Citalopram is licensed in the UK and other European countries for panic disorder, with or without agoraphobia. Citalopram is frequently used off-label to treat anxiety, panic disorder, dysthymia, premenstrual dysphoric disorder, body dysmorphic disorder and obsessive disorder.
What is Celexa and what does it treat?
Citalopram is an antidepressant medication that works in the brain. It is approved for the treatment of major depressive disorder (MDD).
Symptoms of depression include:
1. Depressed mood - feeling sad, empty, or tearful
2. Feeling worthless, guilty, hopeless, and helpless
3. Loss of interest or pleasure in your usual activities
4. Sleep and eat more or less than usual (for most people it is less)
5. Low energy, trouble concentrating, or thoughts of death (suicidal thinking)
Psychomotor retardation (feeling like you are moving and thinking in slow motion)
Suicidal thoughts or behaviors
What is the most important information I should know about Celexa?
Do not stop taking citalopram even when you feel better. Only your healthcare provider can determine the length of treatment that is right for you.
Missing doses of citalopram may increase your risk for relapse in your symptoms.
Stopping citalopram abruptly may result in one or more of the following withdrawal symptoms: irritability, nausea, feeling dizzy, vomiting, nightmares, headache, and/or paresthesias (prickling, tingling sensation on the skin).
Are there specific concerns about Celexa and pregnancy?
If you are planning on becoming pregnant, notify your healthcare provider to best manage your medications. People living with MDD who wish to become pregnant face important decisions. Untreated MDD has risks to the fetus, as well as the mother. It is important to discuss the risks and benefits of treatment with your doctor and caregivers.
Caution is advised with breastfeeding since citalopram does pass into breast milk.
How should I take Celexa?
Citalopram is usually taken 1 time per day with or without food.
Typically patients begin at a low dose of medicine and the dose is increased slowly over several weeks.
The dose usually ranges from 20 mg to 40 mg once daily. For patients older than 60 years, the maximum recommended dose is 20 mg once daily. Only your healthcare provider can determine the correct dose for you.
Consider using a calendar, pillbox, alarm clock, or cell to help you remember to take your medication. You may also ask a family member or friend to remind you or check in with you to be sure you are taking your medication.
What happens if I miss a dose of Celexa?
If you miss a dose of citalopram, take it as soon as you remember, unless it is closer to the time of your next dose. Discuss this with your healthcare provider. Do not double your next dose or take more than what is prescribed.
What should I avoid while taking Celexa?
Avoid drinking alcohol or using illegal drugs while you are taking antidepressant medications. They may decrease the benefits (e.g., worsen your condition) and increase adverse effects (e.g., sedation) of the medication.
What happens if I overdose with Celexa?
If an overdose occurs, call your doctor. You may need urgent medical care. You may also contact the poison control center.
What are the possible side effects of Celexa?
Common Side Effects:
Headache, nausea, diarrhea, dry mouth, increased sweating
Feeling nervous, restless, fatigued, sleepy or having trouble sleeping (insomnia)
These will often improve over the first week or two as you continue to take the medication.
How long does it take for Celexa to work?
Sleep, energy, or appetite may show some improvement within the first 1-2 weeks. Improvement in these physical symptoms can be an important early signal that the medication is working. Depressed mood and lack of interest in activities may need up to 6-8 weeks to fully improve.