Hi, i take 20mg cytalopram at bedtime. i forgot to take it last night so i took it this morning at 7:30am. is it okay to proceed with my next dose tonight? thanks

Citalopram : Citalopram belongs to a class of antidepressants known as ssris or selective serotonin reuptake inhibitors. It has a relatively long half-life (23-45 hours). In plain terms this means that after skipping a dose, citalopram level in the blood plasma decreases by half only in a day or two. Because of this long half-life, taking two doses of citalopram in a shorter than recommended interval, (one dose in the morning and one in the evening of the same day) could substantially increase its blood plasma concentration. In rare instances this may result in a serotonin syndrome. Symptoms of serotonin syndrome include nausea, diarrhea, chills, sweating, dizziness, elevated temperature, elevated blood pressure, palpitations, increased muscle tone, muscle twitching, restlessness, agitation, disorientation, confusion. In rare cases these symptoms may progress to coma and death. The likelyhood of serotonin syndrome occurring depends on several factors. These factors may include the overall state of the person's medical health, e.g. Health of the liver, kidneys, heart, and other medications that that person is taking. It is not known from your question whether any of these factors could come into play in your case. Therefore, since you already took your dally dose of citalopram, the best strategy would be to take your next dose on the next day.

Yes: You may take the medication as you proposed. Wish you good health! - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex.