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Citalopram Hydrobromide no prescription needed online
Generic Celexa
Why is Celexa prescribed?
Celexa is used to treat major depression—a stubbornly low mood that persists
nearly every day for at least 2 weeks and interferes with everyday living.
Symptoms may include loss of interest in your usual activities, insomnia or
excessive sleeping, a change in weight or appetite, constant fidgeting or a
slowdown in movement, fatigue, feelings of worthlessness or guilt, difficulty
thinking or concentrating, and repeated thoughts of suicide.
Like the antidepressant medications fluoxetine hydrochloride, paroxetine
hydrochloride, and sertraline, Celexa is thought to work by boosting serotonin
levels in the brain. Serotonin, one of the nervous system's primary chemical
messengers, is known to elevate mood.
Most important fact about Celexa
Be careful to avoid taking Celexa for 2 weeks before or after using an
antidepressant known as an MAO inhibitor. Drugs in this category include
phenelzine sulfate and tranylcypromine sulfate. Combining Celexa with one of
these medications could lead to a serious—even fatal—reaction.
How should you take Celexa?
Celexa is available in tablet and liquid forms. Take either formulation once
a day, in the morning or evening, with or without food. Although your depression
will begin to lift in 1 to 4 weeks, you should continue taking Celexa regularly.
It takes several months for the medication to yield its full benefits.
- If you miss a dose...
Take it as soon as you remember. If it is almost time for your next dose, skip
the one you missed and go back to your regular schedule. Do not take 2 doses
at the same time.
- Storage instructions...
Store at room temperature.
What side effects may occur?
Side effects cannot be anticipated. If any develop or change in intensity,
inform your doctor as soon as possible. Only your doctor can determine if it is
safe for you to continue taking Celexa.
- Side effects may include:
Abdominal pain, agitation, anxiety, diarrhea, drowsiness, dry mouth,
ejaculation disorders, fatigue, impotence, indigestion, insomnia, loss of
appetite, nausea, painful menstruation, respiratory tract infection, sinus or
nasal inflammation, sweating, tremor, vomiting
Special warnings about Celexa
In clinical studies, antidepressants increased the risk of suicidal thinking
and behavior in children and adolescents with depression and other 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. Celexa has
not been studied in children or adolescents and is not approved for treating
anyone less than 18 years old.
Additionally, the progression of major depression is associated with a
worsening of symptoms and/or the emergence of suicidal thinking or behavior in
both adults and children, whether or not they are taking antidepressants.
Individuals being treated with Celexa and their caregivers should watch for any
change in symptoms or any new symptoms that appear suddenly—especially agitation,
anxiety, hostility, panic, restlessness, extreme hyperactivity, and suicidal
thinking or behavior—and report them to the doctor immediately. Be especially
observant at the beginning of treatment or whenever there is a change in dose.
In recommended doses, Celexa does not seem to impair judgment or motor skills.
However, a theoretical possibility of such problems remains, so you should use
caution when driving or operating dangerous equipment until you are certain of
Celexa's effect.
There is a slight chance that Celexa will trigger a manic episode. Use Celexa
with caution if you suffer from manic-depression (bipolar disorder). Use caution,
too, if you are over 60 years old, have liver or kidney problems, suffer from
heart disease or high blood pressure, or have ever had seizures.
Possible food and drug interactions when taking Celexa
Celexa does not increase the effects of alcohol. Nevertheless, it's
considered unwise to combine Celexa with alcohol or any other drug that affects
the brain. (Be particularly careful to avoid MAO inhibitors.)
If Celexa is taken with certain other drugs, the effects of either could be
increased, decreased, or altered. Tell your doctor about any prescription or
over-the-counter drugs you are planning to take, and be especially certain to
check with him before combining Celexa with the following:
- Carbamazepine
- Cimetidine
- Erythromycin
- Fluconazole
- Itraconazole
- Ketoconazole
- Lithium
- Metoprolol
- Omeprazole
- Other
antidepressants such as amitriptyline, desipramine, imipramine, and
nortriptyline
- Sumatriptan
- Warfarin
Special information if you are pregnant or breastfeeding
The effects of Celexa during pregnancy have not been adequately studied, and
the potential for harm has not been ruled out. If you are pregnant or plan to
become pregnant while on Celexa therapy, tell your doctor immediately.
Celexa appears in breast milk and will affect the nursing infant. You should
consider discontinuing either breastfeeding or Celexa. Talk with your doctor
about the pros and cons of each option.
Recommended dosage for Celexa
ADULTS
The recommended starting dose of Celexa tablets or oral solution is 20
milligrams once a day. Dosage is usually increased to 40 milligrams once daily
after at least a week has passed. Do not exceed 40 milligrams a day.
For older adults and those who have liver problems, the recommended dose is
20 milligrams once a day.
Overdosage
Any medication taken in excess can have serious consequences. If you suspect
an overdose, seek medical attention immediately.
- Symptoms of Celexa overdose may include:
Amnesia, bluish or purplish discoloration of the skin, coma, confusion,
convulsions, dizziness, drowsiness, hyperventilation, nausea, rapid heartbeat,
sweating, tremor, vomiting
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