International Brand Name:
Celexa,Cipramil,Citrol, Citabax,citaxin,Citalec, Celapram,Ciazil
Adverse Effects:
1. Nausea
2. Diarrhoea
3. Insomnia
4. Somnolence
5. Dry mouth
6. Fatigue
7. Increased sweating
8. Tremor
9. Dizziness
10. Agitation
11. Dyspepsia
12. Anorexia
13. Abdominal pain
14. Dysmenorrhea
15. Amenorrhea
16. Ejaculation disorder
17. Impotence
18. Polyuria
19. Upper respiratory tract infection
20. Fever
21. Myalgia
22. Arthralgia
Contraiindication:
1.Hypersensitivity to Citalopram,
2.Patient on MAOI (Monoamine oxidase inhibitor) therapy.
Special Precaution:
1. Hepatic impairment
2. Renal impairment
3. Myocardial infarction
4. Cardiac failure
5. Epilepsy
6. Mania
7. Alcoholics
8. Patient on MAOI therapy (Discontinue the MAO inhibitor at least 2 weeks before Citalopram is started)
9. Use cautiously in patient at risk for suicide
10. Use caution while driving vehicle, operating machine and activities requiring mental alertness or judgment
Interaction:
Ketoconazole, itraconazole, macrolide antibiotics and omeprazole: Decrease clearance of citalopram.
Metoprolol: Increase plasma level of metoprolol.
Azole antifungals: Increase citalopram plasma levels .
Beta-blockers: Increase effect of beta-blocker; reduce initial beta blocker dose.
Carbamazepine: Decrease citalopram plasma levels; increase serum carbamazepine levels.
Imipramine: Increase drug metabolite (desimipramine) by 50%
Lithium: Possible serotonergic effects of citalopram
Macrolide antibiotics (e.g.erythromycin): Increase citalopram plasma levels
MAO inhibitors: Possible serious and sometimes fatal reactions, including hyperthermia, rigidity, myoclonus, autonomic instability, mental status changes (extreme agitation, delirium, coma)
Servings:
Adult: Initial dose: 10 mg / day, dose can be increased to 20 mg / day if sufficient response does not occur after 1 week