citalopram (generic name)

Celexa (brand name)

It is used to treat depression.
(sye TAL oh pram)
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What is this medicine?

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

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

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 this medicine suddenly except upon the advice of your doctor. Stopping this medicine too quickly may cause serious side effects or your condition may worsen.

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 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.

What may interact with this medicine?

Do not take this medicine with any of the following medications:
  • cisapride
  • dofetlide
  • dronedarone
  • escitalopram
  • linezolid
  • MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
  • methylene blue (injected into a vein)
  • pimozide
  • posaconazole
  • thioridazine
  • ziprasidone

This medicine may also interact with the following medications:

  • alcohol
  • aspirin and aspirin-like medicines
  • carbamazepine
  • certain medicines for depression, anxiety, or psychotic disturbances
  • certain medicines for fungal infections like ketoconazole and itraconazole
  • certain medicines used to treat infections like chloroquine, clarithromycin, erythromycin, pentamidine
  • certain medicines for migraine headaches like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
  • cimetidine
  • diuretics
  • fentanyl
  • furazolidone
  • isoniazid
  • lithium
  • medicines for sleep
  • medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin
  • methadone
  • metoprolol
  • NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
  • omeprazole
  • other medicines that prolong the QT interval (cause an abnormal heart rhythm)
  • procarbazine
  • rasagiline
  • supplements like St. John's wort, kava kava, valerian
  • tramadol
  • tryptophan

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Last Updated: May 03, 2013
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