Citalopram : Before Using

Citalopram - Systemic

Brand Names

Celexa Citalopram *** Before Using *** How to Use *** Fore Safe Use *** Side Effects

Before Using

In deciding to using a medication, the chance of taking the drug must be weighed against the good it will do. This is a decision you will make. For citalopram, the following must be considered

Allergic reaction

Tell your family doctor if you have any unusual or allergy to citalopram. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy care

Studies have not been done in pregnant women. However, studies in pets have shown that citalopram may cause decreased survival rates and slowed growth in offspring when given to the mother in doses many times higher than the usual human dose. Before taking this drug, make sure your family doctor knows if you are pregnant or if you may become pregnant.

Breast-feeding problem

Citalopram passes into breast milk and may cause unwanted effects, such as drowsiness, decreased feeding and weight loss in the breast-fed baby. It may be necessary for you to take another drug or to stop breast-feeding during treat. Be sure you have discussed the chance and benefits of the drug with your family doctor.

Use for Children

Citalopram must be using with caution in child with depression. Studies have shown occurrences of children thinking about suicide or attempting suicide in clinical trials for this drug. More study is needed to be sure citalopram is safe and effective in child.

Elderly care

This drug has been tested and has not been shown to cause various side effects or problems in elderly people than it does in adults people. However, citalopram is removed from the body more slowly in elderly people and an older person may need a lower dose than a younger adult.

Drug interactions

Although certain medication must not be using together at all, in other cases two various medication may be using together even if an interaction might occur. In these cases, your family doctor may want to change the dose, or other precautions may be necessary. When you are taking citalopram, it is especially important that your health care professional know if you are taking any of the following:

Bromocriptine - Parlodel
Buspirone - BuSpar
Certain tricyclic antidepressants - amitriptyline " Elavil ", clomipramine " Anafranil ", or imipramine " Tofranil "
Dextromethorphan - cough drug
Levodopa - Sinemet
Lithium - Eskalith
Meperidine - Demerol
Moclobemide - Manerix
Nefazodone - Serzone
Pentazocine - Talwin
Selective serotonin reuptake inhibitors, other - fluoxetine " Prozac ", fluvoxamine " Luvox ", paroxetine " Paxil ", sertraline " Zoloft "
Street drugs - LSD, MDMA " ecstasy ", marijuana
Tramadol - Ultram
Trazodone - Desyrel
Triptans - Imitrex
Tryptophan
Venlafaxine - Effexor Using these medication with citalopram may increase the risk of developing a rare, but very serious, unwanted effect known as the serotonin syndrome. This syndrome may cause confusion, diarrhea, fever, poor coordination, restlessness, shivering, sweating, talking or acting with excitement you can't control, trembling or shaking, or twitching. If you develop these symptoms, contact your family doctor as soon as possible

Monoamine oxidase - MAO inhibitors - furazolidone " Furoxone ", isocarboxazid " Marplan ", phenelzine " Nardil ", procarbazine " Matulane ", selegiline " Eldepryl ", tranylcypromine " Parnate " Do not take citalopram while you are taking or within 2 weeks of taking an MAO inhibitor. If you do, you may develop confusion, agitation, restlessness, stomach or intestinal symptoms, sudden high body temperature, extremely high blood pressure, severe convulsions, or the serotonin syndrome. At least 14 days must pass between stopping treat with one drug - citalopram or the MAO inhibitor and starting treat with the other

Other Information for using

The presence of other medical problems may effect the use of citalopram. Make sure you tell your family doctor if you have any other medical problems, especially:

Bipolar disorder - history of May be activated

Diabetes mellitus - sugar diabetes Hypoglycemia has occurred rarely in diabetic diseaseds receiving citalopram

Kidney disease, severe Until enough diseaseds have been evaluated, caution is recommended for diseaseds with severe kidney disease

Liver disease Higher blood levels of citalopram may occur, increasing the risk of having unwanted effects. You may need to take a lower dose than a person without kidney or liver disease

Mania - history of May be activated

Seizure disorders - history of The risk of having seizures may be increased