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Generic Celexa(Generic name: Citalopram Hydrobromide)
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Celexa Overview |
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Celexa (generic name Citalopram Hydrobromide) is anti-depressant medicine.
Information about Celexa such as Celexa usage, Celexa side effects, detailed Celexa description and other you may find on our online pharmacy.
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| Celexa Description |
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brand name: Celexa
generic name: Citalopram
How does it work? Cipramil tablets and drops contain the active ingredient citalopram hydrochloride, which is a type of antidepressant known as a selective serotonin re-uptake inhibitor (SSRI) . (NB. Citalopram is also available without a brand name, ie as the generic medicine.)
Antidepressant medicines act on nerve cells in the brain. In the brain there are numerous different chemical compounds called neurotransmitters. These act as chemical messengers between the nerve cells. Serotonin is one such neurotransmitter and has various functions that we know of.
When serotonin is released from nerve cells in the brain it acts to lighten mood. When it is reabsorbed into the nerve cells, it no longer has an effect on mood. It is thought that when depression occurs, there may be a decreased amount of serotonin released from nerve cells in the brain.
SSRIs work by preventing serotonin from being reabsorbed back into the nerve cells in the brain. This helps prolong the mood lightening effect of any released serotonin. In this way, citalopram helps relieve depression, panic and fear.
It may take between two to four weeks for the benefits of this medicine to appear, so it is very important that you keep taking it, even if it doesn't seem to make much difference at first. If you feel your depression or anxiety has got worse, or if you have any distressing thoughts or feelings in these first few weeks, then you should talk to your doctor.
Why should Celexa not be prescribed? If Celexa gives you an allergic reaction, you cannot continue using it. Also remember that Celexa must never be combined with an MAO inhibitor (see "Most important fact about this drug," above).
General information: - If your symptoms do not improve or if they become worse, check with your doctor.
- Citalopram (Celexa) is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If you have any questions about Citalopram (Celexa) , pharmacist, please talk with your doctor, or other health care provider.
This information is a summary only. It does not contain all information about Citalopram (Celexa) . If you have questions about the medicine you are taking or would like more information, pharmacist, check with your doctor, or other health care provider. Issue Date: September 5, 2007 Database Edition 07.3.1.003 Copyright © 2007 Wolters Kluwer Health, Inc.
What drug(s) may interact with Citalopram (Celexa)?
Do not take Citalopram with any of the following medications:
•cisapride
•esCitalopram
•medicines called MAO inhibitors-phenelzine (Nardil ® ), tramadol, morphine, meperidine, hydrocodone, zolmitriptan)
•medicines for psychosis or severe mood problems
•modafinil
•nefazodone
•nicardipine
•phenobarbital
•phenytoin
•prescription pain relievers (codeine, sumatriptan, rizatriptan, naratriptan, frovatriptan, eletriptan, sibutramine)
•clarithromycin
•cimetidine
•cyproheptadine
•dexamethasone
•dextromethorphan
•dextroamphetamine
•diazepam
•diltiazem
•erythromycin
•ethosuximide
•furazolidone
•grapefruit juice
•kava kava
•ketoconazole
•linezolid
•lithium
•medicines that treat depression or other mood problems
•medicines that treat HIV infection or AIDS
•methadone
•migraine headache medicines (almotriptan, phentermine, fenfluramine, or nonsteroidal antiinflammatory drugs (NSAIDs) such as selegiline (Eldepryl ® ), isocarboxazid (Marplan ® ), tranylcypromine (Parnate ® )
Citalopram may also interact with the following medications:
•alosetron
•alprazolam
•amphetamine
•aspirin, warfarin, ibuprofen or naproxen
•buspirone
•carbamazepine
•certain diet drugs (dexfenfluramine, oxycodone)
•primidone
•procarbazine
•quinine
•rifabutin
•rifampin
•St. John's Wort
•troglitazone
•tryptophan
•valerian
•verapamil
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines. Also tell your prescriber or health care professional if you are a frequent user of grapefruit juice, if you smoke, drinks with caffeine or alcohol, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
Warning! - Following a review of the safety and efficacy of SSRIs to treat depression in children under 18 years of age (unlicensed use), the Committee on Safety of Medicines (CSM) has concluded that the risks of Citalopram (Celexa) outweigh the benefits for treating depressive illness in this age group. If you are under 18 and taking Citalopram for depression you should consult your doctor for advice, but do not suddenly stop taking it as this can cause withdrawal symptoms. Citalopram (Celexa) is not licensed and not recommended for any uses in children and adolescents under 18 years of age.
- You should not suddenly stop taking this medicine, as this can cause withdrawal symptoms such as a feeling of weakness, headache, nausea, sleep disturbances (including intense dreams), dizziness, pins and needles and anxiety. Withdrawal symptoms are temporary and are not due to addiction or dependence on the medicine. They can usually be avoided by stopping the medicine gradually, usually over a period of weeks or months, depending on your individual situation. Follow the instructions given by your doctor when it is time to stop treatment with this medicine. On very rare occasions some people have experienced withdrawal symptoms after accidentally missing a dose of this medicine.
- If you experience seizures (convulsions or fits) while taking this medicine, consult your doctor immediately, as you will need to stop treatment with this medicine. This also applies if you suffer from epilepsy and experience more seizures than normal after starting this medicine.
- Antidepressants may cause the amount of sodium in the blood to drop - a condition called hyponatraemia. This can cause symptoms such as confusion, drowsiness, muscle twitching or convulsions. Elderly people may be particularly susceptible to this effect. You should consult your doctor if you develop any of these symptoms while taking this medicine, so that your blood sodium level can be checked if necessary.
- SSRI antidepressants have been associated with the development of unpleasant or distressing restlessness and the need to move, often accompanied by an inability to sit or stand still. This is most likely to occur within the first few weeks of treatment. If you experience these symptoms you should consult your doctor.
- It is recommended that you avoid drinking alcohol while taking this medicine.
- This medicine may reduce your ability to drive or operate machinery safely. Do not drive or operate machinery until you know how this medicine affects you and you are sure it won't affect your performance.
- Depression and other psychiatric illnesses are associated with an increased risk of suicidal thoughts, self-harm, and suicide. You should be aware that this medicine may not start to make you feel better for at least two to four weeks. However, it is important that you keep taking it in order for it to work properly and for you to feel better. If you feel your depression or anxiety has got worse, or if you have any distressing thoughts, or feelings about suicide or harming yourself in these first few weeks, or indeed at any point during treatment or after stopping treatment, then it is very important to talk to your doctor.
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