CeleXA

For FDA-approved indications:

• Depression: 20mg per day, with a maximum dose of 40mg per day.

Off-label uses: Citalopram has also been used off-label for anxiety disorders, panic disorder, obsessive-compulsive disorder (OCD), and hot flashes that happen with menopause.

• Anxiety Disorders: 20mg per day with a maximum dose of up to 40mg per day.
• Panic Disorder: 10mg per day initially, often increasing up to 40mg per day.

• Have allergies to citalopram or any of its ingredients.
• Are concurrently taking monoamine oxidase inhibitors (MAOIs), pimozide, or escitalopram.
• Have Long QT Syndrome, Brugada Syndrome, or a history of heart failure or heart attack.
• Have liver or kidney disease.
• Are pregnant, planning to become pregnant, or breastfeeding.
• Have a history of suicide-related events or suicidal ideation.
• Have a history of mania or seizures.

• Be aware that it might take a couple of weeks until you feel the full benefits of citalopram.
• This medication should be taken once a day, either in the morning or evening.
• Citalopram can cause drowsiness, so be cautious if you're driving or doing anything that requires you to be alert.
• Stay well hydrated and try to eat a balanced diet.
• Report any sudden mood changes, especially increased anxiety, restlessness, panic attacks, irritability, or suicidal thoughts.
• Keep all your doctor's appointments and follow up regularly for physical check-ups and mental health assessments

• You might feel nauseous, excessively tired, or have problems sleeping.
• Some people may experience dry mouth, increased sweating, or changes in appetite.

• Rare side effects:
• Severe stomach or abdominal pain.
• Unusual or sudden weight loss.
• If you notice severe side effects such as bloody or black stools, fainting, irregular heartbeat, seizures, or eye pain/swelling, seek medical attention immediately.
• Severe side effects:
• Black stools
• Vomit that looks like coffee grounds
• Changes in sexual ability.

• Citalopram holds a boxed warning due to the risk of increased suicidal thoughts and behaviors in children, adolescents, and young adults.
• The use of this medication may increase the risk of abnormal heart rhythms, and it should be used with caution in patients with heart conditions.
• Citalopram might deteriorate bipolar disorder, and people with this condition must be closely monitored for signs of mania or hypomania.
• Weight changes, both gain, and loss, have been reported with citalopram use and should be monitored.
• Pregnant women must use citalopram only if the benefits outweigh the risks due to potential harm to the fetus.

• Monoamine oxidase inhibitors (MAOIs)
• Pimozide
• Non-steroidal anti-inflammatory drugs (NSAIDs)
• Aspirin
• Warfarin
• Diuretics (water pills)

• Escitalopram
• Sertraline
• Fluoxetine
• Paroxetine
• Venlafaxine