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Precautions

Do NOT use Citalopram if:

• you happen to be allergic to the ingredient in Citalopram
• you are taking escitalopram
• you consider or have got a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort within the past 14 days
• you are taking a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, or sibutramine.

Contact your medical professional or health care provider straight away if any of these sign up for you.

Some health concerns may talk with Citalopram. Tell your doctor or pharmacist in case you have any medical ailments, particularly if any from the following apply to you:

• if you are pregnant, intending to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or other substances
• if you or even a family member carries a good reputation for bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• when you have a good reputation for seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems
• if you're dehydrated, have low blood sodium levels, or are drinking alcohol
• if you will be having electroconvulsive therapy (ECT).

Some medicines may talk with Citalopram. Tell your health care provider if you take every other medicines, especially any with 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 side effects, say for example a reaction that could include fever, rigid muscles, blood pressure levels changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) since the likelihood of bleeding, including stomach bleeding, could possibly be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) since the probability of low blood sodium levels could be increased
• Tramadol since the probability of seizures might be increased
• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart related illnesses, including irregular heartbeat, may occur
• Carbamazepine or cyproheptadine since they may decrease Citalopram's effectiveness
• Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) for the reason that risk of their unwanted side effects might be increased by Citalopram.

This will not be a total list of all interactions which could occur. Ask your doctor if Citalopram may interact with other medicines which you take. Check together with your physician prior to starting, stop, or change the dose of the medicine.

Important safety information:

• Citalopram could potentially cause drowsiness or dizziness. These effects may be worse if you get it with alcohol or certain medicines. Use Citalopram with caution. Do not drive or perform other possible unsafe tasks until you understand how you reply to it.
• Do not are drinking alcoholic beverages while you happen to be using Citalopram.
• Check along with your doctor before you use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Citalopram; it may increase their effects. Ask the pharmacist in case you have questions about which medicines might cause drowsiness.
• One to four weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, make positive changes to dose, or use Citalopram for over prescribed without checking with your doctor.
• Children, teenagers, and teenagers taking Citalopram could possibly be at increased risk for suicidal thoughts or actions. Watch all patients who take Citalopram closely. Contact a doctor at the same time if new, worsened, or sudden symptoms like depressed mood; anxious, restless, or irritable behavior; anxiety attacks; or any unusual change in mood or behavior occur. Contact your physician without delay if any signs of suicidal thoughts or actions occur.
• Citalopram along with a medicine called escitalopram have similar active component. Do not take Citalopram if you might be also taking escitalopram.
• If your physician lets you know to prevent taking Citalopram, you will need to loose time waiting for many weeks before commencing to look at certain other medicines (eg, MAOIs, nefazodone). Ask your physician when you should start to consider your medicines after you've got stopped taking Citalopram.
• Citalopram may rarely create a prolonged, painful erection. This could happen even whenever you aren't having sex. If this is not treated without delay, it may result in permanent sexual problems for example impotence. Contact your doctor immediately take place.
• Serotonin syndrome is a possibly fatal syndrome that can be brought on by Citalopram. Your risk might be greater for Citalopram with certain other medicines (eg, "triptans," MAOIs). Symptoms can include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your physician at once if you have all of these symptoms.
• Neuroleptic malignant syndrome (NMS) is really a possibly fatal syndrome that may be brought on by Citalopram. Symptoms can sometimes include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your medical professional at once in case you have these symptoms.
• Use Citalopram with caution in the elderly; they might be more understanding of its effects, especially low blood sodium levels.
• Caution is recommended when utilizing Citalopram in youngsters; they could possibly be more understanding of its effects, especially increased risk of suicidal thoughts or actions.
• Citalopram should be combined with extreme caution in youngsters; safety and effectiveness in children have not been confirmed.
• Citalopram might cause weight changes. Children and teenagers may require regular weight and growth checks since they take Citalopram.
• Pregnancy and breast-feeding: Citalopram could cause harm to the fetus if it is utilized over the last 3 months of being pregnant. If you conceive, speak to your doctor. You will need to discuss the benefits and perils associated with using Citalopram while you're pregnant. Citalopram is situated in breast milk. Do not breastfeed while taking Citalopram.