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CeleXA
Celexa, the brand name for Citalopram, is a prescriptiononly medication, classified under the drug class of selective serotonin reuptake inhibitors (SSRIs). Renowned for its centralized use in treating depression, it works to restore balance among naturemade substances in the brain. However, patients may experience common side effects, such as sweating, nausea, dry mouth, or changes in weight or appetite.
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Frequently Asked Questions
Can I drink alcohol while taking Celexa?
It is generally not recommended to drink alcohol while taking Celexa as it can enhance adverse effects like drowsiness and dizziness.
Can I take Celexa during pregnancy or while breastfeeding?
If you're pregnant, planning to become pregnant, or breastfeeding, inform your doctor as this drug should only be used in these circumstances when necessary due to potential risks to the infant.
Does Celexa interact with other substances or medications?
Celexa can interact with other drugs and substances, potentially impacting their effectiveness or increasing side effects. Always inform your doctor about any other medications, vitamins, or supplements you are taking.
Is Celexa an addictive drug?
Unlike certain substances, Celexa is not considered to be addictive. However, sudden discontinuation can lead to withdrawal symptoms. Always follow your doctor?s advice when stopping this medication.
Comprehensive Drug Guide
How Does CeleXA Work?
Citalopram is an SSRI antidepressant that works by increasing the levels of serotonin, a neurotransmitter, in the brain. This enhances neurotransmission and leads to an elevation of mood.
What is CeleXA Used For?
FDA Indications: Citalopram is primarily used to treat depression. It helps to improve energy levels, feelings of well-being, and appetite and decreases anxiety and insomnia related to depression.
Common Dosages
Tablets: 10mg, 20mg, 40mg
Oral solution: 10mg/5mL
Typical Dosing
FDA Approved Indications
For FDA-approved indications:
- Depression: 20mg per day, with a maximum dose of 40mg per day.
Off-Label Uses
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.
Who Shouldn't Take CeleXA?
- 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.
Advice From The Pharmacist
- 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
Side Effects of CeleXA
Common Side Effects
- You might feel nauseous, excessively tired, or have problems sleeping.
- Some people may experience dry mouth, increased sweating, or changes in appetite.
Uncommon/Severe Side Effects
- 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.
Risks and Warnings of CeleXA
- 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.
Interactions with CeleXA
Common Drug Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Pimozide
- Non-steroidal anti-inflammatory drugs (NSAIDs)
- Aspirin
- Warfarin
- Diuretics (water pills)
Alternatives to CeleXA
- Escitalopram
- Sertraline
- Fluoxetine
- Paroxetine
- Venlafaxine
