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Genel tanımlama: citalopram (sye TAL oh pram)

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Citalopram Brand Names:

  • Celexa® Tablets: 10 mg, 20 mg, 40 mg
  • Citalopram Tablets: 10 mg, 20 mg, 40 mg; Liquid: 10 mg/5 ml

What is Celexa?

Citalopram is an antidepressant medicine that works within the mind. It is authorised for the remedy of main depressive dysfunction (MDD).

Umutsuzluk belirtileri kucaklar:

  • Depresif öfke - mutsuz, boş veya ağlamaklı hissetmek
  • Nugatory, sorumlu, umutsuz ve çaresiz hissetmek
  • Loss of curiosity or pleasure in your common actions
  • Sleep and eat kind of than common (for most individuals it’s much less)
  • Low vitality, bother concentrating, or ideas of demise (suicidal pondering)
  • Psikomotor ajitasyon ('sinir enerjisi')
  • Psikomotor gerilik (kademeli harekette aktarma ve düşünme gibi hissetme)
  • İntihar fikirleri veya davranışları

Citalopram might also be useful when prescribed “off-label” for obsessive-compulsive dysfunction, generalized nervousness dysfunction, panic dysfunction, social phobia (often known as social nervousness dysfunction), posttraumatic stress dysfunction, consuming issues reminiscent of binge consuming dysfunction, and premenstrual dysphoric dysfunction (PMDD). “Off-label” signifies that it hasn’t been authorized by the Food and Drug Administration for this situation. Your psychological well being supplier ought to justify his or her pondering in recommending an “off-label” remedy. They ought to be clear in regards to the limits of the analysis round that medicine and if there are some other choices.

Bu ilaç hakkında bilinmesi gereken önemli bilgiler nelerdir?

Do not cease taking citalopram even whenever you really feel higher. With enter from you, your well being care supplier will assess how lengthy you will have to take the drugs. Missing doses of citalopram might improve your threat for relapse in your signs.

Stopping citalopram abruptly might end in a number of of the next withdrawal signs:

  • sinirlilik
  • mide bulantısı
  • feeling dizzy
  • kusma
  • nightmares
  • baş ağrısı
  • paresthesia’s (prickling, tingling sensation on the pores and skin)

Depression can also be part of bipolar sickness. People with bipolar dysfunction who take antidepressants could also be in danger for “switching” from despair into mania. Symptoms of mania embrace “high” or irritable temper, very excessive vanity, decreased want for sleep, strain to maintain speaking, racing ideas, being simply distracted, steadily concerned in actions with a big threat for dangerous penalties (for instance, extreme shopping for sprees).

Medical consideration ought to be sought if serotonin syndrome is suspected. Please discuss with severe unintended effects for indicators/signs.

Are There Specific Concerns About Citalopram And Pregnancy?

If you’re planning on changing into pregnant, notify your well being care supplier to greatest handle your drugs. People residing with MDD who want to turn out to be pregnant face essential choices. Untreated MDD has dangers to the fetus, in addition to the mom. It is essential to debate the dangers and advantages of remedy along with your physician and caregivers. For girls who take antidepressant drugs throughout weeks 13 by way of the tip of their being pregnant (second and third trimesters), there’s a threat that the infant could be born earlier than it’s absolutely developed (earlier than 37 weeks).

For moms who’ve taken SSRIs throughout their being pregnant, there seems to be lower than a 1% likelihood of infants creating persistent pulmonary hypertension. This is a probably deadly situation that’s related to use of the antidepressant within the second half of being pregnant. However, girls who discontinued antidepressant remedy had been 5 occasions extra prone to have a despair relapse than those that continued their antidepressant. If you’re pregnant, please talk about the dangers and advantages of antidepressant use along with your well being care supplier.

Caution is suggested with breastfeeding since citalopram does move into breast milk.

What Should I Discuss With My Healthcare Provider Before Taking Celexa?

  • Muhtemelen sizi en çok rahatsız eden durumunuzun belirtileri
  • İntihar veya kendinize zarar verme fikriniz varsa
  • Sizin durumunuzda şimdiye kadar aldığınız ilaçlar, etkili olup olmadıklarına veya herhangi bir karşıt sonuçlara yol açıp açmadığına bakılmaksızın
  • If you expertise unintended effects out of your drugs, talk about them along with your supplier. Some unintended effects might move with time, however others might require modifications within the medicine.
  • Any different psychiatric or medical issues you’ve gotten, together with a historical past of bipolar dysfunction
  • All different drugs you’re at present taking (together with over-the-counter merchandise, natural and dietary dietary supplements) and any medicine allergic reactions you’ve gotten
  • Other non-medication remedy you’re receiving, reminiscent of speak remedy or substance abuse remedy. Your supplier can clarify how these totally different therapies work with the medicine.
  • Hamileyseniz, hamile kalmayı planlayın veya emziriyorsanız
  • Alkol veya ilaç kullanıyorsanız

How Should I Take Citalopram?

  • Citalopram is often taken one time per day with or with out meals.
  • Tipik olarak, hastalar düşük dozda ilaçla başlar ve doz birkaç hafta içinde yavaş yavaş yükseltilir.
  • The dose often ranges from 20 mg to 40 mg as soon as each day. For sufferers older than 60 years, the utmost advisable dose is 20 mg as soon as each day. Only your well being care supplier can decide the right dose for you.
  • The liquid ought to be measured with a dosing spoon or oral syringe which you will get out of your pharmacy.

If you take citalopram, you shouldn’t take different drugs that embrace escitalopram (Lexapro®).

Consider utilizing a calendar, pillbox, alarm clock, or cell phone alert that will help you keep in mind to take your medicine. You might also ask a member of the family or buddy to remind you or test in with you to make sure you take your medicine.

What Happens If I Miss A Dose Celexa?

If you miss a dose of citalopram, take it as quickly as you keep in mind, except it’s nearer to the time of your subsequent dose. Discuss this along with your well being care supplier. Do not double your subsequent dose or take greater than what’s prescribed.

What Should I Avoid While Taking Celexa?

Avoid ingesting alcohol or utilizing unlawful medication while you’re taking antidepressant drugs. They might lower the advantages (e.g., worsen your situation) and improve antagonistic results (e.g., sedation) of the medicine.

Doz aşımı yaparsam ne olur?

If an overdose happens, name your physician or the emergency number in your local area. You may have pressing medical care. You might also contact the poison management heart.

A particular remedy to reverse the consequences of citalopram doesn’t exist.

What Are Possible Side Effects of Celexa Citalopram ?

  • Baş ağrısı
  • mide bulantısı
  • ishal
  • kuru ağız
  • elevated sweating
  • feeling nervous
  • stressed
  • yorgunluk
  • having bother sleeping (insomnia).

These will typically enhance over the primary week or two as you proceed to take the medicine. Sexual unintended effects, reminiscent of issues with orgasm or ejaculatory delay typically don’t diminish over time.

  • Low sodium blood ranges (signs of low sodium ranges might embrace headache, weak spot, problem concentrating and remembering)
  • tooth grinding
  • angle closure glaucoma (signs of angle closure glaucoma might embrace eye ache, modifications in imaginative and prescient, swelling or redness in or round eye)
  • serotonin syndrome (signs might embrace shivering, diarrhea, confusion, extreme muscle tightness, fever, seizures, and demise)
  • nöbet

SSRI antidepressants together with citalopram might improve the chance of bleeding occasions. Combined use of aspirin, nonsteroidal anti-inflammatory medication (e.g., ibuprofen, naproxen), warfarin, and different anti-coagulants might improve this threat. This might embrace signs reminiscent of:

  • gums that bleed extra simply
  • nostril bleed
  • gastrointestinal bleeding. Some circumstances have been life threatening.

Risk of irregular coronary heart rhythms with citalopram

August 2011: Citalopram at doses higher than 40 mg per day may probably trigger a harmful abnormality within the electrical exercise of the guts. Citalopram use is discouraged in sufferers with congenital lengthy QT syndrome. Patients with low ranges of potassium and magnesium within the blood are additionally at elevated threat. If you’re at present taking citalopram at a dose higher than 40 mg per days, speak to your well being care skilled. Seek rapid care if you happen to expertise an irregular heartbeat, shortness of breath, dizziness, or fainting whereas taking citalopram. If you take citalopram, your well being care skilled might often order an electrocardiogram (ECG, EKG) to observe your coronary heart charge and rhythm. Your well being care supplier might also order checks to test ranges of potassium and magnesium in your blood.

Almak İçin Herhangi Bir Risk Var mı?

To date, there are not any identified issues related to long run use of citalopram. It is a protected and efficient medicine when used as directed.

What Other Medications May Interact With Celexa?

Citalopram shouldn’t be taken with or inside 2 weeks of taking monoamine oxidase inhibitors (MAOIs). These embrace:

  • phenelzine (Nardil®)
  • tranylcypromine (Parnate®)
  • isocarboxazid (Marplan®)
  • rasagiline (Azilect®)
  • selegiline (Emsam®)

Although uncommon, there may be an elevated threat of serotonin syndrome when citalopram is used with different drugs that improve serotonin, reminiscent of different antidepressants, migraine drugs referred to as “triptans” (e.g., Imitrex®), some ache drugs (e.g., tramadol (Ultram®), the antibiotic linezolid (Zyvox®), and amphetamines.

Citalopram might improve the consequences of different drugs that may trigger bleeding (e.g., ibuprofen (Advil®, Motrin®), warfarin (Coumadin®) and aspirin).

Increased threat of QT prolongation when used with:

  • Certain antiarrhythmics: quinidine (Quinidex Extentabs®, Quinaglute®, Quinalan®), procainamide (Procanbid®, Pronestyl®, Pronestyl-SR®), amiodarone (Cordarone®, Pacerone®), sotalol (Betapace®, Sorine®)
  • Certain antipsychotics: chlorpromazine (Thorazine®), thioridazine (Mellaril®)
  • Certain antibiotics: gatifloxacin (Tequin®), moxifloxacin (Avelox®)
  • Methadone®

Çalışmak Ne Kadar Sürer?

Sleep, vitality, or urge for food might present some enhancement throughout the first 1-2 weeks. Improvement in these bodily signs could be an essential early sign that the medicine is working. Depressed temper and lack of curiosity in actions may have as much as 6-8 weeks to totally enhance.

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Sıkça Sorulan Sorular

  1. What is Citalopram?

    Celexa Citalopram belongs to the Anti-Depressants medicines. It is used to treat major depression associated with mood disorders. 

  2. Bir dozu unutursam ne yapmalıyım?

    It is important to take this medicine consistently. If you do forget a dose: take it as quickly as you keep in mind except it's nearer to the time of your subsequent dose.

  3. Which interactions does Citalopram have with other drugs?

    It should not be used by pregnant/nursing women or children.

  4. Can I just stop taking Citalopram?

    İlacın ne zaman durdurulacağı konusunda doktorların talimatlarını izleyin.

    Abruptly stopping Citalopram can therefore cause the same symptoms as the ones you were taking it for in the first place. Look at all the different types of Citalopram here.

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Son Güncelleme Tarihi: 16 Eylül 2021 Toni El Clikos