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Precautions

Do NOT use Celexa if:

• you are allergic to your ingredient in Celexa
• you are taking escitalopram
• you consider or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort during the last 14 days
• you are taking a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, or sibutramine.

Contact your doctor or physician straight away if these affect you.

Some medical conditions may interact with Celexa. Tell your doctor or pharmacist in case you have any medical ailments, particularly if any of the following apply to you:

• if you're pregnant, intending to get pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you or possibly a loved one features a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• when you have a good seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems
• if you might be dehydrated, have low blood sodium levels, or drink alcohol
• if you'll be having electroconvulsive therapy (ECT).

Some medicines may interact with Celexa. Tell your doctor if you consider some other medicines, especially any of the following:

• Fenfluramine derivatives (eg, dexfenfluramine), linezolid, lithium, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT₁ receptor agonists (eg, sumatriptan), sibutramine, St. John's wort, or trazodone because severe unwanted effects, say for example a reaction that may include fever, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) for the reason that probability of bleeding, including stomach bleeding, could possibly be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that risk of low blood sodium levels could be increased
• Tramadol since the chance of seizures could possibly be increased
• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart problems, including irregular heartbeat, may occur
• Carbamazepine or cyproheptadine since they may decrease Celexa's effectiveness
• Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) since the probability of their unwanted side effects could be increased by Celexa.

This will not be a complete list of all interactions that could occur. Ask your doctor if Celexa may interact with other medicines which you take. Check along with your health care provider before starting, stop, or customize the dose of any medicine.

Important safety information:

• Celexa could potentially cause drowsiness or dizziness. These effects could possibly be worse if you get it with alcohol or certain medicines. Use Celexa with caution. Do not drive or perform other possible unsafe tasks unless you discover how you answer it.
• Do not are drinking alcohol while you might be using Celexa.
• Check together with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Celexa; it may well add to their effects. Ask the pharmacist if you have questions on which medicines might cause drowsiness.
• One to four weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, improve your dose, or use Celexa for more than prescribed without checking together with your doctor.
• Children, teenagers, and adults having Celexa might be at increased risk for suicidal thoughts or actions. Watch all patients taking Celexa closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual difference in mood or behavior occur. Contact your physician right away if any indications of suicidal thoughts or actions occur.
• Celexa plus a medicine called escitalopram have a similar active ingredient. Do not take Celexa if you're also taking escitalopram.
• If your doctor lets you know to stop taking Celexa, you will have to wait for many weeks before beginning to take certain other medicines (eg, MAOIs, nefazodone). Ask your physician when you should start to look at your medicines after you have stopped taking Celexa.
• Celexa may rarely create a prolonged, painful erection. This could happen even if you usually are not having sex. If this is not treated straight away, it could bring about permanent sexual problems such as impotence. Contact your medical professional straight away should this happen.
• Serotonin syndrome is really a possibly fatal syndrome that can be caused by Celexa. Your risk could possibly be greater for Celexa with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; sweating in excess; and nausea, vomiting, or diarrhea. Contact a medical expert at once if you have some of these symptoms.
• Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome which can be caused by Celexa. Symptoms can sometimes include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact a medical expert at once if you have any of these symptoms.
• Use Celexa with caution in the elderly; they might be more understanding of its effects, especially low blood sodium levels.
• Caution is suggested when you use Celexa in youngsters; they could be more sensitive to its effects, especially increased chance of suicidal thoughts or actions.
• Celexa should be used with extreme caution in kids; safety and effectiveness in youngsters are not confirmed.
• Celexa could potentially cause weight changes. Children and teenagers may require regular weight and growth checks as they definitely take Celexa.
• Pregnancy and breast-feeding: Celexa could cause harm to the fetus if it is used during the last a couple of months of pregnancy. If you conceive, contact your doctor. You will need to discuss the huge benefits and perils of using Celexa while you're pregnant. Celexa is found in breast milk. Do not breastfeed while taking Celexa.