If these effects are mild, they may go away within a few days or a couple of weeks. Call your doctor right away if you have serious side effects. Serious side effects and their symptoms can include the following:. Disclaimer: Our goal is to provide you with the most relevant and current information.
However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. This information is not a substitute for medical advice. Always discuss possible side effects with a healthcare professional who knows your medical history. Citalopram oral tablet can interact with other medications, vitamins, or herbs you may be taking.
An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well. To help avoid interactions, your doctor should manage all of your medications carefully. A possibly life threatening condition called serotonin syndrome can occur when citalopram is used with other drugs that can increase serotonin levels in your body. This may be more likely when one of the drugs is first started or after dose increases.
Examples of these drugs include:. Taking both citalopram and these drugs may increase your risk of heart rhythm changes that could be dangerous. Caution should be used when using citalopram with a TCA. This can result in higher levels of the TCA in your body and more side effects. Tricyclic antidepressants include:.
Taking citalopram may increase the effects of drugs that cause sedation or drowsiness. Cytochrome P 2C19 is a protein in our body that often helps to break down drugs, including citalopram. Some drugs are known to slow down, or inhibit, the actions of this protein. When citalopram and drugs that slow down the actions of this protein are taken together, it may result in an amount of citalopram in your body that is too high.
Examples of cytochrome P 2C19 inhibitors include:. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions.
Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking. If you have an allergic reaction, call your doctor or local poison control center right away.
If your symptoms are severe, call or go to the nearest emergency room. Taking it again could be fatal cause death. Citalopram can cause sleepiness. It may affect your ability to make decisions, think clearly or react quickly. Drinking alcohol can increase these effects. Taking citalopram may put you at higher risk of a serious heart rhythm change called QT prolongation, which can cause sudden death. People with slow heart rate, recent heart attack, or severe heart failure should also not take citalopram.
Taking citalopram and having low levels of potassium may put you at higher risk of a serious heart rhythm change called QT prolongation, which can cause sudden death.
Taking citalopram and having low levels of magnesium may put you at higher risk of a serious heart rhythm change called QT prolongation, which can cause sudden death. For people with kidney disease: Talk with your doctor before using citalopram if you have kidney disease.
This drug may build up and cause more side effects in people with severe kidney disease. For people with liver disease: Citalopram is processed by the liver. If you have liver disease, the levels of this drug in your body might increase. You may have more side effects. For people with a history of seizure disorder: Citalopram can increase your risk for seizures. Talk with your doctor before using this drug if you have a history of seizures.
For pregnant women: Citalopram is a category C pregnancy drug. That means two things:. This drug should be used only if the potential benefit justifies the potential risk to the fetus. For women who are breastfeeding: Citalopram passes into breast milk and may cause side effects in a child who is breastfed.
Take citalopram at around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take citalopram exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Your doctor may start you on a low dose of citalopram and gradually increase your dose, not more often than once a week. It may take 1 to 4 weeks before you notice the full benefit of citalopram.
Continue to take citalopram even if you feel well. If you suddenly stop taking citalopram, you may experience withdrawal symptoms such as mood changes, irritability, agitation, dizziness, numbness, tingling or electric shock-like sensations in the hands or feet, anxiety, confusion, headache, tiredness, nausea, sweating, shaking, and difficulty falling asleep or staying asleep. Do not stop taking citalopram without talking to your doctor. Your doctor will probably decrease your dose gradually.
Citalopram is also sometimes used to treat eating disorders, alcoholism, panic disorder condition that causes sudden attacks of extreme fear with no apparent cause , premenstrual dysphoric disorder a group of physical and emotional symptoms that occur before the menstrual period each month , and social phobia excessive anxiety about interacting with others.
Talk to your doctor about the possible risks of using this medication for your condition. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one. Citalopram may decrease appetite and cause weight loss in children.
Your child's doctor will watch his or her growth carefully. Talk to your child's doctor if you have concerns about your child's growth or weight while he or she is taking this medication. Talk to your child's doctor about the risks of giving citalopram to your child. Citalopram may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture not in the bathroom. It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily.
To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them.
However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. In case of overdose, call the poison control helpline at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at SSRI antidepressants including citalopram may increase the risk of bleeding events. Combined use of aspirin, nonsteroidal anti-inflammatory drugs e.
This may include symptoms such as gums that bleed more easily, nose bleed, or gastrointestinal bleeding. Some cases have been life threatening. August Citalopram at doses greater than 40 mg per day could potentially cause a dangerous abnormality in the electrical activity of the heart. Citalopram use is discouraged in patients with congenital long QT syndrome.
Patients with low levels of potassium and magnesium in the blood are also at increased risk. If you are currently taking citalopram at a dose greater than 40 mg per days, talk to your health care professional. Seek immediate care if you experience an irregular heartbeat, shortness of breath, dizziness, or fainting while taking citalopram.
If you are taking citalopram, your health care professional may occasionally order an electrocardiogram ECG, EKG to monitor your heart rate and rhythm. Your health care provider may also order tests to check levels of potassium and magnesium in your blood.
To date, there are no known problems associated with long term use of citalopram. It is a safe and effective medication when used as directed. Citalopram should not be taken with or within 2 weeks of taking monoamine oxidase inhibitors MAOIs.
Citalopram may increase the effects of other medications that can cause bleeding e. Sleep, energy, or appetite may show some improvement within the first weeks. Improvement in these physical symptoms can be an important early signal that the medication is working.
Depressed mood and lack of interest in activities may need up to weeks to fully improve. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. This risk may persist until significant remission occurs.
In short-term studies, antidepressants increased the risk of suicidality in children, adolescents, and young adults when compared to placebo. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age Adults age 65 and older taking antidepressants have a decreased risk of suicidality.
Patients, their families, and caregivers should be alert to the emergence of anxiety, restlessness, irritability, aggressiveness and insomnia. All patients being treated with antidepressants for any indication should watch for and notify their health care provider for worsening symptoms, suicidality and unusual changes in behavior, especially during the first few months of treatment.
Last Updated: January This information is being provided as a community outreach effort of the College of Psychiatric and Neurologic Pharmacists. This information is for educational and informational purposes only and is not medical advice. This information contains a summary of important points and is not an exhaustive review of information about the medication.
Always seek the advice of a physician or other qualified medical professional with any questions you may have regarding medications or medical conditions. Never delay seeking professional medical advice or disregard medical professional advice as a result of any information provided herein. The College of Psychiatric and Neurologic Pharmacists disclaims any and all liability alleged as a result of the information provided herein. Search Close Menu. Sign In About Mental Illness. About Mental Illness Treatments.
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