Antidepressants and Anti Anxiety >> Celexa
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 Generic Name: Citalopram (sye-TAL-oh-pram)
Brand Name: Celexa
The RISK OF SUICIDAL THINKING AND BEHAVIOR was increased by antidepressants in short-term studies in children and adolescents with certain psychiatric disorders. Anyone considering the use of Celexa or any other antidepressant in a child or adolescent must balance this risk with the clinical need. Patients who are started on therapy should be watched closely for worsening of symptoms, suicidal thoughts and behavior, or unusual behavior changes. Families and caregivers should be aware of the need for shut observation and communication with the prescriber. Results from several studies in children and adolescents with certain psychiatric disorders have revealed a greater risk of side effects related to suicidal thinking and behavior during the first few months of treatment with antidepressants. |
Celexa is taken for:
Treating depression. It might and be taken for other conditions as determined by your physician.
Celexa is a selective serotonin reuptake inhibitor (SSRI). It helps to restore the brain's chemical balance by increasing the supply of serotonin, which helps improve mood.
Do NOT use Celexa if:
- you are allergic to any ingredient in Celexa
- you are taking or have taken a monoamine oxidase (MAO) inhibitor (eg, phenelzine) or St. John's wort within the last 14 days
- you are taking astemizole, pimozide, dexfenfluramine, fenfluramine, phenothiazines (eg, thioridazine), sibutramine, or terfenadine
Contact your physician or health care provider right away if any of these apply to you.
Before taking Celexa :Tell your physician or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are
pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have suicidal tendencies or have attempted suicide, liver or kidney disease, stomach bleeding, seizures, or mania
Some MEDICINES MIGHT INTERACT with Celexa . Tell your health care provider if you are taking any other medicines (especially any of the following):
- Cyproheptadine or risperidone because the effectiveness of Celexa might be decreased
- Anorexiants (eg, phentermine), linezolid, lithium, or sumatriptan because side effects such as irritability or altered consciousness might occur
- Clozapine, H1 antagonists (eg, diphenhydramine), metoclopramide, phenothiazines
(eg, thioridazine), risperidone, or trazodone because the actions and side effects of these medicines might be increased
- Sumatriptan because the effectiveness of Celexa might be decreased
- Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because of increased risk of bleeding of the stomach and bowels
- Fenfluramine and derivatives, MAO inhibitors (eg, phenelzine), selegiline, sibutramine, St. John's wort, and tramadol because the actions and side effects, such as irritability or altered consciousness, of these medicines might be increased
- Pimozide because the risk of a change in heart rhythm might be increased
This might not be a complete list of all interactions that might occur. Ask your health care provider if Celexa might interact with other medicines that you use. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Celexa :Use Celexa as directed by your physician. Check the label on the medicine for exact dosing instructions.
- Celexa comes with an additional patient information sheet called a Medication Guide. Read it carefully and reread it each time you get Celexa refilled.
- Celexa might be taken with or without food.
- You might notice improvement in your depression in 1 to 4 weeks. Continue to use your medicine as directed even when depression improves.
- If it is chief to stop Celexa , your physician will need to reduce the dosage over a few days to a week.
- Do not miss any doses.
If you miss a dose of Celexa , skip the missed dose and go back to your natural dosing schedule. Do not use 2 doses at one time.
Ask your health care provider any questions you might have about how to use Celexa .
Important safety information:
- Celexa might cause dizziness or drowsiness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Celexa . Taking Celexa alone, with other medicines, or with alcohol might lessen your ability to drive or perform other potentially dangerous tasks.
- If you experience a worsening of your symptoms (anxiety, agitation, insomnia, irritability, restlessness, or suicidal thinking) contact your physician immediately.
- Celexa will add to the effects of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants.
- Additional
monitoring of your condition is recommended at the start of treatment with Celexa and whenever a change in your dose is made.
- LAB TESTS might be performed to monitor your progress. Be sure to store all physician and lab appointments.
- Celexa is not recommended for use in CHILDREN. Safety and effectiveness have not been confirmed.
- PREGNANCY and BREAST-FEEDING: Celexa has been shown to cause harm to the human fetus. If you become pregnant, discuss with your physician the benefits and risks of taking Celexa during pregnancy. If you are pregnant, talk with your physician about gradually decreasing your dose during the last trimester of pregnancy. Celexa is excreted in breast milk. Do not breast-feed while taking Celexa .
Possible side effects of Celexa :All medicines might cause side effects, however many people have no, or minor, side effects.
Check with your physician if any of these most GENERAL side effects persist or become bothersome: Change in taste; decreased menstrual flow or painful periods; diarrhea; dry mouth; ejaculation disorder; impotence; increased sweating; loss of appetite; nausea;
runny nose; sinus inflammation; tiredness; tremor; upset stomach; weight loss or gain. Seek medical attention right away if any of these SEVERE side effects occur: Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); anxiety; cold sweat; confusion; dizziness; fatigue; hostility; impulsiveness; irritability;
lack of concern; mania; mental/mood changes; panic attacks; restlessness;
seizures; shakiness; sleeplessness; sore throat or fever; suicidal thoughts or behaviors; vision changes; worsening of depression.
This is not a complete list of all side effects that might occur. If you have
questions or need medical advice about side effects, contact your physician or health care provider. You might report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.
If OVERDOSE is suspected:Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms might include dizziness; drowsiness;
fast heartbeat; nausea; sweating; tremor; vomiting.
Proper storage of Celexa :Store Celexa at room temperature, between 59 and 77 degrees F
(15 and 25 degrees C) in a tightly closed container. Store away from heat, moisture, and thin. Do not store in the bathroom. Store Celexa out of the reach of children and away from pets.
General information:
- If you have any questions about Celexa , please talk
with your physician, pharmacist, or other health care provider.
- Celexa is to be taken only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your physician.
This information is a summary only. It does not contain all information about Celexa . If you have questions about the medicine you are taking or would like more information, check with your physician, pharmacist, or other health care provider.
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