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Citalopram Hydrobromide Oral solution

What is this medicine?

CITALOPRAM (sye TAL oh pram) is used to treat depression.

How should I use this medicine?

Take this medicine by mouth. Follow the directions on the prescription label. Use a specially marked spoon or container to measure your medicine. Ask your pharmacist if you do not have one. Household spoons are not accurate. This medicine can be taken with or without food. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.

A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Patients over 60 years old may have a stronger reaction and need a smaller dose.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

  • chest pain

  • confusion

  • dizziness

  • fast, irregular heartbeat

  • fast talking and excited feelings or actions that are out of control

  • feeling faint or lightheaded, falls

  • hallucination, loss of contact with reality

  • seizures

  • shortness of breath

  • suicidal thoughts or other mood changes

  • unusual bleeding or bruising

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • blurred vision

  • change in appetite

  • change in sex drive or performance

  • headache

  • increased sweating

  • nausea

  • trouble sleeping

What may interact with this medicine?

Do not take this medicine with any of the following medications:

  • certain diet drugs like dexfenfluramine, fenfluramine, phentermine, sibutramine

  • cisapride

  • escitalopram

  • linezolid

  • MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

  • methylene blue

  • pimozide

  • procarbazine

  • tryptophan

This medicine may also interact with the following medications:

  • amphetamine or dextroamphetamine

  • arsenic trioxide

  • aspirin and aspirin-like drugs

  • carbamazepine

  • certain medicines for fungal infections like ketoconazole and itraconazole

  • certain medicines used to treat infections like chloroquine, clarithromycin, erythromycin, pentamidine

  • certain medicines for irregular heart beat like amiodarone, disopyramide, dofetilide, ibutilide, procainamide, propafenone, quinidine, sotalol

  • cimetidine

  • lithium

  • medicines for depression, anxiety, or psychotic disturbances

  • medicines for migraine headache like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan

  • medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin

  • medicines that treat HIV infection or AIDS

  • methadone

  • metoprolol

  • NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen

  • omeprazole

  • posaconazole

  • St. John's wort

  • tramadol

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

Where should I keep my medicine?

Keep out of reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

  • bipolar disorder or a family history of bipolar disorder

  • diabetes

  • heart disease

  • history of irregular heartbeat

  • kidney or liver disease

  • low levels of magnesium or potassium in the blood

  • receiving electroconvulsive therapy

  • seizures (convulsions)

  • suicidal thoughts or a previous suicide attempt

  • an unusual or allergic reaction to citalopram, escitalopram, other medicines, foods, dyes, or preservatives

  • pregnant or trying to become pregnant

  • breast-feeding

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. Continue to take your medicine even if you do not feel better right away. It can take about 4 weeks before you feel the full effect of this medicine.

Patients and their families should watch out for depression or thoughts of suicide that get worse. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of antidepressant treatment or after a change in dose, call your health care professional.

If you have been taking this medicine regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose, or your symptoms may get worse. Ask your doctor or health care professional for advice.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

Do not treat yourself for coughs, colds, or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water will help.