Celexa (Citalopram)
Class and Category of Drug
Before you buy Celexa (Citalopram) online, read common information about the medication.
Chemical class: Racemic, bicyclic phthalate derivative
Therapeutic class: Antidepressant
Pregnancy category: C
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Drug Indications and Dosages
Before purchase Celexa (Citalopram) online , you must read how it works.
To treat depression
Oral Solution,Tablets
Adults. Initial: 20 mg daily. Increased by 20 mg at weekly intervals, as prescribed. Usual:: 40 mg daily. Maximum: 60 mg daily.
Dosage Adjustment
For elderly patients, maximum dosage is 40 mg daily.
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Contraindications of Drug
Read contraindications if you want cheap Celexa (Citalopram) online.
Hypersensitivity to citalopram or its components, use within 14 days of MAO inhibitor therapy
Generic Drug Interactions
Drugs
amitriptyline, bromocriptine, buspirone, clomipramine, dextromethorphan, fluoxetine, fluvoxamine, furazolidone, imipramine, levodopa, lithium, meperidine, naratriptan, nefazodone, paroxetine, pentazocine, phenelzine, procarbazine, selegiline, sertraline, sibutramine, sumatriptan, tramadol, tranylcypromine, trazodone, venlafaxine, zolmitriptan: Possibly enhanced serotonergic effects of citalopram, resulting in agitation, chills, confusion, diaphoresis, diarrhea, fever, hyperreflexia, hypomania, incoordination, myoclonus, or tremor
aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), warfarin: Increased risk of bleeding ranging from ecchymoses to life-threatening hemorrhage
carbamazepine: Possibly increased clearance of citalopram
cimetidine: Possibly increased blood citalopram level
desipramine, metoprolol: Increased blood levels of these drugs
furazolidone, procarbazine, selegiline: Possibly hyperthermia, rigidity, myoclonus, and extreme agitation progressing to delirium and coma
itraconazole, ketoconazole, macrolide antibi-
otics, omeprazole: Possibly decreased clearance of citalopram
MAO inhibitors: Increased risk of life-threatening serotonin syndrome or neuroleptic malignant syndrome
warfarin: Possibly increased PT
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Drugs Adverse Reactions
Central Nervous System: Agitation, akathisia, anxiety, asthenia, delirium, dizziness, drowsiness, dyskinesia, fatigue, fever, insomnia, myoclonus, neuroleptic malignant syndrome, seizures, serotonin syndrome, suicidal ideation, tremor
Cardiovascular: Chest pain, prolonged QT interval, thrombosis, ventricular arrhythmias
Eyes, Ears, Nose, And Throat: Blurred vision, dry mouth, rhinitis, sinusitis
Gastrointestinal: Abdominal pain, anorexia, diarrhea, gastrointestinal bleeding, hepatic necrosis, indigestion, nausea, pancreatitis, vomiting
Genitourinary: Acute renal failure, anorgasmia, decreased libido, dysmenorrhea, ejaculation disorders, impotence, priapism
Hematologic: Abnormal bleeding, decreased PT, hemolytic anemia, thrombocytopenia
Musculoskeletal: Arthralgia, myalgia, rhabdomyolysis
Respiratory: Upper respiratory tract infection
Skin: Diaphoresis, ecchymosis, erythema multiforme
Other: Anaphylaxis, angioedema, hyponatremia, weight gain or loss
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Nursing Considerations for Generic Drugs
WARNING When citalopram dosage increases, monitor patient for possible serotonin syndrome, which may include agitation, chills, confusion, diaphoresis, diarrhea, fever, hyperactive reflexes, poor coordination, restlessness, shaking, talking or acting with uncontrolled excitement, tremor, and twitching. In its most severe form, serotonin syndrome can resemble neuroleptic malignant syndrome, which includes a high fever, muscle rigidity, autonomic instability with possible changes in vital signs, and mental status changes.
• Be aware that effective antidepressant therapy may convert depression into mania in predisposed people. If patient develops symptoms of mania, notify pre-scriber immediately and expect to discontinue citalopram.
• Monitor patient with hepatic disease for increased adverse reactions because drug is extensively metabolized in the liver.
• Assess elderly patients and those taking diuretics for signs suggesting syndrome of inappropriate secretion of antidiuretic hormone, including hyponatremia and increased serum and urine osmolarity
• If patient (especially a child or adolescent) takes citalopram for depression, monitor him closely for suicidal tendencies, especially when therapy starts or dosage changes, because depression may worsen at these times.
• To stop therapy, expect to reduce dosage gradually to avoid serious adverse reactions.
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Citalopram
Preparations
International Brand Drug Names
The information about drugs (tablets, pills, capsules, creams, solution, nasal spray, inhaler) around the world.
The United States Pharmacopeia 31, 2008: Citalopram Tablets.
Proprietary Preparations
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