CITALOPRAM - ORAL (sye-TAL-oh-pram)
COMMON BRAND NAME(S): Celexa
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What is
Celexa: Celexa is a medication used to treat major
depression--a stubbornly low mood that persists nearly every
day for at least 2 weeks and interferes with everyday
living. Symptoms may include loss of interest in your usual
activities, insomnia or excessive sleeping, a change in
weight or appetite, constant fidgeting or a slowdown in
movement, fatigue, feelings of worthlessness or guilt,
difficulty thinking or concentrating, and repeated thoughts
of suicide. Like the antidepressant medications Paxil,
Prozac, and Zoloft, Celexa is thought to work by boosting
serotonin levels in the brain. Serotonin, one of the nervous
system's primary chemical messengers, is known to elevate
mood.
Taking
Celexa: Celexa is available in tablet and liquid forms.
Take either formulation once a day, in the morning or
evening, with or without food. Although your depression will
begin to lift in 1 to 4 weeks, you should continue taking
Celexa regularly. It takes several months for the medication
to yield its full benefits.
Possible Side Effects of Celexa: Side effects cannot
be anticipated. If any develop or change in intensity,
inform your doctor as soon as possible. Only your doctor can
determine if it is safe for you to continue taking Celexa.
More common side effects may include:
Abdominal pain, agitation, anxiety, diarrhea, drowsiness,
dry mouth, ejaculation disorders, fatigue, impotence,
indigestion, insomnia, loss of appetite, nausea, painful
menstruation, respiratory tract infection, sinus or nasal
inflammation, sweating, tremor, vomiting
Less common side effects may include:
Amnesia, attempted suicide, confusion, coughing, decreased
sexual drive, depression, excessive urination, fever, gas,
impaired concentration, increased appetite, increased
salivation, itching, joint pain, lack of emotion, loss of
menstruation, low blood pressure, migraine, muscle pain,
rapid heartbeat, rash, skin tingling, taste disturbances,
visual disturbances, weight gain, weight loss, yawning
Rare side effects may include:
Abnormal dreams, acne, aggressive behavior, alcohol
intolerance, angina (chest pain), arthritis, belching, bone
pain, breast enlargement, breast pain, bronchitis, bruising,
chills, conjunctivitis (pinkeye), decreased muscle
movements, delusions, dermatitis, difficulty breathing,
difficulty swallowing, dizziness, drug dependence, dry eyes,
dry skin, eczema, emotional instability, excessive milk
flow, excessive muscle tone, eye pain, fainting, feeling of
well-being, flu-like symptoms, flushing, frequent urination,
gum inflammation, hair loss, hallucinations, heart attack,
heart failure, hemorrhoids, high blood pressure, hives, hot
flashes, inability to hold urine, inability to urinate
completely, increased sex drive, increased urination,
involuntary muscle movements, leg cramps, mouth sores,
muscle weakness, nosebleeds, numbness, painful erection,
painful urination, panic, paranoia, pneumonia, psoriasis,
psychosis, ringing in the ears, sensitivity to light, skin
discoloration, slow heartbeat, stomach and intestinal
inflammation, stroke, swelling, teeth grinding, thirst,
uncontrollable muscle movements, unsteady or abnormal walk,
vaginal bleeding
Celexa Precautions and Warnings: If Celexa gives you
an allergic reaction, you cannot continue using it. Also
remember that Celexa must never be combined with an MAO
inhibitor (see "Most important fact about this drug,"
above).
In recommended doses, Celexa does not seem to impair
judgment or motor skills. However, a theoretical possibility
of such problems remains, so you should use caution when
driving or operating dangerous equipment until you are
certain of Celexa's effect.
There is a slight chance that Celexa will trigger a manic
episode. Use Celexa with caution if you suffer from
manic-depression (bipolar disorder). Use caution, too, if
you are over 60 years old, have liver or kidney problems,
suffer from heart disease or high blood pressure, or have
ever had seizures.
The effects
of Celexa during pregnancy have not been adequately studied,
and the potential for harm has not been ruled out. If you
are pregnant or plan to become pregnant while on Celexa
therapy, tell your doctor immediately.
Celexa appears in breast milk and will affect the nursing
infant. You should consider discontinuing either
breastfeeding or Celexa. Talk with your doctor about the
pros and cons of each option.
Be careful
to avoid taking Celexa for 2 weeks before or after using an
antidepressant known as an MAO inhibitor. Drugs in this
category include Marplan, Nardil, and Parnate. Combining
Celexa with one of these medications could lead to a
serious--even fatal--reaction.
Medications That Affect Celexa: Celexa does not increase
the effects of alcohol. Nevertheless, it's considered unwise
to combine Celexa with alcohol or any other drug that
affects the brain. (Be particularly careful to avoid MAO
inhibitors.)
If Celexa is taken with certain other drugs, the effects of
either could be increased, decreased, or altered. Tell your
doctor about any prescription or over-the-counter drugs you
are planning to take, and be especially certain to check
with him before combining Celexa with the following:
Carbamazepine (Tegretol)
Cimetidine (Tagamet)
Erythromycin (Eryc, Ery-Tab)
Fluconazole (Diflucan)
Itraconazole (Sporanox)
Ketoconazole (Nizoral)
Lithium (Lithobid, Lithonate)
Metoprolol (Lopressor)
Omeprazole (Prilosec)
Other antidepressants such as Elavil, Norpramin, Pamelor,
and Tofranil
Sumatriptan (Imitrex)
Warfarin (Coumadin)
Overdose of Celexa: Any medication taken in excess
can have serious consequences. If you suspect an overdose,
seek medical attention immediately. Symptoms of Celexa
overdose may include: Amnesia, bluish or purplish
discoloration of the skin, coma, confusion, convulsions,
dizziness, drowsiness, hyperventilation, nausea, rapid
heartbeat, sweating, tremor, vomiting
Missed
Celexa Dose: Take it as soon as you remember. If it is
almost time for your next dose, skip the one you missed and
go back to your regular schedule. Do not take 2 doses at the
same time.
Storing Celexa: Store at room temperature.
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IMPORTANT NOTE: This information is intended to
supplement, not substitute for, the expertise and judgment of
your physician, pharmacist or other healthcare professional.
It should not be construed to indicate that use of the
drug is
safe, appropriate, or effective for you. Consult your
healthcare professional before using Celexa.
