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Precautions

Do NOT use Celexa if:

• you happen to be allergic to your ingredient in Celexa
• you are taking escitalopram
• you are taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort within the last 14 days
• you consider a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, or sibutramine.

Contact your physician or doctor right away if any of these affect you.

Some health conditions may communicate with Celexa. Tell a medical expert or pharmacist in case you have any medical ailments, in particular when any with the following apply to you:

• if you might be pregnant, about to become pregnant, or are breast-feeding
• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or any other substances
• if you or a member of the family carries a reputation bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• if you have a history of seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems
• if you happen to be dehydrated, have low blood sodium levels, or drink alcohol
• if you may be having electroconvulsive therapy (ECT).

Some medicines may connect to Celexa. Tell your doctor if you take another medicines, especially any of the following:

• Fenfluramine derivatives (eg, dexfenfluramine), linezolid, lithium, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT₁ receptor agonists (eg, sumatriptan), sibutramine, St. John's wort, or trazodone because severe side effects, for instance a reaction that may include fever, rigid muscles, blood pressure levels changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) since the risk of bleeding, including stomach bleeding, may be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) as the chance of low blood sodium levels may be increased
• Tramadol since the risk of seizures may be increased
• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe cardiovascular disease, including irregular heartbeat, may occur
• Carbamazepine or cyproheptadine given that they may decrease Celexa's effectiveness
• Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) because the likelihood of their unwanted side effects might be increased by Celexa.

This is probably not a total listing of all interactions which could occur. Ask your doctor if Celexa may interact with other medicines that you take. Check along with your health care provider prior to starting, stop, or alter the dose of any medicine.

Important safety information:

• Celexa may cause drowsiness or dizziness. These effects may be worse if you go with alcohol or certain medicines. Use Celexa with caution. Do not drive or perform other possible unsafe tasks and soon you know how you reply to it.
• Do not consume alcohol while you are using Celexa.
• Check together with your doctor before you use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you're using Celexa; it may well enhance their effects. Ask your pharmacist if you have questions on which medicines could potentially cause drowsiness.
• One to four weeks may pass before your symptoms improve. Do NOT take greater than the recommended dose, make positive changes to dose, or use Celexa for more than prescribed without checking using your doctor.
• Children, teenagers, and young adults who take Celexa could possibly be at increased risk for suicidal thoughts or actions. Watch all patients who take Celexa closely. Contact a doctor simultaneously if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic and anxiety attacks; or any unusual difference in mood or behavior occur. Contact the doctor without delay if any signs of suicidal thoughts or actions occur.
• Celexa and a medicine called escitalopram have the same ingredient. Do not take Celexa if you are also taking escitalopram.
• If your medical professional informs you to stop taking Celexa, you simply must wait for weeks before you begin to consider certain other medicines (eg, MAOIs, nefazodone). Ask a medical expert once you should start to look at your brand-new medicines after you've got stopped taking Celexa.
• Celexa may rarely spark a prolonged, painful erection. This could happen even if you are certainly not having sex. If this is not treated right away, it could possibly result in permanent sexual difficulties such as impotence. Contact your doctor without delay if this happens.
• Serotonin syndrome is often a possibly fatal syndrome that may be caused by Celexa. Your risk may be greater invest the Celexa with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; sweating in excess; and nausea, vomiting, or diarrhea. Contact your doctor immediately when you have any of these symptoms.
• Neuroleptic malignant syndrome (NMS) can be a possibly fatal syndrome that could be a result of Celexa. Symptoms might include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your medical professional simultaneously if you have all of these symptoms.
• Use Celexa with caution inside the elderly; they could be more understanding of its effects, especially low blood sodium levels.
• Caution is required when using Celexa in children; they could be more understanding of its effects, especially increased risk of suicidal thoughts or actions.
• Celexa ought to be used with careful attention in youngsters; safety and effectiveness in youngsters weren't confirmed.
• Celexa may cause weight changes. Children and teenagers might require regular weight and growth checks when they take Celexa.
• Pregnancy and breast-feeding: Celexa could cause harm to the fetus if it can be used during the last 3 months of childbearing. If you conceive, get hold of your doctor. You will need to discuss the benefits and risks of using Celexa while you are pregnant. Celexa can be found in breast milk. Do not breastfeed while taking Celexa.