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Doctor insights on: Citalopram

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Dr. Alan Ali
921 Doctors shared insights

Citalopram (Overview)

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 also approved for adolescents.


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What is citalopram taken for?

What is citalopram taken for?

Celexa (citalopram): I agree with dr. Williamson, but also add that ssri's are used to treat anxiety. ...Read more

Dr. Alan Ali
921 Doctors shared insights

Citalopram (Overview)

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 also approved for adolescents.


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My doctor started me on citalopram 20mg almost 2 weeks ago for severe depression and I still feel exactly the same just less hungry. Any advice?

My doctor started me on citalopram 20mg almost 2 weeks ago for severe depression and I still feel exactly the same just less hungry. Any advice?

Give it more time.: Most people generally require at least 6 to 8 weeks on a particular anti-depressant before they really begin to get the full effects of the drug. If you've only been on it for two weeks, and you're not having any side effects, then I would keep taking it for at least another 4-6 weeks, if not longer. If you still don't see an effect, check w/your doctor about possibly increasing dose or switching. ...Read more

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Is it bettet to take citalopram in the morning or at night?

Morning: Most psychiatrists prescribe citalopram (and other ssri's like paroxetine, fluoxetine, s-citalopram, sertraline) in the morning, because ssri's can cause insomnia in many people. However, in some individuals, ssri's can cause tiredness, fatigue, or sleepiness, in which case you could take the citalopram at bedtime. ...Read more

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Please describe the medication: citalopram?

Please describe the medication: citalopram?

SSRI antidepressant: 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 also approved for adolescents. ...Read more

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Why would my neurologist prescribe citalopram 20mg for headaches? Amitryptaline wasn't effective and reaction to topamax (topiramate). Headaches decreased, not gone.

Why would my neurologist prescribe citalopram 20mg for headaches? Amitryptaline wasn't effective and reaction to topamax (topiramate). Headaches decreased, not gone.

Pain and depression: Sometimes headaches may be a somatic or physical manifestation of depression or anxiety. In that case, antidepressants such as Celexa (citalopram) may help. Ssri's may cause side effects including headaches, so if you still continue to have symptoms see your physician. ...Read more

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Been prescribed citalopram alongside flupentixol. Are these ok to take together? Should I space out the time I take them?

Been prescribed citalopram alongside flupentixol. Are these ok to take together? Should I space out the time I take them?

OK: It is always best to ask your Doctor as he should know your full medical history and would not prescribe it if there were contra indications. This combination is not unusual, Citalopram for depression/anxiety, Flupentizol for Psychosis. Anytime you add a medication to another there could be more side effects, so you may want to take them at different times until you see how your body/mind reacts ...Read more

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Therapist told mom to take citalopram. Had heart angio and stents 2 months ago! Uses plavix (clopidogrel) metaprolol and asprin! Is it ok to use citalopram? Dosage?

Therapist told mom to take citalopram. Had heart angio and stents 2 months ago! Uses plavix (clopidogrel) metaprolol and asprin! Is it ok to use citalopram? Dosage?

Celexa (citalopram): The usual starting dose is 20mg once daily. I feel that collaboration between the cardiologist and the psychiatrist is advisable in this case in view of your mom's cardiac condition as high doses of citalopram have been associated with cardiac rhythm disorders. There is probably no harmful cardiac effects in the low doses, however. ...Read more

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Right and left side of my head hurt along with it radiating to my left part of the upper back is this muscle spasms from the citalopram used to be on?

Right and left side of my head hurt along with it radiating to my left part of the upper back is this muscle spasms from the citalopram used to be on?

See your physician: There are many types of headaches (migraine, tension, cluster) and many reasons for each type. Alternatively, you could have sinus or other issues. It would be helpful for you to keep a log of the frequency, duration, location, and intensity of your headaches, along with associated symptoms, and take it to your physician. Http://www. Nlm. Nih. Gov/medlineplus/headache.html ...Read more

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Is citalopram effective to treat manic depression?

Is citalopram effective to treat manic depression?

Caution: Citalopram can treat depression. The issue is, that -- in patients who have bipolar disorder -- antidepressants like citalopram can increase the risk of switching from a depressed or normal mood to one that is manic. Often a mood stabilizer is added to prevent such a mood switch. So it is important to discuss this issue and how to deal with it in advance with your psychiatrist. ...Read more

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How long do I need to take citalopram before it is fully effective? I have heard it takes several weeks to work.

2-4 weeks.: Usually doses are adjusted every two weeks if no improvement is seen. You doctor would direct you on this. Anxiety symptoms could improve earlier. ...Read more

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When you stop taking citalopram, how long is it before the side effects start to kick in?

When you stop taking citalopram, how long is it before the side effects start to kick in?

Withdrawal?: Do you mean, when do withdrawal symptoms kick in? If you have been tapered off the medication in a thoughtful way, then you shouldn't experience withdrawal. If you stopped cold turkey, then you may experience withdrawal symptoms after a day or week, depending on the individual. ...Read more

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Is citalopram safe for women who are pregnant or breastfeeding?

Is citalopram safe for women who are pregnant or breastfeeding?

Usually: I agree with dr. Crystal's reference, but come to a different conclusion. This is a risk-benefit decision must be made between yourself and your physician. The majority of the data indicate citalopram is likely safe is breastfeeding as well as pregnancy. A resource that puts this into context is: http://www. Womensmentalhealth. Org/specialty-clinics/psychiatric-disorders-during-pregnancy/. ...Read more

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I was prescribed citalopram, 20mg daily. But I was taking 80mg of ginkgo biloba for just 3 days, prior to this. When can I safely start citalopram?

I was prescribed citalopram, 20mg daily. But I was taking 80mg of ginkgo biloba for just 3 days, prior to this. When can I safely start citalopram?

Gingko biloba: The elimination half-lives of the most active constituents in gingko (gingkolide a ; b, and bilobalide) are 2-7 hours. This means they would be effectively gone from your system in 24-35 hours. You could probably start your prescription citalopram today, if you want to. Http://www. Mskcc. Org/cancer-care/herb/ginkgo. ...Read more

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Stopping citalopram antidepressents 40mg without reducing (cold turkey) in pregnancy is this dangerous?

Stopping citalopram antidepressents 40mg without reducing (cold turkey) in pregnancy is this dangerous?

Possibly: You should never stop anything cold turkey without discussing it with a physician. I know you may have panicked when you found out you were pregnant but if your body goes through withdrawals so does your baby. Consult your doctor. Take Care and All the Best ...Read more

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What are the effects of taking more than the prescribed amount of citalopram?

Depends on amount: Taking more or less of a prescription medicatoin than the doctor has ordered is rarely if ever a good idea. Accidental missed or double doses do occur, though. With citalopram, a single double dose probably will have no noticeable effect. Very high doses of this and other ssris can cause "serotonin syndrome, " however, which includes restlessness, elevated bp, and fever and can be fatal. ...Read more

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Ringing in ears (tinnitus) side effect citalopram?

Not seen: As noted in other response, I've seen with wellbutrin and meds affecting norepinephrine such as cymbalta (duloxetine). Anxiety makes it worse. Check hearing and consider low dose of klonopin. ...Read more

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What are the side effects of citalopram?

Maybe none: Most tolerate it well. Most common are nausea, sedation, insomnia, sweating, tremor, diarrhea, or increased anxiety which are usually transient if they occur. Sexual side effects may be persistent, but are less common than with other ssri. Discuss any symptoms you think may be related with your prescribing doc. ...Read more

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How long does it take for citalopram (celexa) to get out of your system completely?

How long does it take for citalopram (celexa) to get out of your system completely?

Quickly: The medication itself does not stay in the body for very long time. Probably, in a few days, it is gone. The effect from citalopram might last for a number of weeks after you stopped it. Normally, after people stop antidepressants, nothing happens and they wonder why they took them to begin with. And months or two later depression comes back, but they always blame on something for this new depress. ...Read more

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How long does citalopram last in your system after you stop taking it?

Citalopram: The elimination half-life of citalopram can be from 23-45 hours -- and it takes 5 times this for a medication to be processed from your body. By this calculation, at the most it would be 5 x 45 hours = 225 hours -- amounting to a little over 9 days. ...Read more

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How long do the effects of citalopram (celexa) last after you stop taking it?

2+ weeks, roughly: Antidepressants take some time to start working, and they take a similar amount of time to stop working, too. This varies from about a week to a month or more. But for most people it's about 2 or 3 weeks. Note that this applies to the antidepressant effect. Side effects such as agitation or upset stomach usually start right away, and end right away too, often in a day or two after stopping. ...Read more

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Does citalopram interact with garcinia cambogua extract?

May cause GI symptom: Garcinia is a fruit extract marketed as a weight loss supplement. High doses of garcinia may act as a laxative. Be careful of excess nausea, vomiting and diarrhea when taking both meds as these are potential side effects observed in both. ...Read more

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What interactions could citalopram have when taken along side of adderall (dextroamphetamine and racemic amphetamine)? Could it cause increased impulsive speech, insomnia and racing thoughts?

What interactions could citalopram have when taken along side of adderall (dextroamphetamine and racemic amphetamine)? Could it cause increased impulsive speech, insomnia and racing thoughts?

Yesi: Citralopram -as can any sari can push a vulnerable person into mania or hypo mania that could manifest with the symptoms you mention-not really likely to be related to any real interaction with adder all. Use or addition of citralopram could reveal a previously unrecognized or new presentation of a "bipolar like" mood disorder-speak to your dr should stop citralopram probably. ...Read more

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Is there anyway to mix citalopram with orlistat?

Why?: I don't find any reports of interactions from taking these 2 drugs together. ...Read more

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Overdosed on citalopram. How long does it take to leave your body so I can be normal again?

About 5 days.: It generally takes five 1/2 lives for a drug to clear your system. If a drug is daily dose then 1/2 life is usually one day. You may feel slightly lightheaded while the drug is clearing. If you overdosed as a suicidal attempt you really need to follow up with your doctor or other mental health professional. ...Read more

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Does amitriptyline work well for hypochondria? I'm only on 10mg, x4 weeks. Not helping much, brought my appetite back, that's it. Can I take citalopram 10mg in morning and amtriptyline 10mg at bedtime?

Does amitriptyline work well for hypochondria? I'm only on 10mg, x4 weeks. Not helping much, brought my appetite back, that's it. Can I take citalopram 10mg in morning and amtriptyline 10mg at bedtime?

Need therapy too: Amitriptylene does not "work for hypochondria" per se, but it can decrease certain physical symptoms like anxiety, insomnia, and loss of appetite. At this low dose it can be taken safely at bedtime while you're also on Celexa (citalopram) -- hoping you're working with a psychiatrist on this. Individual psychotherapy is essential in hypochondriasis, so you learn to work with anxiety in healthy ways. ...Read more

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I accidentally took one dose to many of my citalopram hydrobromide 40mg and focalinXR 24 hr. 40 mg. I just cut back on my focaln. What should I do.?

I accidentally took one dose to many of my citalopram hydrobromide 40mg and focalinXR 24 hr. 40 mg. I just cut back on my focaln. What should I do.?

1 extra dose: 1 extra dose should not cause you any serious issues. BUT, you need to be aware of and remember your daily dosing better. Try putting the meds the same place every day, or better yet getting weekly pill dispenser filled weekly, and when the pills are gone, you know you took them. Best wishes. ...Read more

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What is citalopram taken for?

Celexa (citalopram): I agree with dr. Williamson, but also add that ssri's are used to treat anxiety. ...Read more

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Does citalopram 60 mgms. Work?

Not necessarily.: Studies have shown that 40 mg of citalopram is as good as 60 mg. Always go for the lowest effective dose. ...Read more

Dr. Alan Ali
741 Doctors shared insights

Celexa (Definition)

Celexa is a serotonin reuptake blocker which is a kind of ...Read more