Citalopram
Uses of Citalopram
The principal use of Citalopram is to manage depression in adults. It is part of the selective serotonin reuptake inhibitor (SSRI) class of medications.
Citalopram is also indicated for managing panic disorder and is sometimes used off-label for conditions such as anxiety disorders, obsessive-compulsive disorder (OCD), eating disorders, and premenstrual dysphoric disorder (PMDD).
Side effects of Citalopram
Nausea
Dry mouth
Fatigue or drowsiness
Increased sweating
Sexual dysfunction
How Citalopram works
Citalopram is a selective serotonin reuptake inhibitor (SSRI) antidepressant.
It functions by blocking the reabsorption, or reuptake, of serotonin in the brain. Serotonin is a neurotransmitter, a kind of chemical that helps send messages from one nerve cell to another in the brain.
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Expert Advice
Dosage Forms Available
Citalopram can be taken orally (tablets and oral solutions).
Age and Dose Restrictions
Citalopram is primarily prescribed for adults aged 18 and above.
Contraindications
Citalopram is contraindicated in patients with a known allergy to the medication.
Patients with a history of mania or seizures should not take this medicine. Additionally, those with certain heart conditions, bleeding disorders, or low blood levels of potassium or magnesium should avoid using Citalopram.
Other Medications to Avoid
Citalopram may interact with monoamine oxidase inhibitors (such as isocarboxazid, and phenelzine), and tricyclic antidepressants (like amitriptyline).
Overdose and Missed Dose
An overdose of Citalopram may cause symptoms such as nausea, vomiting, drowsiness, dizziness, uncontrollable shaking of a part of the body, a fast heartbeat, and seizures. In case of suspected overdose, seek immediate medical attention.
If you miss a dose of this medicine, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up doses to make up for a missed one.
Management of Side Effects
Most side effects are temporary, generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
For side effects such as dry mouth, frequent sips of water throughout the day may help.
If you experience drowsiness or fatigue, taking the medication in the evening or before bedtime may be beneficial.
Use in Driving and Operating Machinery
Citalopram can cause side effects such as dizziness and drowsiness that may impair your ability to drive or operate heavy machinery. Avoid these activities if you experience these symptoms.
Use in Pregnancy and Lactation
Citalopram is not recommended during pregnancy unless clearly necessary, as it may cause complications in newborns. The medication can be passed to infants through breast milk. Consult your doctor before using Citalopram while breastfeeding.
Caution in Other Conditions
Caution should be exercised while using Citalopram in patients with liver or kidney problems.
Patients with certain heart conditions should also use this medication with caution due to the risk of QT prolongation.
Special Dietary and Lifestyle Recommendations
Incorporating relaxation techniques such as yoga, meditation, or deep breathing exercises can help manage stress levels associated with depression or anxiety.
Frequently asked questions
Does Citalopram cause weight changes?
Some people may experience weight changes while taking Citalopram. Some may gain weight due to an increase in appetite, while others may lose weight due to nausea or loss of appetite. It is important to discuss any significant weight changes with your doctor.
Is Citalopram a steroid?
No, Citalopram is not a steroid. It is an antidepressant medication belonging to the selective serotonin reuptake inhibitor (SSRI) class.
Does Citalopram have any effect on sleep?
Yes, Citalopram can influence sleep patterns. Side effects such as insomnia or drowsiness can occur in some people.
Will Citalopram affect fertility?
Citalopram has not been reported to directly affect fertility. However, any concerns regarding fertility should be discussed with your doctor.
What is the best time to take Citalopram?
Citalopram can be taken in the morning or evening as per your doctor's instructions. It can be taken with or without food.
How long does Citalopram take to work?
Citalopram usually starts showing some benefits within 1-2 weeks of starting treatment. However, it typically takes between 2-4 weeks for the full antidepressant effects to become apparent.
Is Citalopram safe for long-term use?
Citalopram is generally safe for long-term use, but it should be taken under the supervision of a doctor, who will monitor your response and make any necessary adjustments.
Citalopram in other salts
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