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    In 1998, Citalopram was approved by the FDA for treatment of major depression. This drug is also prescribed off-label for treatment of a range of other conditions like anxiety disorder, panic attacks, etc. Over the years, Citalopram has shown high effectiveness in the treatment of different mental disorders. For instance, its effectiveness in treatment of generalized anxiety disorder (GAD) has reached 85%.


    Citalopram is a drug that belongs to SSRIs. Mainly, it is used as an antidepressant to treat depression. In the UK and several European countries, this medication is used for treatment of panic disorder. The drug is often used off-label to get rid of panic disorder, anxiety, premenstrual dysphoric disorder (PMDD), obsessive compulsive disorder (OCD) and body dysmorphic disorder (BDD). It has also been proven to be effective in reduction of symptoms of diabetic neuropathy.

    Citalopram can be used in the treatment of migraines, but in order to reach the best results, it is recommended to use combination therapy. This medication can also be prescribed for the treatment of hot flashes. Usually, it takes 4 or more weeks to to have your symptoms improve.


    Citalopram dose depends on many factors, including health condition, age, type of a disorder, etc. Only your healthcare provider can determine the right dose for a particular patient. The initial recommended dosage for depression treatment is 20 mg to take orally once a day. The dose may be increased up to 40 mg a day. It should be done gradually and only if this is recommended by a healthcare provider.

    Warnings and Precautions

    Citalopram is not suitable for people with certain health problems or conditions, including the following:

    bullet_ball_blue Pregnancy or breastfeeding;
    bullet_ball_blue Kidney, liver or heart problems;
    bullet_ball_blue Epilepsy;
    bullet_ball_blue Diabetes;
    bullet_ball_blue Glaucoma;
    bullet_ball_blue Bleeding disorder;
    bullet_ball_blue Mania;
    bullet_ball_blue Treatment with ECT;
    bullet_ball_blue Allergic reactions to this medication;
    bullet_ball_blue Taking MAOI within the last two weeks or some other medications.

    Side Effects

    The following are the common side effects that may occur after taking Citalopram:

    bullet_ball_blue Dizziness;
    bullet_ball_blue Drowsiness;
    bullet_ball_blue Weakness;
    bullet_ball_blue Anxiety;
    bullet_ball_blue Insomnia;
    bullet_ball_blue Feeling shaky;
    bullet_ball_blue Vision changes;
    bullet_ball_blue Nausea;
    bullet_ball_blue Diarrhea;
    bullet_ball_blue Problems with appetite;
    bullet_ball_blue Constipation;
    bullet_ball_blue Dry mouth;
    bullet_ball_blue Cold symptoms;
    bullet_ball_blue Increased sweating;
    bullet_ball_blue Weight loss or gain;
    bullet_ball_blue Sexual problems.

    Drug Interactions

    Citalopram is able to interact with 1042 different medications with 373 major interactions. The use of the following drugs should be avoided if Citalopram is prescribed:

    bullet_ball_blue Ambien (zolpidem);
    bullet_ball_blue Ativan (lorazepam);
    bullet_ball_blue Aspirin;
    bullet_ball_blue Flexeril (cyclobenzaprine);
    bullet_ball_blue Klonopin (clonazepam);
    bullet_ball_blue Neurontin (gabapentin);
    bullet_ball_blue Lamictal (lamotrigine);
    bullet_ball_blue Gabapentin;
    bullet_ball_blue Lasix (furosemide);
    bullet_ball_blue Lisinopril;
    bullet_ball_blue Levothyroxine;
    bullet_ball_blue Metformin;
    bullet_ball_blue Omeprazole;
    bullet_ball_blue Prilosec (omeprazole);
    bullet_ball_blue Synthroid (levothyroxine);
    bullet_ball_blue Seroquel (quetiapine);
    bullet_ball_blue Tramadol;
    bullet_ball_blue Trazodone;
    bullet_ball_blue Vitamin D3 (cholecalciferol);
    bullet_ball_blue Xanax (alprazolam) and others.

    Consult your healthcare provider before you start using any drug along with Citalopram.


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