Citalopram Hydrobromide

Citalopram Hydrobromide is an antidepressant that belongs to a group of medicines known as SSRIs or selective serotonin reuptake inhibitors. It is used for the treatment of mental health disorders, including depression, anxiety, OCD, PTSD, and more. The tablets come in different strengths: 10 mg, 20 mg, and 40 mg. The medication should be taken according to the doctor’s directions and may be taken with or without food once daily. For guidance on dosage, storage, and side effects, contact your doctor. For more information on how to buy Citalopram Hydrobromide 20mg tablets online, visit our website.

Citalopram Hydrobromide is an antidepressant medication categorized as a selective serotonin reuptake inhibitor (SSRI). They contain Citalopram Hydrobromide, which increases serotonin levels in the brain, aiding in the treatment of different mental health conditions such as panic disorder, major depressive disorder, obsessive-compulsive disorder, social anxiety disorder, and generalized anxiety disorder. The recommended dosage of Citalopram for adults is 20 mg orally once daily, with a maintenance dose of 20 to 40mg once daily.

It is not recommended for children. Citalopram may be taken with or without food, as directed by your doctor. Common side effects of Citalopram may include blurred vision, nausea, constipation, dizziness, and tremors. It is essential to consult with a doctor before taking Citalopram, especially if you are pregnant, breastfeeding, or have a history of certain medical conditions.

If a dose of the medication is missed, it should be taken as soon as remembered unless it is almost time for the next dose. In case of overdose, immediate medical attention is required. Citalopram should be stored in a tightly closed container at average room temperature, away from excess heat, moisture, and direct light. Outdated or unused medication should be properly disposed of.

• It is used to treat depression.
• It is also sometimes used to treat eating disorders, OCD, panic disorder, premenstrual dysphoric disorder, social anxiety disorder, PTSD, tingling in the hands and feet due to diabetes, and some male sexual problems.

[Important Warning: Citalopram may cause suicidal thoughts or actions in children, teenagers, and young adults. Watch out for severe symptoms and call your doctor immediately]

Dosage

Citalopram Hydrobromide is available in tablet dosages, solutions, and capsules. It comes in different strengths:

• Tablets: 10 mg, 20 mg, 40 mg
• Solutions: 10 mg per 5 ml
• Capsules: 10 mg, 20 mg, 40 mg

Recommended Dosage for Different Patients

Usual Adult Dose for Treatment of Depression

Initial dose: 20 mg orally once daily

Maintenance dose: 20 to 40 mg once daily 

Maximum dose: 40 mg orally once daily 

Usual Geriatric Dose for Treatment of Depression

Daily dose: 20 mg orally once daily

[Note: Remember, these recommendations may vary from person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

• Carefully read the medication instructions and patient information leaflet that came along with your prescription before you start taking the medication.
• Take this drug as directed by your doctor.
• If you have any queries or concerns regarding Citalopram, consult your doctor or pharmacist.
• You may take this medication with or without food, typically once a day at any time you find suitable.
• To get the best results and to maintain consistency, it is necessary to take it at the same time every day.
• To decrease the risk of side effects of Citalopram, your doctor may instruct you to start taking this drug at a low dosage and gradually increase your dose.
• Do not increase your dose or use it for longer than prescribed without asking your doctor.
• Keep taking Citalopram even if you start to feel better.
• Do not stop taking this medication abruptly, as your condition may worsen.
• To help you stop taking this medication, your doctor may gradually reduce your dosage.
• If you notice any new or worsening symptoms, report them immediately.
• Let your doctor know if you feel like your condition is not improving or if it seems to worsen.

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

Citalopram Hydrobromide 20 mg exerts its therapeutic effects by inhibiting the reuptake of serotonin in the brain. Following its release from neurons, serotonin typically binds to postsynaptic receptors, transmitting signals that regulate mood. Citalopram blocks the reuptake process, allowing serotonin to persist in the synaptic cleft and enhancing its availability for binding to receptors. This prolonged presence of serotonin is thought to influence neurotransmission, alleviating symptoms of depression positively. Over time, adaptive changes in neural circuits associated with mood regulation occur, contributing to the medication’s efficacy. The gradual onset of therapeutic effects underscores the complexity of Citalopram’s impact on serotonin levels and its role in managing mood disorders.

Common side effects of Citalopram Hydrobromide include:

• Sexual dysfunction
• Headache
• Dizziness
• Increased thirst, sweating, or urination
• Dry mouth
• Loss of appetite
• Anxiety
• Nausea or vomiting
• Diarrhea
• Constipation
• Fatigue
• Insomnia
• Symptoms of the flu
• Nosebleed

Serious side effects of Citalopram Hydrobromide include:

• Severe allergic reaction
• Menstrual bleeding more than usual
• Unusual bleeding from gums
• Strong feelings of happiness, excitement, enthusiasm, or restlessness
• Coughing blood
• Blood in urine or stool

[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]

• Let your doctor know if you are pregnant, especially in the final stages of pregnancy, or if you plan on getting pregnant or are breastfeeding a baby.
• Citalopram may make you feel dizzy and may also affect your judgment, thought process, and mobility. Do not drive or use heavy machinery until you determine how this medication affects you.
• Citalopram may cause angle-closure glaucoma. Discuss having an eye examination with your doctor before starting treatment with this medication.
• It is unsafe to consume alcohol while you are on treatment with this medication. Alcohol may worsen the side effects of Citalopram.

Boxed Warning

In the initial month of treatment with Citalopram Hydrobromide 20 mg tablet, it is noticed that there is usually an increase in suicidal thoughts or actions in people less than 21 years of age. Carefully monitor the patients for sudden changes in mood, behavior, thoughts, and actions, and call your doctor immediately if you notice any such signs and symptoms, especially if they are severe.

• You should not take Citalopram if you are allergic to it or any of its ingredients.
• Tell your doctor if you are taking or planning to take any other prescription, over-the-counter medication, or herbal supplements.
• Let your doctor know if you consume alcohol or if you have ever taken street drugs or had an overdose of a medication.
• Tell the doctor about your medical and family history, especially if someone in your immediate family has or has ever had QT syndrome, had a stroke or heart attack,
• Tell your doctor if you have or have ever had an irregular heartbeat, heart attack, seizures, stroke, high blood pressure, low levels of magnesium, potassium, or sodium in your body, or kidney or liver disease.

• Hypersensitivity to Citalopram
• Coadministration with serotonergic drugs and pimozide

• If you missed a dose of Citalopram Hydrobromide tablet, take it as soon as you remember.
• However, if it is almost time to take the next dose, you may skip the missed dose of Citalopram and take the next dose as per schedule.
• Do not take two doses of the same medicine together.

[Note: If you have missed a dose of your medication and are unsure about when to take the next one, immediately consult your doctor or pharmacist.]

If you suspect someone has overdosed on Citalopram, immediately call 911. Taking the medication in amounts more than prescribed may lead to Serotonin Syndrome, which could be life-threatening if proper treatment is not done.

[Note: If you consumed more than the recommended dose, get medical help right away or call the Poison Help line at 1-800-222-1222.]

• You may store Citalopram Hydrobromide in its original container at average room temperature, away from direct sunlight, excess heat, and moisture.
• Keep the medicine out of reach and sight of children.
• Do not use expired medicines. Discard them safely.
• For guidance on how to discard unused or outdated medicines properly, contact your pharmacist or local waste disposal company.

[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]

• Amphetamines
• Blood thinners such as warfarin and aspirin
• NSAIDs such as naproxen and ibuprofen
• Water pills
• Medications for chronic pain, mental issues, anxiety, and seizures.
• Medications for migraine headache
• SSRIs such as fluoxetine, fluvoxamine, sertraline and paroxetine
• SNRIs such as duloxetine
• Sedatives
• Tranquilizers
• Tricyclic antidepressants

[Note: This isn’t a complete list, and there could be other drugs that interact with Citalopram Hydrobromide. Make sure to tell your doctor about any prescription, over-the-counter medicines, and herbal products you’re taking.]

• Cipralex (escitalopram)
• Prozac (fluoxetine)
• Fluvoxamine Maleate (fluvoxamine)
• Paroxetine CR (paroxetine hydrochloride)
• Sertraline

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]

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