Citalopram

Citalopram 10mg, 20mg, 40mg
Citalopram is an antidepressant medication that belongs to the selective serotonin reuptake inhibitor (SSRI) class, primarily used to treat major depressive disorder and anxiety disorders. By increasing the levels of serotonin in the brain, it helps improve mood, relieve anxiety, and enhance overall emotional well-being. It is commonly prescribed for individuals struggling with depression and is known for its efficacy and relatively mild side effect profile.
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Citalopram is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression and anxiety. It works by increasing the levels of serotonin, a natural substance in the brain that helps maintain mental balance, thereby improving mood.
Uses / Indications
- Major depressive disorder
- Generalized anxiety disorder
- Obsessive-compulsive disorder (OCD)
- Panic disorder
- Social anxiety disorder
Dosage and Administration
Adults:
Initial dose of 20 mg once daily, which may be increased by your doctor up to a maximum of 40 mg daily based on response and tolerability.
Older adults (65 years and older):
Start with 10 mg once daily, which may be adjusted as needed.
Note: Dosage may vary depending on individual health needs and doctor’s recommendations.
How It Works (Mechanism of Action)
Citalopram works by selectively inhibiting the reuptake of serotonin, thereby increasing its availability in the synaptic cleft. This action helps to improve mood and alleviate anxiety by restoring the balance of serotonin in the brain.
Side Effects
Common side effects:
- Nausea
- Dry mouth
- Sleepiness or insomnia
- Increased sweating
- Fatigue
Rare/serious side effects:
- Serotonin syndrome (symptoms include hallucinations, agitation, rapid heartbeat)
- Suicidal thoughts or behaviors
- Severe allergic reactions (rash, itching/swelling)
Seek medical attention if serious side effects occur.
Precautions / Warnings
- Inform your doctor if you have a history of seizures, liver disease, or bipolar disorder
- Use caution if combining with other medications that affect serotonin levels
- Regular monitoring may be required for individuals with a history of substance abuse
Drug Interactions
May interact with:
- Monoamine oxidase inhibitors (MAOIs)
- Other antidepressants
- Blood thinners (e.g., warfarin)
- Medications that affect liver enzymes
Always inform your healthcare provider about any other medications, supplements, or herbal products you’re taking.
Storage Instructions
- Store at room temperature (20°C–25°C / 68°F–77°F)
- Keep away from moisture, heat, and direct light
- Keep out of reach of children
Missed Dose / Overdose
Missed a dose?
Take it as soon as you remember. If it’s almost time for your next dose, skip the missed one. Do not double up.
Overdose symptoms:
- Severe drowsiness
- Rapid heartbeat
- Nausea or vomiting
- Seizures (in severe cases)
Contact a poison control center or seek emergency medical help immediately.
Contraindications
- Allergic to Citalopram or any of its ingredients
- Concurrently using MAOIs or within 14 days of stopping an MAOI
Brand Names / Alternatives
- Celexa
- Generic name: Citalopram