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Drinking alcohol can increase certain side effects of citalopram. Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature. FDA Safety Alerts for all medications. Subscribe to our newsletters News & warnings for this drug. Includes Celexa side effects, interactions and indications. Adult dosage (ages 18–60 years) The starting dose is 20 mg, taken once per day. If you have any questions, ask your doctor or pharmacist. Strengths: 10 mg, 20 mg, 40 mg; Dosage for treatment of depression. Can increasing 10mg to 20mg of citalopram cause any side effects. Initial dose: 20 mg PO qDay. /viewarticle/937340 https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2RydWcvY2VsZXhhLWNpdGFsb3ByYW0tMzQyOTU4 Please confirm that you would like to log out of Medscape. Applies to the following strengths: 10 mg/5 mL; 10 mg; 20 mg; 40 mgMild to Moderate Renal Dysfunction: No adjustment recommendedAlways consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Your list will be saved and can be edited at any time.The above information is provided for general Depression in patients whose diagnosis corresponds most closely to the DSM-III and DSM-III-R category of major depressive disorderIf needed, may increase to 40 mg/day after at least 1 weekDoses above 40 mg/day are not recommended, because of risk for QT prolongation without additional benefit for treating depressionPoor CYP2C19 metabolizers or coadministration with CYP2C19 inhibitors (eg, cimetidine, fluconazole, omeprazole): Do not exceed 20 mg/dayHepatic impairment decreases clearance and therefore increases risk of QT prolongation; do not exceed 20 mg/day20 mg PO qDay initially; after 1 week, may increase to 40 mg/day if warrantedNot to exceed 40 mg/day because of increased risk for QT prolongationInitial: 10 mg PO qDay; may increase to 20 mg/day after 1 weekInitial: 20 mg PO qDay; may titrate to 40-60 mg/day; improvement may be seen 4-6 weeks after initiating therapy5 mg PO on the estimated day of ovulation; increase dose by 5 mg each day thereafter to maximum 30 mg; continue thereafter until menstruation begins; decrease dose to 20 mg on the first day of menstruation; the next day, decrease to 10 mg; stop the treatment from day 3 until ovulation begins10 mg PO qDay; titrate by 10 mg/week, as tolerated to maximum 40 mg/day-The elderly are more prone to SSRI/SNRI-induced hyponatremia and risk for QT prolongationIn short-term studies, antidepressants increased the risk of suicidal thinking and behavior in children, adolescents, and young adults (<24 years) taking antidepressants for major depressive disorders and other psychiatric illnessesThis increase was not seen in patients >24 years; a slight decrease in suicidal thinking was seen in adults >65 yearsIn children and young adults, the risks must be weighed against the benefits of taking antidepressantsPatients should be monitored closely for changes in behavior, clinical worsening, and suicidal tendencies; this should be done during initial 1-2 months of therapy and dosage adjustmentsThe patient’s family should communicate any abrupt changes in behavior to the health-care providerWorsening behavior and suicidal tendencies that are not part of the presenting symptoms may require discontinuation of therapyNot FDA approved for the treatment of bipolar disorderThis drug is not FDA approved for use in pediatric patientsPregnancy: Conflicting evidence regarding use of SSRIs during pregnancy and increased risk of persistent pulmonary hypertension of the newborn, or PPHN (see Pregnancy)Neonates exposed to SNRIs/SSRIs late in third trimester: Risk of complications such as feeding difficulties, irritability, and respiratory problemsClinical worsening and suicide ideation may occur despite medication in adolescents and young adults (18-24 years)Risk of mydriasis; may trigger angle closure attack in patients with angle closure glaucoma with anatomically narrow angles without a patent iridectomyRisk of hyponatremia, abnormal bleeding (increased if concomitant aspirin, NSAIDs, or anticoagulants, or hemorrhagic diathesis), and impairment of cognitive and motor functionsRisk of serotonin syndrome or neuroleptic malignant syndrome (NMS)-like reactions have been reported with SSRIs alone or with concomitant use of serotonergic drugs, with drugs that impair metabolism of serotonin, or with antipsychotics or other dopamine antagonistsActivation of mania/hypomania has been reported; use caution when treating patients with history of maniaIncreased risk of bone fractures reported with antidepressant use; use caution; consider possibility of fracture it patient presents with bone painUse caution when treating patients with history of seizure disorderRare cases of hyponatremia and development of SIADH reported with either SSRI or SNRI useConsider risk of serotonin syndrome if administered concomitantly with other serotonergic drugs including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, amphetamines, and St. John’s WortNot recommended in patients with uncompensated heart failureUse late in the third trimester associated with complications in newborns and may require prolonged hospitalization, respiratory support, and tube feedingA: Generally acceptable.
Usual Adult Dose for Pulmonary Hypertension. Your doctor may increase the dose. Take this medication with or without food as directed by your doctor, usually once daily in the morning or evening.
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