Celexa (citalopram hydrobromide)
for Depression.
The following information is intended to supplement, not
substitute, the expertise and judgment of your physician,
pharmacist or other healthcare professional. It should not be
construed to indicate that using Celexa is safe or appropriate for
you.
People seeking depression relief should carefully evaluate Celexa
information and side effects before deciding to take Celexa.
Consult your healthcare professional before using citalopram.
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What is Celexa used for? Celexa is in a class of drug
medications for depression called selective
serotonin reuptake inhibitors (SSRI). Citalopram is used to
relieve symptoms of depression.
General Celexa Precautions:
_ Do not take Celexa if you have taken a monoamine oxidase
inhibitor (MAOI) within the last 14 days. A dangerous drug
interaction can occur if combined with MAO inhibitors.
_ Celexa may cause dizziness. If you experience dizziness, avoid
driving, operating machinery, or performing other hazardous
activities.
_ Citalopram may impair judgment, thinking, or motor skills.
Patients using Celexa should exercise caution until they have
adapted to therapy.
_ If you skip the missed dose and take only the next one as
directed. Do not take a double dose of citalopram. Overdose is
possible.
_ Rise slowly when rising from a sitting or lying position to
prevent dizziness or possible falls.
_ It is not known whether Celexa will harm an unborn baby or a
nursing baby.
Celexa can cause serious side effects.
Weight gain is a common
Celexa side effects. Less
common but life threatening is the increased risk of
suicide. Addiction and
subsequent withdrawal symptoms
also rank on the list of serious Celexa side effects. Celexa has
been linked to drug-induced stuttering.
Only you can decide if Celexa is the best means
of treating depression symptoms. It is important for people
currently taking Celexa to discuss side effect concerns with their
physician. People wishing to avoid the side effects of
pharmaceutical antidepressants have choices for safe and effective
natural antidepressants.
FDA Warnings for Celexa: The FDA issued a public health
alert for Celexa (citalopram) in March 2004 warning that this
antidepressant can lead to deeper depression and suicide. The FDA
recommends that health care providers warn patients, their
families and their caregivers to be alert for agitation,
irritability, suicide and worsening depression while using Celexa.
The FDA also recommends that health care providers closely monitor
adult and children treated with citalopram for worsening of
depression or suicidal tendencies, especially at the beginning of
therapy or when the dose either increases or decreases.
The FDA issued a Public Health Advisory in October 2003 about
increased reports of suicidal thinking, suicide attempts,
hostility and self-harm in children using Celexa. The FDA urges
that Celexa be used with caution in children. Parents of children
using Celexa should consult the prescribing physician immediately
to discuss the suicide risks involved in taking Celexa.
It should be noted that the safety and effectiveness of Celexa in
pediatric patients has not been established. In clinical trials,
only Prozac (fluoxetine) has been found effective for children.
Celexa Side Effects:
_ Agitation.
_ Irritability.
_ Deepened depression.
_ Increased risk of suicide.
_ Decreased sex drive.
_ Impotence.
_ Difficulty reaching orgasm.
_ Fast or irregular heartbeat or pulse.
_ High blood pressure.
_ Low blood pressure.
_ Dizziness.
_ Weakness.
_ Anxiety.
_ Diarrhea.
_ Sleeplessness or insomnia.
_ Nausea.
_ Headache.
_ Blurred vision.
_ Chills or fever.
_ Nervousness.
_ Tremors.
_ Changes in appetite or weight.
_ Dry mouth.
Contact your doctor immediately if you experience: An allergic
reaction (difficulty breathing; closing of the throat; swelling of
the lips, face, or tongue; or hives). Stop taking Celexa and
contact your doctor immediately or seek emergency medical
treatment if you also experience a fast or irregular heartbeat,
high blood pressure (blurred vision, headache), low blood pressure
(dizziness, weakness), chills or fever. Contact your doctor
immediately if you experience yellowing of the skin or eyes.
Before taking Celexa, tell your doctor if you have:
_ Seizures.
_ Liver disease.
_ Kidney disease.
_ A history of mania or bipolar disorder.
_ Suicidal thoughts.
_ Had an allergic reaction to escitalopram (Lexapro).
What should I avoid while taking Celexa?
_ Use alcohol cautiously while taking Celexa. Alcohol may increase
drowsiness and dizziness.
Symptoms of overdose may include: Symptoms of a Celexa
overdose include dizziness, sweating, drowsiness, nausea,
vomiting, tremor and a fast heartbeat.
What other drugs will affect Celexa? Celexa can increase
the effects of many other drugs, leading to serious side effects.
If taking Celexa, talk to your doctor and pharmacist before taking
any prescription or over-the-counter medicines. Do not take
citalopram with the following medicines without your doctor’s
approval:
_ Escitalopram (Lexapro).
_ Monoamine oxidase inhibitors (MAOI).
_ Other antidepressants.
_ Seizure medication including carbamazepineor felbamate.
_ Stomach medicine such as cimetidine, ranitidine, or omeprazole.
_ Antibiotics.
_ Antifungal medication.
_ Migraine medication.
_ Asthma medication zafirlukast.
_ Lithium.
_ Drugs other than the above listed may also interact with Celexa.
Talk to your doctor and pharmacist before taking any prescription,
over-the-counter medicines or natural supplements.
*This antidepressant drug
information does not endorse Celexa, diagnose patients or
recommend therapy. The information contained herein is not
intended to cover all possible warnings, uses, precautions, drug
interactions, allergic reactions, or adverse side effects of
Celexa. If you have questions about the drugs you are taking,
check with your health care provider or pharmacist. The
information provided should not be construed to indicate that
Celexa is safe, effective or appropriate.
Do not stop taking Celexa without first talking to your doctor.
Your doctor may need to gradually reduce the dose before stopping
Celexa completely. Suddenly stopping citalopram may cause
unpleasant and potentially serious side effects and withdrawal
symptoms.
