The following information is intended to supplement, not substitute, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that using Celexa is safe or appropriate for you.

People seeking depression relief should carefully evaluate Celexa information and side effects before deciding to take Celexa. Consult your healthcare professional before using citalopram.

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What is Celexa used for? Celexa is in a class of drug medications for depression called selective serotonin reuptake inhibitors (SSRI). Citalopram is used to relieve symptoms of depression.

General Celexa Precautions:

• Do not take Celexa if you have taken a monoamine oxidase inhibitor (MAOI) within the last 14 days. A dangerous drug interaction can occur if combined with MAO inhibitors.

• Celexa may cause dizziness. If you experience dizziness, avoid driving, operating machinery, or performing other hazardous activities.

• Citalopram may impair judgment, thinking, or motor skills. Patients using Celexa should exercise caution until they have adapted to therapy.

• If you skip the missed dose and take only the next one as directed. Do not take a double dose of citalopram. Overdose is possible.

• Rise slowly when rising from a sitting or lying position to prevent dizziness or possible falls.

• It is not known whether Celexa will harm an unborn baby or a nursing baby.

 Celexa can cause serious side effects. Weight gain is a common Celexa side effects. Less common but life threatening is the increased risk of suicide. Addiction and subsequent withdrawal symptoms also rank on the list of serious Celexa side effects. Celexa has been linked to drug-induced stuttering.

Only you can decide if Celexa is the best means of treating depression symptoms. It is important for people currently taking Celexa to discuss side effect concerns with their physician. People wishing to avoid the side effects of pharmaceutical antidepressants have choices for safe and effective natural antidepressants.

FDA Warnings for Celexa: The FDA issued a public health alert for Celexa (citalopram) in March 2004 warning that this antidepressant can lead to deeper depression and suicide. The FDA recommends that health care providers warn patients, their families and their caregivers to be alert for agitation, irritability, suicide and worsening depression while using Celexa. The FDA also recommends that health care providers closely monitor adult and children treated with citalopram for worsening of depression or suicidal tendencies, especially at the beginning of therapy or when the dose either increases or decreases.

The FDA issued a Public Health Advisory in October 2003 about increased reports of suicidal thinking, suicide attempts, hostility and self-harm in children using Celexa. The FDA urges that Celexa be used with caution in children. Parents of children using Celexa should consult the prescribing physician immediately to discuss the suicide risks involved in taking Celexa.

It should be noted that the safety and effectiveness of Celexa in pediatric patients has not been established. In clinical trials, only Prozac (fluoxetine) has been found effective for children.

Celexa Side Effects Include:

• Agitation.

• Irritability.

• Deepened depression.

• Increased risk of suicide.

• Decreased sex drive.

• Impotence.

• Difficulty reaching orgasm.

• Fast or irregular heartbeat or pulse.

• High blood pressure.

• Low blood pressure.

• Dizziness.

• Weakness.

• Anxiety.

• Diarrhea.

• Sleeplessness or insomnia.

• Nausea.

• Headache.

• Blurred vision.

• Chills or fever.

• Nervousness.

• Tremors.

• Changes in appetite or weight.

• Dry mouth.

Contact your doctor immediately if you experience: An allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, face, or tongue; or hives). Stop taking Celexa and contact your doctor immediately or seek emergency medical treatment if you also experience a fast or irregular heartbeat, high blood pressure (blurred vision, headache), low blood pressure (dizziness, weakness), chills or fever. Contact your doctor immediately if you experience yellowing of the skin or eyes.

Before taking Celexa, tell your doctor if you have:

• Seizures.

• Liver disease.

• Kidney disease.

• A history of mania or bipolar disorder.

• Suicidal thoughts.

• Had an allergic reaction to escitalopram (Lexapro).

Symptoms of overdose may include: Symptoms of a Celexa overdose include dizziness, sweating, drowsiness, nausea, vomiting, tremor and a fast heartbeat.

*This antidepressant drug information does not endorse Celexa, diagnose patients or recommend therapy. The information contained herein is not intended to cover all possible warnings, uses, precautions, drug interactions, allergic reactions, or adverse side effects of Celexa. If you have questions about the drugs you are taking, check with your health care provider or pharmacist. The information provided should not be construed to indicate that Celexa is safe, effective or appropriate.

Do not stop taking Celexa without first talking to your doctor. Your doctor may need to gradually reduce the dose before stopping Celexa completely. Suddenly stopping citalopram may cause unpleasant and potentially serious side effects and withdrawal symptoms.