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Precautions

Do NOT use Celexa if:

• you happen to be allergic to your ingredient in Celexa
• you take escitalopram
• you consider or took a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort within the past 14 days
• you take a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, or sibutramine.

Contact a medical expert or physician straight away if any of these affect you.

Some health conditions may talk with Celexa. Tell your medical professional or pharmacist for those who have any medical ailments, in particular when any from the following affect you:

• if you happen to be pregnant, about to conceive, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or any other substances
• if you or perhaps a loved one features a good bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• if you have a good reputation for seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems
• if you happen to be dehydrated, have low blood sodium levels, or consume alcohol
• if you'll be having electroconvulsive therapy (ECT).

Some medicines may interact with Celexa. Tell your medical provider if you are taking some other medicines, especially any in the following:

• 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 trazodone because severe unwanted side effects, for instance a reaction which could include fever, rigid muscles, blood pressure levels changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) as the chance of bleeding, including stomach bleeding, may be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that chance of low blood sodium levels could possibly be increased
• Tramadol as the likelihood of seizures could be increased
• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart problems, including irregular heartbeat, may occur
• Carbamazepine or cyproheptadine simply because they may decrease Celexa's effectiveness
• Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) because the chance of their side effects could be increased by Celexa.

This may not be a complete set of all interactions that could occur. Ask your doctor if Celexa may connect to other medicines that you just take. Check along with your physician prior to starting, stop, or affect the dose from a medicine.

Important safety information:

• Celexa could cause drowsiness or dizziness. These effects may be worse if you go with alcohol or certain medicines. Use Celexa with caution. Do not drive or perform other possible unsafe tasks before you understand how you react to it.
• Do not are drinking alcohol while you might be using Celexa.
• Check using your doctor before you use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you might be using Celexa; it might enhance their effects. Ask your pharmacist for those who have questions on which medicines could potentially cause drowsiness.
• One to 4 weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, alter your dose, or use Celexa for longer than prescribed without checking along with your doctor.
• Children, teenagers, and teenagers having Celexa might be at increased risk for suicidal thoughts or actions. Watch all patients who take Celexa closely. Contact the physician at once if new, worsened, or sudden symptoms like depressed mood; anxious, restless, or irritable behavior; panic disorder; or any unusual alternation in mood or behavior occur. Contact a doctor without delay if any warning signs of suicidal thoughts or actions occur.
• Celexa along with a medicine called escitalopram have a similar active ingredient. Do not take Celexa if you might be also taking escitalopram.
• If your doctor tells you to prevent taking Celexa, you need to await a few months before you begin to take certain other medicines (eg, MAOIs, nefazodone). Ask a medical expert once you should start to take a new medicines after you've got stopped taking Celexa.
• Celexa may rarely spark a prolonged, painful erection. This could happen even whenever you usually are not having sexual intercourse. If this is not treated straight away, it could possibly cause permanent sexual problems for example impotence. Contact your physician straight away in such a circumstance.
• Serotonin syndrome is a possibly fatal syndrome that could be brought on by Celexa. Your risk might be greater invest the Celexa with certain other medicines (eg, "triptans," MAOIs). Symptoms can sometimes include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; sweating in excess; and nausea, vomiting, or diarrhea. Contact your medical professional at once in case you have any of these symptoms.
• Neuroleptic malignant syndrome (NMS) is really a possibly fatal syndrome which can be a result of Celexa. Symptoms can include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once for those who have all of these symptoms.
• Use Celexa with caution in the elderly; they could possibly be more sensitive to its effects, especially low blood sodium levels.
• Caution is suggested when you use Celexa in children; they may be more responsive to its effects, especially increased likelihood of suicidal thoughts or actions.
• Celexa ought to be used in combination with warning in youngsters; safety and effectiveness in kids are not confirmed.
• Celexa might cause weight changes. Children and teenagers may need regular weight and growth checks while they take Celexa.
• Pregnancy and breast-feeding: Celexa could potentially cause harm to the fetus if it is employed during the last 3 months of being pregnant. If you get pregnant, contact your doctor. You will need to discuss the advantages and risks of using Celexa while you happen to be pregnant. Celexa can be found in breast milk. Do not breastfeed while taking Celexa.