Doctor insights on:
Adhd And Celexa
Is it ok to take strattera (atomoxetine) and celexa together? I'm on celexa and my shrink just added strattera (atomoxetine) for adhd. On google it says they interact. Help!
MAY BE OKAY: First I would check it out with your physician. Celexa is a serotonin re-uptake inhibitor and strattera (atomoxetine) is a norepinephrine re-uptake inhibitor so ought to be alright together. As stated by others there may need to be dosage adjustments, they do not do the dame thing but both do have an impact on neurotransmitters. ...Read more
Citalopram is a ssri medication used to treat anxiety and depression disorders, it's also used to treat ptsd and ocd. It takes 4 to 6 weeks to be fully effective. Side effects; sedation, minor temporary stomach issues, delayed orgasm in males and rarely weight gain. It is ...Read more
Gabapentin & celexa (citalopram): Gabapentin is often prescribed safely and effectively for anxiety and may be prescribed in combination with celexa, (citalopram) an SSRI. The best way to know if your medication regimen will be safe and effective for you is to discuss with your prescribing doc. Make sure to ask any questions you have about newly prescribed meds & feel better soon :) ...Read more
Yes: Celexa (citalopram) is an SSRI antidepressant and those medications can have effects on sexual function especially difficulty having an orgasm. There is some evidence that alternative med for depression (Welbutrin) may help (should be done under MD direction). Also medications for impotence may help for men and some women. See links to sexual dysfunction in men and women at uptodate. Com ...Read more
Serotonin receptors: Several proposed mechanisms exist for decreased libido due to ssri use including celexa (citalopram). They mainly deal with alterations in neurotransmitter and hormone levels. The main one involves stimulation of 5ht2 and 5ht3 serotonin receptors in the brain. High prolactin levels could also be involved. Inhibition of the enzyme which makes nitric oxide, a vasodilator has also been proposed. ...Read more
Depends on dose/age:
Accidental overdose in a child or infant should receive urgent medical care at an er.
Overdose representing a suicide attempt requires prompt medical evaluation followed possibly by in patient psychiatric care. Celexa (citalopram) overdoses are rarely fatal unless there are other drugs/alcohol also involved. ...Read more
Side effects: If done under md supervision for the right reasons no withrawal side effects, your symptoms may relapse and come back stronger. ...Read more
Most likely: No herb drug interactions have been reported so far, but it has not been systematically studied, then again neither have celery, cabbage, salt, and pepper :). ...Read more
Celexa (citalopram) OD call 911: Doses above 40 mg/day of Celexa (citalopram) are not recommended due to the risk of QT prolongation. Do not take more of this medication than is recommended. An overdose of Celexa (citalopram) can damage your liver or cause serious health problems and death. Call 911 for help! . ...Read more
No: There is no interaction between the 2 medications so they can be taken at the same time. ...Read more
Prozac (fluoxetine) was prototype:
Prozac or fluoxetine was the first selective serotonin reuptake inhibitor. Later ssri's that were developed worked on other subtypes of the serotonin receptors in the brain and thus in theory had less side effects.
Also they were metabolized differently by the liver. Therefore duration of action or interaction with other medications differed.
An example would be different degree of sexual problems. ...Read more
Can happen: Celexa (citalopram), like other ssri antidepressants, can either enhance or interfere with sleep. It depends on the person. I usually tell patients to take ssris in the morning (not at bedtime) to minimize any such effects. Even so, insomnia can still occur. Talk with the prescribing doctor about alternatives if this is an ongoing problem. ...Read more
Mechanism of action:
Celexa (citalopram) is a antidepressant that works mainly on the serotonin metabolism
wellbutrin (bupropion) works in the dopaminergic circuit.
They can be combined for added effect or decrease of side effects of serotonin related antidepressants such as decresed libido. ...Read more
Check with your doc: It is important not to mix medications without, checking first about any interactions. Also, what sort of diet pills do you want to take? Most OTC diet pills are expensive and ultimately ineffective. Think about, whether they are worth any risks they may carry relative to treating your depression/anxiety. ...Read more
Celexa (citalopram): Under supervision, most likely u will tolerate the switch well. ...Read more
Combination of meds: Yes, they can. However, it's best to reduce the dose of citalopram to 20mg. Citalopram and wellbutrin (bupropion) are in different classes thus they have different mechanisms of action. You can liken it to cream AND sugar in your coffee. Ok with one or the other but maybe better with both. I do not recommend taking Phentermine under any circumstances. Pls make sure to discuss all of this with your provider. ...Read more
Yea: Withdrawal can be unpleasant and can last for several weeks, depending on how long you have been taking it. ...Read more
Never do it.: Only take medications as prescribed by your physician. If you have overdosed then go to the ER for appropriate care. ...Read more
Not advisable: It is not advisable to use citalopram and Elavil (amitriptyline) together since there is an increased risk of serotonin syndrome, which although quite rare can happen. A more important issue however is that citalopram and Amitriptyline can both prolong your qtc interval on your ekg. This can lead to a fatal arrhythmia. It would require ongoing ekg monitoring. Please discuss these issues with your prescribing physician. ...Read more
Answered already: I notice that you have several specific questions about definitions. All of them are important since they have concern to you especially any question about a medication overdose. You should discuss all of them together with your psychiatrist as well as with your therapist. ...Read more
They are similar and both are now generic.
I use a glove analogy: When a drug is manufactured, right and left handed gloves are created in the same amount. Your brain is left handed and only uses the left handed gloves.
Celexa contains right and left gloves.
Lexapro has been manufactured with left gloves only.
For some patients, this reduces side effects. " ...Read more
See below: Consult your prescribing doctor asap! If suicidal thoughts become too difficult to handle, please dial 911 or go to the nearest emergency room. ...Read more
Some people: May feel more anxious when they are initially adjusting to taking Celexa (citalopram) (an antidepressant that can also be used for treatment of anxiety). For most this will resolve. However, if an individual has a bipolar predisposition the Celexa (citalopram) may lead to a manic or hypomanic state. Some might have a paradoxic reaction to the SSRI and feel worse. ...Read more
Attention Deficit Hyperactivity Disorder (Adhd) (Definition)
A bio-psycho-social disorder characterized by inattentiveness, hyperactivity, and impulsivity. ADHD typically interferes with daily functioning or mental and social development. It is usually present in childhood, continuing into adulthood, and is genetically transmitted. ...Read more