CITALOPRAM

Generic Name : CITALOPRAM

TradeName : CELEPRA film-coated tab CELICA FC-tab CITADEP film-coated tab CITALOMINE tab CITALOP tab CITALOP TAB tab CITARA tab CITOLA film-coated tab CITOPAM tab C-PRAM tab C-TALO tab CYTOP tab FELIZ tab LOPRAM tab MADAM film-coated tab NEVDEP-20 tab PALOCIT tab POCITAL tab TOPDEP tab ULTIDEP tab ZETALO tab

Why it is prescribed (Indications) : This medication is prescribed for depression. It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance.

When it is not to be taken (Contraindications) : Hypersensitivity, concomitant administration with MAOIs(Monoamine Oxidase inhibitors) or within 14 days of discontinuing MAOI treatment; concomitant use with Pimozide, children and adolescents <18 yr.

When it is to be taken : Oral Depression ,bipolar disorder(severe mood swings), Panic disorder( significant behavioral change), with or without agoraphobia(fear of being out of one’s home) Adult: Initially, 20 mg daily, increased to 40 mg once daily after at least 1 wk or 60 mg daily if necessary. Hepatic impairment: Recommended dose: 20 mg daily.

How it should be taken : It comes as a tablet and a solution (liquid) to take by mouth. It is usually taken once a day with or without food.

Special Instruction :
It may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you. It may develop suicidal thoughts in children, teenagers, and young adults. Watch all patients who take this medication closely. Citalopram and a medicine called Escitalopram have the same active ingredient. Do not take Citalopram if you are also taking Escitalopram. Inform your doctor if you have recently had a heart attack and if you have or have ever had seizures or liver, kidney, or heart disease. Serotonin syndrome and Neuroleptic malignant syndrome (NMS that can be caused by this medication. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once if you have any of these symptoms.

Side Effects :
CENTRAL NERVOUS SYSTEM
Headache, tremor, fatigue, asthenia, dizziness, abnormal accommodation, drowsiness, sleeplessness, agitation, nervousness, anxiety, confusion, suicidal tendency.
GI’
Nausea, dry mouth, constipation, diarrhea, increased appetite, in some people loss of appetite, vomiting, abdominal pain, stomach upset, , flatulence, increased salivation.
SKIN
Increased sweating, rash, itching.
GENITOURINARY
Decreased sexual activities, impotence, ejaculation failure.
HEART
Palpitation, postural hypotension.
MISCELLANEOUS
Abnormal vision, yawning, weight loss, stuffy nose, low sodium level in the blood.

Other Precautions :
Do not drink alcohol while you are using this medication. Avoid abrupt withdrawal.

Storage Conditions :
Oral: Store at 25°C. Store it in airtight container and keep away from children.