citalopram Hydrobromide,

10 mg, round, white, imprinted with 3176, WPI

slide 41 of 57

Citalopram Hydrobromide

slide 42 of 57, Citalopram Hydrobromide,

20 mg, oval, pink, imprinted with IP 53

slide 42 of 57

Citalopram Hydrobromide

slide 43 of 57, Citalopram Hydrobromide,

20 mg, oblong, pink, imprinted with APO, CI 20

slide 43 of 57

Citalopram Hydrobromide

slide 44 of 57, Citalopram Hydrobromide,

20 mg, round, pink, imprinted with 207, I G

slide 44 of 57

Citalopram Hydrobromide

slide 45 of 57, Citalopram Hydrobromide,

20 mg, round, pink, imprinted with 281, KALI

slide 45 of 57

Citalopram Hydrobromide

slide 46 of 57, Citalopram Hydrobromide,

20 mg, round, pink, imprinted with RDY 343

slide 46 of 57

Citalopram Hydrobromide

slide 47 of 57, Citalopram Hydrobromide,

20 mg, oblong, pink, imprinted with 9 3, 4741

slide 47 of 57

Citalopram Hydrobromide

slide 48 of 57, Citalopram Hydrobromide,

20 mg, oval, brown, imprinted with 1010, 2 0

slide 48 of 57

Citalopram Hydrobromide

slide 49 of 57, Citalopram Hydrobromide,

20 mg, round, white, imprinted with WPI, 3177

slide 49 of 57

Citalopram Hydrobromide

slide 50 of 57, Citalopram Hydrobromide,

40 mg, oval, white, imprinted with IP 54

slide 50 of 57

Citalopram Hydrobromide

slide 51 of 57, Citalopram Hydrobromide,

40 mg, oval, white, imprinted with APO, CI 40

slide 51 of 57

Citalopram Hydrobromide

slide 52 of 57, Citalopram Hydrobromide,

40 mg, round, white, imprinted with I G, 209

slide 52 of 57

Citalopram Hydrobromide

slide 53 of 57, Citalopram Hydrobromide,

40 mg, round, white, imprinted with 282, KALI

slide 53 of 57

Citalopram Hydrobromide

slide 54 of 57, Citalopram Hydrobromide,

40 mg, round, white, imprinted with RDY 344

slide 54 of 57

Citalopram Hydrobromide

slide 55 of 57, Citalopram Hydrobromide,

40 mg, oblong, white, imprinted with 9 3, 4742

slide 55 of 57

Citalopram Hydrobromide

slide 56 of 57, Citalopram Hydrobromide,

40 mg, oval, brown, imprinted with 1011, 4 0

slide 56 of 57

Citalopram Hydrobromide

slide 57 of 57, Citalopram Hydrobromide,

40 mg, round, white, imprinted with WPI, 3178

slide 57 of 57

What is the most important information I should know about citalopram?

You should not use citalopram if you also take pimozide, or if you are being treated with methylene blue injection.

Do not use this medicine if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine.

Some young people have thoughts about suicide when first taking an antidepressant. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor.

Citalopram is not approved for use in children.

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 medication guide.

What should I discuss with my healthcare provider before taking citalopram?

You should not use this medicine if you are allergic to citalopram or escitalopram (Lexapro), or if you also take pimozide.

Do not use citalopram if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

To make sure citalopram is safe for you, tell your doctor if you have:

a bleeding or blood clotting disorder;
liver or kidney disease;
narrow-angle glaucoma;
seizures or epilepsy;
heart disease, heart failure, a heart rhythm disorder, slow heartbeats, or recent history of heart attack;
personal or family history of Long QT syndrome;
an electrolyte imbalance (such as low levels of potassium or magnesium in your blood);
bipolar disorder (manic depression); or
a history of drug abuse or suicidal thoughts.

Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.

Taking an SSRI antidepressant during pregnancy may cause serious lung problems or other complications in the baby. However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant. Do not start or stop taking this medicine during pregnancy without your doctor's advice.

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

Do not give this medicine to anyone under 18 years old without medical advice. Citalopram is not approved for use in children.

How should I take citalopram?

Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

It may take up to 4 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.

Do not stop using citalopram suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking citalopram?

Ask your doctor before taking a nonsteroidal anti-inflammatory drug (NSAID) for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), diclofenac, indomethacin, meloxicam, and others. Using an NSAID with citalopram may cause you to bruise or bleed easily.

Drinking alcohol can increase certain 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 emergency medical help if you have signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

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.

Call your doctor at once if you have:

a light-headed feeling, like you might pass out;
blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights;
headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats;
severe nervous system reaction --very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out;
high levels of serotonin in the body --agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting; or
low levels of sodium in the body --headache, confusion, slurred speech, severe weakness, vomiting, feeling unsteady.

Common side effects may include:

problems with memory or concentration;
headache, drowsiness;
dry mouth, increased sweating;
numbness or tingling;
increased appetite, nausea, diarrhea, gas;
fast heartbeats, feeling shaky;
sleep problems (insomnia), feeling tired;
cold symptoms such as stuffy nose, sneezing, sore throat;
changes in weight; 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 report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect citalopram?

Taking citalopram with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before taking a sleeping pill, narcotic pain medicine, prescription cough medicine, a muscle relaxer, or medicine for anxiety, depression, or seizures.

Many drugs can interact with citalopram. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any you start or stop using, especially:

cimetidine;
lithium;
St. John's wort;
tryptophan (sometimes called L-tryptophan);
a blood thinner (warfarin, Coumadin, Jantoven);
any other antidepressant;
heart medication;
medicine to treat a psychiatric disorder; or
"triptan" migraine headache medicine.

This list is not complete and many other drugs can interact with citalopram. This includes prescription and over-the-counter medicines, vitamins, and herbal products. 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, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every 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 outside 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 should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid 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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