WARNING

Taking Celexa (citalopram) involves certain risks that should be considered:

• Suicidal Thoughts: Particularly in young adults and adolescents, Celexa and other antidepressants can increase the risk of suicidal thoughts or behaviors, especially at the beginning of treatment or when doses are changed. Close monitoring by healthcare providers is essential.
• Serotonin Syndrome: This is a rare but potentially life-threatening condition caused by excessive serotonin levels in the body. Symptoms include agitation, hallucinations, rapid heartbeat, fever, sweating, muscle stiffness, seizures, and coma. Seek immediate medical attention if these symptoms occur.
• Withdrawal Symptoms: Abruptly stopping Celexa can lead to withdrawal symptoms such as dizziness, nausea, headache, irritability, and insomnia. Tapering off the medication under medical supervision is recommended.
• Interaction with Other Medications: Celexa can interact with other medications, including MAO inhibitors, other SSRIs, NSAIDs, blood thinners, and certain migraine medications. These interactions can lead to serious side effects or reduce the effectiveness of one or both medications.
• Potential Side Effects: Common side effects of Celexa include nausea, dry mouth, drowsiness, insomnia, increased sweating, sexual problems, and gastrointestinal issues. These side effects can vary in severity and impact individual tolerance to the medication.
• Long-term Use Concerns: There may be concerns about the long-term use of Celexa, including effects on bone health, weight changes, and potential effects on cognitive function.

It’s important to discuss these risks with your healthcare provider before starting Celexa. They can help weigh the benefits of treatment against potential risks based on your individual medical history and needs. Regular monitoring and open communication with your doctor are essential for safe and effective use of Celexa or any antidepressant medication.

Why is this medication prescribed?

Celexa (citalopram) is prescribed primarily for the treatment of depression. It belongs to a class of medications known as selective serotonin reuptake inhibitors (SSRIs), which work by increasing the levels of serotonin in the brain, thereby helping to improve mood.

How should this medicine be used?

Here are some key points about how Celexa should be used:

• Dosage: The typical starting dose for adults is usually 20 mg per day. Your doctor may adjust this dose based on your individual response and tolerability. The maximum recommended dose is 40 mg per day.
• Administration: Celexa is usually taken once daily, either in the morning or evening. It can be taken with or without food.
• Duration: It may take several weeks for Celexa to exert its full therapeutic effect. It’s important to continue taking the medication as prescribed, even if you start feeling better. Abruptly stopping Celexa can lead to withdrawal symptoms.
• Special instructions: Follow your doctor’s instructions carefully. Do not exceed the prescribed dose, as it can increase the risk of side effects. If you miss a dose, take it as soon as you remember, but skip the missed dose if it’s almost time for your next scheduled dose. Never double up on doses to make up for a missed one.
• Monitoring: Your doctor will likely monitor your response to Celexa and adjust your dose if necessary. It’s important to attend follow-up appointments and communicate any concerns or changes in your symptoms.
• Side effects: Like all medications, Celexa can cause side effects. Common side effects may include nausea, dry mouth, drowsiness, insomnia, increased sweating, and sexual problems. If you experience any severe side effects or allergic reactions (e.g., rash, difficulty breathing), seek immediate medical attention.

Always consult your healthcare provider for personalized advice regarding the use of Celexa, as they can provide guidance specific to your medical history and needs.

Other uses for this medicine

While Celexa is primarily used to treat depression, it may also be prescribed off-label for other conditions such as:

• Anxiety Disorders: Celexa may help with anxiety disorders, such as generalized anxiety disorder (GAD) or social anxiety disorder (SAD).
• Panic Disorder: It can sometimes be used in the treatment of panic disorder.
• Obsessive-Compulsive Disorder (OCD): Celexa may be prescribed off-label for OCD, although selective serotonin reuptake inhibitors (SSRIs) like fluoxetine (Prozac) and sertraline (Zoloft) are more commonly used.

What special precautions should I follow?

Regarding special precautions for Celexa, it’s important to follow these guidelines:

• Medical History: Inform your doctor about your complete medical history, especially if you have a history of seizures, bipolar disorder, liver or kidney problems, or any bleeding disorders.
• Drug Interactions: Celexa can interact with other medications, including MAO inhibitors, other SSRIs, NSAIDs, blood thinners, and certain migraine medications. These interactions can increase the risk of serotonin syndrome or other adverse effects.
• Pregnancy and Breastfeeding: Celexa should be used cautiously during pregnancy and breastfeeding. Consult with your doctor to weigh the potential benefits and risks.
• Suicidal Thoughts: Like all antidepressants, Celexa carries a risk of increasing suicidal thoughts, especially in young adults and adolescents. Close monitoring is necessary during the initial weeks of treatment.
• Withdrawal: Abrupt discontinuation of Celexa can lead to withdrawal symptoms. It’s important to follow your doctor’s guidance when tapering off the medication.
• Side Effects: Be aware of potential side effects such as nausea, drowsiness, dry mouth, sexual problems, and insomnia. Report any severe or persistent side effects to your healthcare provider.

Always take Celexa exactly as prescribed and inform your doctor of any changes in your health or medications. Regular follow-up appointments are important to monitor your response to treatment and adjust the dosage if needed.

What special dietary instructions should I follow?

There are no specific dietary restrictions for Celexa. However, maintaining a healthy diet and lifestyle can contribute positively to your overall well-being and mental health. Some general tips include:

• Balanced Diet: Eat a variety of nutritious foods, including fruits, vegetables, whole grains, lean proteins, and healthy fats.
• Limit Alcohol: Avoid excessive alcohol consumption as it can interfere with the effectiveness of Celexa and exacerbate its side effects.
• Caffeine: While there are no strict restrictions, some individuals may find that caffeine affects their mood or sleep. Monitor your intake and adjust as needed.

What should I do if I forget a dose?

If you miss a dose of Celexa, take it as soon as you remember unless it is close to the time for your next dose. In that case, skip the missed dose and continue with your regular schedule. Do not double up on doses to make up for a missed one as this can increase the risk of side effects.

What side effects can this medication cause?

Celexa (citalopram) can cause a range of side effects, although not everyone experiences them. Common side effects include:

• Nausea: Feeling sick to your stomach or having an upset stomach.
• Dry Mouth: A dry feeling in the mouth that can be uncomfortable.
• Drowsiness: Feeling sleepy or tired during the day.
• Insomnia: Difficulty falling asleep or staying asleep.
• Increased Sweating: Experiencing more sweating than usual.
• Sexual Problems: Such as decreased sex drive, difficulty achieving orgasm, or erectile dysfunction.
• Tremors: Shaking or trembling, especially in the hands.
• Weight Changes: Both weight loss and weight gain can occur.
• Dizziness: Feeling lightheaded or dizzy.
• Headache: Mild to moderate headaches may occur.
• Gastrointestinal Effects: Including diarrhea or constipation.
• Agitation or Restlessness: Feeling jittery or anxious.
• Serotonin Syndrome: Though rare, this is a potentially life-threatening condition characterized by symptoms such as confusion, hallucinations, rapid heartbeat, fever, sweating, muscle stiffness, and seizures. Seek immediate medical attention if you experience these symptoms.
• Withdrawal Symptoms: If Celexa is stopped suddenly, withdrawal symptoms such as dizziness, nausea, headache, irritability, and insomnia may occur.
• Other: Some people may also experience allergic reactions, including rash, itching, swelling, or difficulty breathing. If you experience any severe or persistent side effects, contact your healthcare provider.

It’s important to note that not everyone will experience these side effects, and some individuals may tolerate Celexa well with minimal or no side effects. Always discuss any concerns or side effects you experience with your healthcare provider, as they can provide guidance and may adjust your treatment plan if needed.

What should I know about storage and disposal of this medication?

Storage and Disposal of Celexa:

• Storage: Store Celexa at room temperature between 20-25°C (68-77°F). Keep it in a tightly closed container away from moisture and heat. Avoid storing it in the bathroom.
• Disposal: Dispose of any unused or expired Celexa properly according to local guidelines or regulations. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Consult your pharmacist or local waste disposal company for proper disposal methods.

In case of emergency/overdose

• Symptoms of Overdose: Symptoms of Celexa overdose may include nausea, vomiting, rapid heartbeat, dizziness, sweating, tremors, confusion, seizures, and fainting. In severe cases, overdose can lead to coma or death.
• Seek Immediate Medical Help: If you suspect an overdose, call emergency services (911) immediately or go to the nearest emergency room. Be prepared to provide information such as the amount of Celexa taken, the time it was taken, and any symptoms you or the affected person is experiencing.

What other information should I know?

• Follow Doctor’s Instructions: Take Celexa exactly as prescribed by your doctor. Do not change your dose or stop taking the medication without consulting your doctor first.
• Regular Monitoring: Attend all scheduled appointments with your doctor for monitoring of your condition and response to Celexa.
• Inform Healthcare Providers: Inform all healthcare providers involved in your care (including dentists and pharmacists) that you are taking Celexa. This medication can interact with other medications and treatments.
• Avoid Alcohol: Limit or avoid alcohol consumption while taking Celexa, as it can increase the risk of side effects.
• Alertness: Celexa may cause drowsiness or dizziness. Use caution when driving or operating machinery until you know how Celexa affects you.
• Pregnancy and Breastfeeding: Discuss with your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Celexa may pass into breast milk and could harm a nursing baby.
• Side Effects: Be aware of common side effects and potential serious side effects. Contact your doctor if you experience any unusual symptoms or reactions.
• Medical ID: Consider wearing a medical identification bracelet or necklace to alert medical personnel that you are taking Celexa in case of emergency.

Always keep Celexa and any medications out of reach of children and pets. If you have any questions or concerns about Celexa or its use, consult your healthcare provider for personalized advice and guidance.