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Precautions

Do NOT use Citalopram if:

• you're allergic to the ingredient in Citalopram
• you consider escitalopram
• you are taking or took a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort during the last 14 days
• you consider a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, or sibutramine.

Contact your doctor or doctor without delay if these connect with you.

Some medical conditions may connect to Citalopram. Tell your medical professional or pharmacist if you have any medical ailments, especially if any in the following apply to you:

• if you might be pregnant, likely to become pregnant, or are breast-feeding
• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, and other substances
• if you or even a loved one carries a reputation bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• when you have a good reputation for seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems
• if you're dehydrated, have low blood sodium levels, or drink alcohol
• if you may be having electroconvulsive therapy (ECT).

Some medicines may communicate with Citalopram. Tell your health care provider if you take any other medicines, especially any from 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 effects, for instance a reaction which could include fever, rigid muscles, blood pressure level changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) since the chance of bleeding, including stomach bleeding, could be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that likelihood of low blood sodium levels could be increased
• Tramadol because the probability of seizures may be increased
• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart disease, including irregular heartbeat, may occur
• Carbamazepine or cyproheptadine given that they may decrease Citalopram's effectiveness
• Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) for the reason that chance of their side effects could possibly be increased by Citalopram.

This is probably not a complete list of all interactions that may occur. Ask your doctor if Citalopram may interact with other medicines that you take. Check together with your physician before you begin, stop, or customize the dose from a medicine.

Important safety information:

• Citalopram could potentially cause drowsiness or dizziness. These effects may be worse if you go on it with alcohol or certain medicines. Use Citalopram with caution. Do not drive or perform other possible unsafe tasks before you know how you answer it.
• Do not are drinking alcoholic beverages while you're using Citalopram.
• Check using your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you happen to be using Citalopram; it may increase their effects. Ask your friendly phamacist in case you have questions regarding which medicines could potentially cause drowsiness.
• One to four weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, improve your dose, or use Citalopram for longer than prescribed without checking along with your doctor.
• Children, teenagers, and teenagers who take Citalopram could be at increased risk for suicidal thoughts or actions. Watch all patients taking Citalopram closely. Contact the physician at once if new, worsened, or sudden symptoms for example depressed mood; anxious, restless, or irritable behavior; panic disorder; or any unusual difference in mood or behavior occur. Contact the physician straight away if any indications of suicidal thoughts or actions occur.
• Citalopram and a medicine called escitalopram have similar active component. Do not take Citalopram if you happen to be also taking escitalopram.
• If a medical expert notifys you to avoid taking Citalopram, you simply must wait for weeks prior to starting to look at certain other medicines (eg, MAOIs, nefazodone). Ask a medical expert whenever you should start to consider your medicines after you've got stopped taking Citalopram.
• Citalopram may rarely create a prolonged, painful erection. This could happen even when you usually are not having sexual intercourse. If this is not treated immediately, it may result in permanent sexual difficulties like impotence. Contact your doctor immediately take place.
• Serotonin syndrome is often a possibly fatal syndrome that may be brought on by Citalopram. Your risk could be greater invest the Citalopram with certain other medicines (eg, "triptans," MAOIs). Symptoms can include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact a medical expert immediately for those who have any of these symptoms.
• Neuroleptic malignant syndrome (NMS) can be a possibly fatal syndrome that may be brought on by Citalopram. Symptoms can sometimes include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact a medical expert simultaneously when you have these symptoms.
• Use Citalopram with caution inside elderly; they could be more sensitive to its effects, especially low blood sodium levels.
• Caution is advised when utilizing Citalopram in kids; they could possibly be more understanding of its effects, especially increased risk of suicidal thoughts or actions.
• Citalopram should be used with warning in kids; safety and effectiveness in children are not confirmed.
• Citalopram could cause weight changes. Children and teenagers might require regular weight and growth checks while they take Citalopram.
• Pregnancy and breast-feeding: Citalopram could cause harm to the fetus if it is employed over the last a couple of months of childbearing. If you become pregnant, contact your doctor. You will need to discuss the rewards and perils of using Citalopram while you happen to be pregnant. Citalopram is situated in breast milk. Do not breastfeed while taking Citalopram.