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Precautions

Do NOT use Citalopram if:

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

Contact a medical expert or doctor without delay if some of these apply to you.

Some health conditions may talk with Citalopram. Tell your doctor or pharmacist if you have any health conditions, particularly if any from the following sign up for you:

• if you happen to be pregnant, about to get pregnant, or are breast-feeding
• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or another substances
• if you or even a relative features a good reputation for bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• if you have a reputation seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems
• if you are dehydrated, have low blood sodium levels, or are drinking alcohol
• if you will end up having electroconvulsive therapy (ECT).

Some medicines may connect to Citalopram. Tell your health care provider if you are taking any other 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 unwanted side effects, like a reaction that may include fever, rigid muscles, blood pressure level changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) for the reason that chance of bleeding, including stomach bleeding, may be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) since the risk of low blood sodium levels could be increased
• Tramadol as the chance of seizures might be increased
• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart related illnesses, including irregular heartbeat, may occur
• Carbamazepine or cyproheptadine given that they may decrease Citalopram's effectiveness
• Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) since the probability of their negative effects could be increased by Citalopram.

This may not be a whole set of all interactions that may occur. Ask your doctor if Citalopram may communicate with other medicines that you just take. Check with your doctor before you begin, stop, or affect the dose from a medicine.

Important safety information:

• Citalopram could potentially cause drowsiness or dizziness. These effects may be worse if you go with alcohol or certain medicines. Use Citalopram with caution. Do not drive or perform other possible unsafe tasks and soon you understand how you reply to it.
• Do not consume alcohol while you happen to be using Citalopram.
• Check with your doctor before you use medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you're using Citalopram; it might add to their effects. Ask the pharmacist when you have questions about which medicines could cause drowsiness.
• One to 4 weeks may pass before your symptoms improve. Do NOT take a lot more than the recommended dose, make positive changes to dose, or use Citalopram for more than prescribed without checking along with your doctor.
• Children, teenagers, and the younger generation taking Citalopram might be at increased risk for suicidal thoughts or actions. Watch all patients who take Citalopram closely. Contact the doctor simultaneously if new, worsened, or sudden symptoms like depressed mood; anxious, restless, or irritable behavior; anxiety attacks; or any unusual alteration of mood or behavior occur. Contact the doctor immediately if any warning signs of suicidal thoughts or actions occur.
• Citalopram plus a medicine called escitalopram have a similar active ingredient. Do not take Citalopram if you might be also taking escitalopram.
• If your medical professional notifys you to avoid taking Citalopram, you need to watch for weeks prior to starting to take certain other medicines (eg, MAOIs, nefazodone). Ask your doctor when you should start to look at a new medicines after you've got stopped taking Citalopram.
• Citalopram may rarely result in a prolonged, painful erection. This could happen even if you are not having sexual intercourse. If this is not treated immediately, it could bring about permanent sexual dysfunctions like impotence. Contact your medical professional without delay take place.
• Serotonin syndrome is often a possibly fatal syndrome that can be caused by Citalopram. Your risk may be greater if you take Citalopram with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; sweating; and nausea, vomiting, or diarrhea. Contact a medical expert immediately when you have some of these symptoms.
• Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that can be caused by Citalopram. Symptoms can include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact a medical expert at once if you have all of these symptoms.
• Use Citalopram with caution inside the elderly; they may be more responsive to its effects, especially low blood sodium levels.
• Caution is advised when using Citalopram in youngsters; they could possibly be more sensitive to its effects, especially increased risk of suicidal thoughts or actions.
• Citalopram ought to be used with careful attention in children; safety and effectiveness in kids are not confirmed.
• Citalopram might cause weight changes. Children and teenagers may require regular weight and growth checks while they take Citalopram.
• Pregnancy and breast-feeding: Citalopram may cause trouble for the fetus if it is used over the past a couple of months of childbearing. If you get pregnant, speak to your doctor. You will need to discuss the benefits and perils associated with using Citalopram while you're pregnant. Citalopram is situated in breast milk. Do not breastfeed while taking Citalopram.