Citalopram hydrobromide 40mg tab

If you are a consumer or patient please visit this version. Antidepressants increased the risk compared to placebo of suicidal thinking and behavior suicidality in children, adolescents, and young adults in short-term studies of major depressive disorder MDD and other psychiatric disorders.

This drug has a boxed warning. Boxed warnings alert doctors and patients about drug effects that may be dangerous. Citalopram use may increase suicidal thoughts or actions in some children, teenagers, or young adults within the first few months of treatment or when the dose is changed. Generic drugs usually cost less. In some cases, they may not be available in every strength or form as the brand-name version. Citalopram is used to treat depression. It may be used as part of a combination therapy.

Citalopram hydrobromide 40mg tab

If you are a consumer or patient please visit this version. Warnings and Precautions 5. Tablets: 10 mg; 20 mg, scored; and 40 mg, scored 3. Antidepressants increased the risk of suicidal thoughts and behaviors in pediatric and young adult patients in short- term studies. Closely monitor all antidepressant-treated patients for clinical worsening, and for emergence of suicidal thoughts and behaviors [see Warnings and Precautions 5. Citalopram is not approved for use in pediatric patients [see Use in Specific Populations 8. Citalopram is indicated for the treatment of major depressive disorder MDD in adults [see Clinical Studies 14 ]. Administer Citalopram once daily, with or without food, at an initial dosage of 20 mg once daily, with an increase to a maximum dosage of 40 mg once daily at an interval of no less than one week. Dosages above 40 mg once daily are not recommended due to the risk of QT prolongation [see Warnings and Precautions 5. Prior to initiating treatment with Citalopram or another antidepressant, screen patients for a personal or family history of bipolar disorder, mania, or hypomania [See Warnings and Precautions 5. The maximum recommended dosage of Citalopram for patients who are greater than 60 years of age, patients with hepatic impairment, and for CYP2C19 poor metabolizers is 20 mg once daily [see Warnings and Precautions 5. The maxium recommended dosage of Citalopram when used concomitantly with a CYP2C19 inhibitor is 20 mg once daily [see Warnings and Precautions 5. At least 14 days must elapse between discontinuation of a monoamine oxidase inhibitor MAOI antidepressant and initiation of therapy with Citalopram.

Self-harm isn't recognized as an addiction, but it can become an ingrained coping mechanism that is challenging to unlearn.

Official websites use. Share sensitive information only on official, secure websites. A small number of children, teenagers, and young adults up to 24 years of age who took antidepressants 'mood elevators' such as citalopram during clinical studies became suicidal thinking about harming or killing oneself or planning or trying to do so. Children, teenagers, and young adults who take antidepressants to treat depression or other mental illnesses may be more likely to become suicidal than children, teenagers, and young adults who do not take antidepressants to treat these conditions. However, experts are not sure about how great this risk is and how much it should be considered in deciding whether a child or teenager should take an antidepressant.

This drug has a boxed warning. Boxed warnings alert doctors and patients about drug effects that may be dangerous. Citalopram use may increase suicidal thoughts or actions in some children, teenagers, or young adults within the first few months of treatment or when the dose is changed. Generic drugs usually cost less. In some cases, they may not be available in every strength or form as the brand-name version. Citalopram is used to treat depression.

Citalopram hydrobromide 40mg tab

Antidepressants increased the risk compared to placebo of suicidal thinking and behavior suicidality in children, adolescents, and young adults in short-term studies of major depressive disorder MDD and other psychiatric disorders. Anyone considering the use of citalopram or any other antidepressant in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older.

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Financial Assistance Documents — Florida. Drug Interactions Serotonergic Drugs : Based on the mechanism of action of SNRIs and SSRIs including Celexa, and the potential for serotonin syndrome, caution is advised when Celexa is coadministered with other drugs that may affect the serotonergic neurotransmitter systems, such as triptans, linezolid an antibiotic which is a reversible non-selective MAOI , lithium, tramadol, or St. Physicians should note that in a prospective longitudinal study of women with a history of major depression who were euthymic at the beginning of pregnancy, women who discontinued antidepressant medication during pregnancy were more likely to experience a relapse of major depression than women who continued antidepressant medication. Rare: hypertrichosis, decreased sweating, melanosis, keratitis, cellulitis, pruritus ani. Consequently, it is not possible to provide a meaningful estimate of the proportion of individuals experiencing adverse events without first grouping similar types of events into a smaller number of standardized event categories. CYP2C19 Inhibitors. Citalopram may harm your unborn baby. Infrequent: bronchitis, dyspnea, pneumonia. While patients may notice improvement with Celexa therapy in 1 to 4 weeks, they should be advised to continue therapy as directed. Rare: bilirubinemia, hypokalemia, obesity, hypoglycemia, hepatitis, dehydration. Sexual Dysfunction Advise patients that use of Citalopram may cause symptoms of sexual dysfunction in both male and female patients. Blood and Lymphatic System Disorders : hemolytic anemia, thrombocytopenia, prothrombin decreased. However, reliable estimates of the incidence and severity of untoward experiences involving sexual desire, performance, and satisfaction are difficult to obtain, in part because patients and healthcare providers may be reluctant to discuss them. You can take it with or without food. Citalopram is not approved for use in pediatric patients 8.

Take this medicine only as directed by your doctor, to benefit your condition as much as possible. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. This medicine should come with a Medication Guide.

Your healthcare provider can tell you if it is safe to take Citalopram with your other medicines. Serotonin Syndrome Caution patients about the the risk of serotonin syndrome, particularly with the concomitant use of Citalopram with other serotonergic drugs including triptans, tricyclic antidepressants, opioids, lithium, tryptophan, buspirone, amphetamines, St. Nursing Mothers As has been found to occur with many other drugs, citalopram is excreted in human breast milk. Infrequent: tinnitus, conjunctivitis, eye pain. Other Serotonergic Drugs. Respiratory System Disorders. Heart rhythm problems. Be sure to keep all appointments for office visits with your doctor. Ask your healthcare provider if you are not sure if you are taking any of these medicines. All reported events are included except those already listed in Table 3 or elsewhere in labeling, those events for which a drug cause was remote, those event terms which were so general as to be uninformative, and those occurring in only one patient. Product Information. Citalopram may interact with other medications. The clinical significance of these findings is unknown.