Celexa is a brand name of the drug citalopram which is an orally administered antidepressant belonging to the class called selective serotonin reuptake inhibitors (SSRIs). It is used to treat depression and it works by restoring the balance of certain neurochemical substances in the brain.
Celexa has also been used in the treatment of other conditions including celexa anxiety disorders, panic disorders, Premenstrual dysphoric syndrome (PMDD), Post-traumatic stress disorder (PTSD), Eating disorders and hot flashes in menopausal women. This drug should not be given to people less than 18years old without medical advice.
Celexa and alcohol should not be taken together. The combination of Celexa and alcohol renders the medication ineffective and also increases the risk of overdose. Due to the CNS depressant effects of alcohol, taking Celexa and alcohol may decrease your readiness to get treatment for your depression while also decreasing your motor and cognition skills.
You should let your physician know if you are pregnant and in your third trimester. Studies have shown that neonates who were exposed to Celexa in the third trimester subsequently develop complications such as breathing problems, seizures, muscle stiffness, or constant crying and will require long periods of hospitalization that may involve assisted respiration, feeding through tubes.
Lactating mothers should not use Celexa because it can pass from the breast milk to the nursing baby, thereby causing harm.
Celexa (Citalopram Hydrobromide or Citalopram HBr) is obtainable only in the tablet form. The available strengths are 10mg, 20mg and 40mg.
This medication should be taken as directed by your doctor. It can be taken with or without food usually once a day in the morning or evening. The dosage will be determined by your doctor based on patient history, diagnostic tests, age and response to treatment.
Your doctor might prescribe smaller doses for initial treatment but the maximum daily dose for citalopram is 40mg daily.
Usual Adult Dose for Depression is 20 mg orally once a day. This may be increased slowly by 20mg/day not more than once a week as needed.
Usual dose for special populations:
The maximum dose recommended for the treatment of depression in geriatric patients older than 60years of age is 20 mg/day administered orally.
For paediatrics in the treatment of depression:
For children up to 11years, the initial dose is 10mg daily. The maintenance dose may be increased slowly by 5mg/day every two weeks.
For children 12 to 18years, the initial dose is 20mg daily and the maintenance dose can be increased slowly by 10mg/day every two weeks.
In the treatment of Obsessive Compulsive Disorder in paediatrics, children up to 11years are given 5-10mg or citalopram every day initially and the dose can be increased by 5mg/day every two weeks. For children who are 12-18years old, the initial dose is 10-20mg/day and may be increased by 10mg/day every two weeks.
All increase in dosage will be determined by your doctor. All Celexa tablets should be taken or given orally.
SIDE EFFECTS OF CELEXA
Report all observed side effects to your doctor. Some of the common side effects include:
sleepiness or unusual drowsiness and fatigue
increase in the frequency of urination or amount of urine produced
lack of emotion
loss of memory
skin rash or itching
Serious Celexa side effects include:
Decrease in sexual desire or ability
Vomit that looks like coffee grounds
Seizures and tremors
Easy bruising or bleeding
These side effects should be reported to your doctor as soon as they are observed.
A sudden discontinuation of Celexa may result in withdrawal symptoms. Therefore, it is best that the dosage be reduced gradually before stopping it completely. Celexa withdrawal symptoms are usually experienced in patients who have been on Celexa for more than a month and they may be observed even if the withdrawal is done slowly. The observed Celexa withdrawal symptoms may be severe or minor and the notable ones include behavioural changes characterised by irritation, celexa for anxiety attacks such as agitations and confusion, abdominal cramps, tooth discomfort, vivid dreams, pain, tremors, tingling feelings, headache, diaphoresis, fatigue and nausea.
CELEXA WEIGHT GAIN
Celexa often affects the central nervous system leading to an increase in appetite; therefore some patients usually gain weight as a result of an increase in appetite following relief from depression.