escitalopram

 

Brand: Cipralex

Application: Depression and anxiety (such as panic disorder, social anxiety disorder, generalized anxiety disorder and obsessive-compulsive disorder) in adults

 

Pharmaceutical forms of citalopram

  • Tablets, oral drops

 

 

Citalopram drug information

Dosage and method of taking Citalopram

Contraindications to S. citalopram

Taking citalopram during pregnancy and lactation

The effect of citalopram on driving and working with machines

Drug Interactions Sitalopram

Special warnings and precautions while taking Citalopram

Side effects of citalopram

Excessive use of S. citalopram (drug poisoning)

Storage conditions of S. citalopram

 

 

 

Citalopram drug information

Depression and anxiety disorders can be caused for no apparent reason or by a tragic event in life or a specific illness. Brain cells are also called nerve cells, which release certain chemicals to stimulate other nerve cells. These chemicals (such as serotonin) produce electrical impulses that control the function of different parts of the brain. Antidepressants such as citalopram regulate serotonin levels in the brain, which may help relieve the signs and symptoms of depression or anxiety in some people.

 

Dosage and method of taking Citalopram

  • Read the package leaflet carefully before starting treatment with S. citalopram. This brochure will help you to get comprehensive information about the drug and its possible side effects.
  • The dose and amount of citalopram varies from person to person; Use the medicine exactly as your doctor advised. Different doses of S. citalopram (5 mg, 10 mg, and 20 mg) are available in pharmacies and should be purchased according to your doctor's prescription.
  • If you are prescribed oral drops of citalopram, add the desired number of drops to a drink such as orange juice and eat.
  • You can take citalopram before and after meals.
  • If you forget to take your daily dose of citalopram at the right time but soon forget to take it; But if you remember when the next dose is near the hour, do not take the missed dose. You should not take two doses of the medicine together because of the missed dose.

 

Contraindications to S. citalopram

  • Note the expiration date of S. citalopram, and do not take the medicine if it has expired.
  • Never give Sitalopram to another person, even if you have the same symptoms.
  • Check for drug interactions with citalopram, and if you are taking a drug that interacts with this drug, talk to your doctor about using your medications.

 

Taking citalopram during pregnancy and lactation

During pregnancy and lactation, you should not use the drug arbitrarily without consulting your doctor. Medications can have devastating effects on the fetus or on yourself.

 

The effect of citalopram on driving and working with machines

Sitalopram can make you dizzy and drowsy, so make sure you are alert before driving or operating machinery.

 

Drug Interactions Sitalopram

Drug interactions may alter drug performance and increase the risk of serious side effects. Make a list of all the medicines (including prescription / over-the-counter and herbal medicines) you use and share them with your doctor and pharmacist. Do not change the dose of your medicine without consulting your doctor or stop taking the medicine.

Some medications that may interact with this medication include: Drugs that can cause bleeding or bruising (including antiplatelet drugs such as clopidogrel, nonsteroidal anti-inflammatory drugs such as ibuprofen, and blood thinners such as ibuprofen). (warfarin)).

It can cause serious drug interactions with MAO inhibitors, which can even lead to death, including MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide. Do not use phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine. Most MAO inhibitors should not be used for up to 2 weeks before starting citalopram.

Check the labels on all your medicines (such as allergies or cough and cold medicines) because some of them are made from substances that cause drowsiness or increase the risk of bleeding. Ask your doctor about using them so you can use them safely.

Aspirin can increase the risk of bleeding if taken with citalopram. However, if your doctor prescribes low-dose aspirin (usually 325-81 mg per day) to prevent a stroke or heart attack, you should continue to take it unless your doctor tells you to stop taking it. Give aspirin. Consult your pharmacist for more details.

Tell your doctor or pharmacist if you are taking medicines that cause drowsiness, including: alcohol, antihistamines (such as cetirizine, diphenhydramine), sleeping pills or anxiety medications (such as alprazolam), alprazolam (alprazolam) (diazepam), zolpidem, muscle relaxants, and analgesics and painkillers (such as codeine).

Many drugs in addition to citalopram may affect heart rhythm (prolongation of QT time), including: amiodarone, dofetilide, pimozide, procainamide, quinidine ), Sotalol, macrolide antibiotics (such as erythromycin).

If you take serotonin-boosting drugs in combination with S-citalopram, your risk of serotonin toxicity increases. Tell your doctor if you are using these referees. These include: street medications such as MDMA / "ecstasy", St. John's wort, specific antidepressants (including SSRIs such as fluoxetine / paroxetine, SNRIs such as venlafaxine). Keep in mind that the risk of serotonin toxicity syndrome increases when you increase the dose of these drugs or start using these drugs.

Sitalopram is very similar to citalopram, do not use this medicine with citalopram.

Citalopram may interfere with certain tests (including brain scans for Parkinson's disease) and cause erroneous results. Talk to your lab staff about using this medicine before testing.

 

Special warnings and precautions while taking Citalopram

Some medications may not be prescribed under certain conditions, and some medications may be prescribed if additional treatment is needed; Therefore, it is best for your doctor to be aware of the following before taking Sitalopram:

  • If you are pregnant or planning to become pregnant or breast-feeding your baby.
  • If your blood pressure is high.
  • If you have diabetes.
  • If you have a history of high mood (such as bipolar disorder mania).
  • If you have any liver or kidney problems.
  • If you have a heart problem.
  • If you have glaucoma (increased eye pressure).
  • If you have ever had a seizure.
  • If you have a blood disorder or a history of bleeding.
  • If you have ever had electroconvulsive therapy (ECT).
  • If you have used an antidepressant such as a mono-oxidase inhibitor (MAOI) in the last two weeks.
  • If you are taking certain medications. These medicines include all the medicines available, whether you are prescribed them or taking them without a doctor's prescription, such as herbal medicines and complementary medicines.
  • If you have a history of an allergic reaction to a drug.

 

Side effects of citalopram

All medications can cause side effects. But many consumers also do not experience any side effects. Some of the side effects go away after a short time of taking the medicine. In case of persistent side effects, the physician should be informed:

  • Nausea, indigestion, diarrhea and constipation: Eat simple foods and drink several glasses of water daily.
  • Feeling tired, dizzy, drowsy: Avoid driving and working with tools in these situations.
  • Dry mouth: Look for sugar-free gum.
  • Headache: Ask your doctor to prescribe a suitable painkiller.
  • Mood swings, anger, restlessness and chills: These side effects usually go away in the first few days of taking the medicine. But if any of these things bother you, talk to your doctor.
  • Sweating, sleep problems, insomnia, weight loss, decreased libido, anorexia, pain, tingling, yawning, sinusitis, itching: Tell your doctor if any of these things bother you.

Important Note: Some people taking this medicine may be allergic to it. See your doctor as soon as possible if you notice any swelling around the mouth, breathing problems, or skin rashes.

Consult your doctor if you have any other symptoms that you feel may be due to the use of S. citalopram.

 

Excessive use of S. citalopram (drug poisoning)

  • Do not take more citalopram than the dose prescribed by your doctor.
  • If you feel that someone has been poisoned and you have symptoms such as shortness of breath, fainting and weakness (fainting), call the emergency room immediately.

 

Storage conditions of S. citalopram

  • Keep the medicine out of the reach of children.
  • Store the medicine in a cool, dry place away from heat and direct sunlight.
  • Citalopram S drops can be used only 8 weeks after opening. After this time, use a new drop.
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