They may lower your dosage or change your medication. Contact your doctor immediately if you experience any of the following rare side effects:. It is possible to experience serious drug interactions while taking Celexa with other substances or medications. Make sure your prescribing doctor is up to date on all of your current prescriptions and over-the-counter medications.
The following medications can interact with Celexa:. If you want to stop taking Celexa, it's extremely important to consult with your doctor first. They will help you gradually reduce your dosage. If you stop taking Celexa abruptly, you may experience withdrawal-like symptoms , which can include:. Celexa withdrawal symptoms can begin within three to six days of your last dose and last up to a month in some cases.
Take any missed dose of Celexa as soon as you remember, unless it's close to the time for your next dose. Never take a double dose; instead, skip the missed dose and take the next dose on your regular schedule. The information provided here is meant to be an overview of using Celexa for anxiety disorders. It doesn't cover all possible scenarios. Always consult your medical provider or pharmacist about any questions or concerns you may have about your Celexa prescription.
Learn the best ways to manage stress and negativity in your life. Food and Drug Administration. Celexa label. Published January 11, Revisions to Product Labeling. Selective serotonin reuptake inhibitor use and risk of gastrointestinal and intracranial bleeding. J Osteopath Med. Your Privacy Rights. To change or withdraw your consent choices for VerywellMind. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page.
These choices will be signaled globally to our partners and will not affect browsing data. We and our partners process data to: Actively scan device characteristics for identification. I Accept Show Purposes. Medical attention should be sought if serotonin syndrome is suspected. If you are planning on becoming pregnant, notify your health care provider to best manage your medications. People living with MDD who wish to become pregnant face important decisions.
Untreated MDD has risks to the fetus, as well as the mother. It is important to discuss the risks and benefits of treatment with your doctor and caregivers. For women who take antidepressant medications during weeks 13 through the end of their pregnancy second and third trimesters , there is a risk that the baby can be born before it is fully developed before 37 weeks. This is a potentially fatal condition that is associated with use of the antidepressant in the second half of pregnancy.
However, women who discontinued antidepressant therapy were five times more likely to have a depression relapse than those who continued their antidepressant. If you are pregnant, please discuss the risks and benefits of antidepressant use with your health care provider. Typically patients begin at a low dose of medicine and the dose is increased slowly over several weeks.
The dose usually ranges from 20 mg to 40 mg once daily. For patients older than 60 years, the maximum recommended dose is 20 mg once daily. Only your health care provider can determine the correct dose for you. The liquid should be measured with a dosing spoon or oral syringe which you can get from your pharmacy. Consider using a calendar, pillbox, alarm clock, or cell phone alert to help you remember to take your medication.
You may also ask a family member or friend to remind you or check in with you to be sure you are taking your medication. If you miss a dose of citalopram, take it as soon as you remember, unless it is closer to the time of your next dose. Discuss this with your health care provider. Do not double your next dose or take more than what is prescribed.
Avoid drinking alcohol or using illegal drugs while you are taking antidepressant medications. They may decrease the benefits e. If an overdose occurs, call your doctor or You may need urgent medical care. You may also contact the poison control center at Headache, nausea, diarrhea, dry mouth, increased sweating, feeling nervous, restless, fatigue, or having trouble sleeping insomnia. These will often improve over the first week or two as you continue to take the medication. Sexual side effects, such as problems with orgasm or ejaculatory delay often do not diminish over time.
Low sodium blood levels symptoms of low sodium levels may include headache, weakness, difficulty concentrating and remembering , teeth grinding, angle closure glaucoma symptoms of angle closure glaucoma may include eye pain, changes in vision, swelling or redness in or around eye , serotonin syndrome symptoms may include shivering, diarrhea, confusion, severe muscle tightness, fever, seizures, and death , seizure. SSRI antidepressants including citalopram may increase the risk of bleeding events.
Combined use of aspirin, nonsteroidal anti-inflammatory drugs e. This may include symptoms such as gums that bleed more easily, nose bleed, or gastrointestinal bleeding. Some cases have been life threatening. August Citalopram at doses greater than 40 mg per day could potentially cause a dangerous abnormality in the electrical activity of the heart. Citalopram use is discouraged in patients with congenital long QT syndrome. Patients with low levels of potassium and magnesium in the blood are also at increased risk.
If you are currently taking citalopram at a dose greater than 40 mg per days, talk to your health care professional. It's important to continue taking citalopram to keep you well.
Breastfeeding will also benefit both you and your baby. If you notice that your baby is not feeding as well as usual or seems unusually sleepy, or you have any other concerns about your baby, talk to your health visitor or doctor as soon as possible. For more information about how citalopram can affect you and your baby during pregnancy, read this leaflet on the Best Use of Medicines in Pregnancy BUMPs website. Some medicines and citalopram can interfere with each other and increase the chances of you having side effects.
Tell your doctor if you're taking these medicines before you start citalopram :. Do not take St John's wort, the herbal remedy for depression, while you're being treated with citalopram as this will increase your risk of side effects.
Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. Citalopram is one of a group of antidepressants called selective serotonin reuptake inhibitors, or SSRIs.
These medicines are thought to work by increasing the levels of a mood-enhancing chemical called serotonin in the brain. You may not notice much improvement in your symptoms for 1 or 2 weeks until citalopram begins to take effect. Do not stop taking citalopram after 1 or 2 weeks just because you feel it is not helping your symptoms. Antidepressants like citalopram help to jump start your mood so you feel better. You may notice that you sleep better and get on with people more easily because you're less anxious.
You'll hopefully take little things that used to worry you in your stride. Citalopram w ill not change your personality or make you feel euphorically happy. It'll simply help you feel like yourself again. Do not expect to feel better overnight, though. Some people feel worse during the first few weeks of treatment before they begin to feel better.
Once you're feeling better it's likely that you'll continue to take citalopram for several more months to prevent the symptoms returning. You'll need to discuss with your doctor the pros and cons of continuing to take citalopram for longer than a few months. The decision will depend on the type and severity of your symptoms, whether it's a one-off problem or one that keeps coming back, how well citalopram works for you, and whether you have had any bad side effects.
A few people may get sexual side effects, such as problems getting an erection or a lower sex drive. In some cases these can continue even after stopping the medicine.
Speak to your doctor if you are worried. Otherwise there do not seem to be any lasting harmful effects from taking citalopram for many months and years.
If you have been feeling better for 6 months or more, your doctor may suggest coming off citalopram. Your doctor will probably recommend reducing your dose gradually over several weeks, or longer if you have been taking citalopram for a long time. This is to help prevent any extra side effects you might get as a reaction to coming off the medicine. Do not stop taking citalopram suddenly or without talking to your doctor first. But sometimes people respond better to one antidepressant than to another.
Citalopram can make you feel less hungry, so you may lose weight when you first start taking it. If you start to have problems with your weight while taking citalopram, talk to your doctor or pharmacist. Some people cannot concentrate properly while they're taking citalopram. It might be best to stop driving and cycling for the first few days of treatment until you know how this medicine makes you feel. There's some evidence that citalopram can reduce the quality of sperm, but it's not known whether this reduces male fertility.
The effect should reverse once you stop taking the medicine. Speak to your doctor if you're concerned. For women, there's no firm evidence to suggest that taking citalopram will reduce your fertility. But speak to a pharmacist or your doctor if you're trying to get pregnant.
They may want to review your treatment. Citalopram will not affect any type of contraception, including the combined pill or emergency contraception. The good effects of citalopram may, after a while, improve your sex life as your mood lifts and you become interested in life and relationships again.
Sexual side effects usually pass after the first couple of weeks. However, very rarely, they can be long lasting and may not get better even after stopping the medicine. If these happen and are a problem for you, go back to your doctor to see if there's another treatment you can try. You can drink alcohol while taking citalopram, but it may make you feel sleepy. It might be best to stop drinking alcohol until you see how the medicine makes you feel.
Antidepressants, including citalopram, are just one of several approaches to treating depression. Choosing a treatment that's most suitable for you depends on how long you have had depression, your symptoms, whether you have had any previous bouts of depression, whether previous treatment has worked, how likely you are to stick with your treatment, the potential side effects, and your preferences and priorities.
Citalopram and escitalopram are both medicines used to treat depression. Cannabis can also make drowsiness worse with citalopram, especially in people who have just started taking it. Methadone can increase the risk of side effects in people taking citalopram.
0コメント