Citalopram is mainly used for treating depression. It may also be used for the treatment of panic disorder, OCD and post traumatic stress disorder.

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Citalopram is an antidepressant. It works by altering the levels of certain mood enhancing chemicals in the brain.


& Dosage

Please ask for precise dosage instructions to your healthcare provider.

You must continue to take Citalopram for the entire dosage schedule. If you suddenly discontinue therapy, then it may cause problems like mental or mood changes, numbness or tingling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual tiredness.

Try to take the medication at the same time everyday to avoid missing a dose. If you have missed a dose and it is almost time for the next dose, then skip the missed one and continue with the regular dosage. Alternatively, if you remember immediately, then you may take the missed dose. Never double up to compensate for a missed dose.


Store Citalopram at room temperature in a cool and dark place. Keep away from children and pets.

Safety Information/ Warning Precautions
Speak about your medical history to your healthcare provider.
Mention complete and accurate details about existing medical conditions, known allergies to food or drugs, dietary supplements, vitamins, minerals, herbal supplements or OTC medications that you may be using.
Do not use Citalopram if:
You are allergic to any ingredient in it.
You are taking escitalopram
You are taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort within the last 14 days
You are taking a fenfluramine derivative (eg, dexfenfluramine)
You are taking an H1 antagonist (eg, astemizole, terfenadine)
You are using nefazodone, pimozide, or sibutramine.
Maintain caution while using Citalopram if:
You or a family member has a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
You have a history of seizures
You have liver problems
You are undergoing dialysis or have other severe kidney problems
You have stomach or bowel bleeding
You have metabolism problems
You are dehydrated
You have low blood sodium levels
You drink alcohol
You are scheduled to undergo electroconvulsive therapy (ECT).
Maintain caution if you use the following drugs:
Fenfluramine derivatives (eg, dexfenfluramine), linezolid, lithium, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT1 receptor agonists (eg, sumatriptan), sibutramine, St. John's wort, or trazodon
Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen)
H1 antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine)
Carbamazepine or cyproheptadine
Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline)
Please be informed:
Citalopram may make you feel dizzy or light headed. Alcohol, hot weather or fever may cause this to increase. To prevent this, it is recommended that you stand or sit up slowly when you wake up from sleep. If you notice any such symptoms, then sit down immediately. Avoid tasks that require mental alertness like driving, handling heavy vehicles etc.
Alcohol and other sleep aids are strictly prohibited. Ask your healthcare provider about any medications that may contain sleep aids.
Citalopram may cause suicidal thoughts and tendencies. This happens mainly in people below the age of 21 who are using it. If you or someone you know is under the age of 21 and using Citalopram then he/she may need close monitoring during therapy. If you notice changes in behavior with symptoms like depression, mood swings, anxiety, restlessness or irritation, then it must be promptly reported to the doctor.
Although rare, Citalopram has been associated with a condition called Priapism in which the person experiences a painful prolonged erection. Contact your doctor immediately if this occurs.
If you are using MAOIs or Triptans or other similar drugs, it may increase your risk of Serotonin syndrome. Some of the symptoms of this condition are gitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea.
In extremely rare cases, it may cause a potentially fatal condition called Neuroleptic malignant syndrome (NMS). Some symptoms of this condition are fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor immediately if this occurs.
Citalopram may cause your blood sugar level to fluctuate. Some symptoms of a sudden spike in blood sugar levels are drowsyness, thirst and confusion. Some patients notice a fruity breath odour. If you notice any of these symptoms then speak to your healthcare provider immediately.

Side Effects
Mild side effects are commonly experienced while using Citalopram. They do not need medical treatment and usually subside on their own. Some examples are decreased sexual desire or ability; diarrhea; dizziness; drowsiness; dry mouth; increased sweating; lightheadedness when you stand or sit up; loss of appetite; nausea; stuffy nose; tiredness.
If these side effects become bothersome or do not fade away after a while, then seek medical assistance.
Serious side effects that need immediate medical assistance are rare.
Some of them are Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); absent menstrual period; bizarre behavior; black or bloody stools; chest pain; confusion; decreased concentration; decreased coordination; fainting; fast or irregular heartbeat; hallucinations; memory loss; new or worsening agitation, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still; persistent, painful erection; red, swollen, blistered, or peeling skin; seizures; severe or persistent anxiety or trouble sleeping; severe or persistent headache; stomach pain; suicidal thoughts or attempts; tremor; unusual bruising or bleeding; unusual or severe mental or mood changes; unusual weakness; vision changes; worsening depression.
Please contact your doctor immediately if you notice any serious side effects.