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Celexa (Citalopram) Prescription Information

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Celexa TabletsThe following information is a summary about Celexa. It is not intended to replace a doctor's instructions.

Celexa USES
Celexa (Citalopram) is used to treat depression. Celexa works by helping to restore the balance of certain natural chemicals in the brain. Celexa has also been used to treat certain eating disorders (e.g., anorexia nervosa, bulimia).

Celexa DIRECTIONS
Take Celexa by mouth usually once daily, with or without food; or as directed by your doctor. The dosage is based on your medical condition and response to therapy. It is important to continue taking Celexa as prescribed even if you feel well. Also, do not stop taking Celexa without consulting your doctor. It may take up to several weeks before the full benefit of Celexa takes effect.

Celexa SIDE EFFECTS
Nausea, drowsiness, diarrhea, trouble sleeping, upset stomach, or dry mouth may occur. If any of these effects persist or worsen, notify your doctor promptly. Tell your doctor immediately if any of these serious side effects occur: vomiting, loss of appetite, unusual or severe mental/mood changes, increased sweating/flushing, unusual fatigue, uncontrolled movements (tremor). Tell your doctor immediately if any of these unlikely but serious side effects occur: blurred vision, stomach pain, fever, joint pain, muscle pain, unusually fast heartbeat, decreased interest in sex, changes in sexual ability, change in amount of urine. Tell your doctor immediately if any of these highly unlikelybut very serious side effects occur: weight changes, taste changes, changes in menstrual period, unusual swelling of the hands/feet/face, seizures, painful and/or prolonged erection. If you notice other effects not listed above, contact your doctor or pharmacist.

Celexa PRECAUTIONS
Tell your doctor your medical history, especially of: liver problems, kidney problems, seizures, heart problems, other mental/mood disorders (e.g., bipolar disorder), thyroid problems, any allergies. Celexa may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. Caution is advised when using this product in the elderly because they may be more sensitive to the effects of the drug. Celexa should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Celexa passes into breast milk. Because of the potential risk to the infant, breast-feeding while using Celexa is not recommended. Consult your doctor before breast-feeding.

Celexa DRUG INTERACTIONS
Certain medications taken with Celexa could result in serious, even fatal, drug interactions. Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, selegiline, tranylcypromine) within 2 weeks before or after treatment with Celexa. Consult your doctor or pharmacist for additional information. Celexa is not recommended for use with: weight loss drugs (e.g., sibutramine, phentermine). Ask your doctor or pharmacist for more details. Tell your doctor of all prescription and nonprescription medication you may use, especially: other SSRI antidepressants (e.g., fluoxetine, sertraline), nefazodone, trazodone, tramadol, venlafaxine, "triptan" migraine drugs (e.g., sumatriptan, zolmitriptan), tricyclic antidepressants (e.g., amitriptyline, nortriptyline), cimetidine, lithium, itraconazole, macrolide antibiotics (e.g., clarithromycin, erythromycin), any herbal/ natural products (e.g., melatonin, St John's wort, ayahuasca). Tell your doctor if you take any drugs that cause drowsiness such as: medicine for sleep, sedatives, tranquilizers, anti- anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine), anti-seizure drugs (e.g., carbamazepine), muscle relaxants, certain antihistamines (e.g., diphenhydramine). Do not start or stop any medicine without doctor or pharmacist approval.

Celexa OVERDOSE
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: irregular heartbeat, fainting, severe dizziness or lightheadedness.

Celexa NOTES
Do not share Celexa with others. Inform all your doctors you use (or have used) Celexa.

MISSED DOSE
If you miss a dose, use Celexa as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

Celexa STORAGE
Store Celexa at room temperature between 36 and 77 degrees F (2 -25 degrees C) away from light and moisture.


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