Volume depletion and/or concurrent use of diuretics likely increases risk. If your doctor tells you to take it at a specific time, follow your doctor's instructions. Do not take more or less of it or take it more often than prescribed by your doctor. The doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with citalopram. You should know that your mental health may change in unexpected ways when you take citalopram or other antidepressants even if you are an adult over 24 years of age. Before Some experts recommend the following doses: Oral: Children 7 to ≤11 years: Initial: 5 to 10 mg/day given once daily; increase dose slowly by 5 mg/day every 2 weeks as clinically needed; dosage range: 10 to 40 mg/day, Children and Adolescents ≥12 years: Initial: 10 to 20 mg/day given once daily; increase dose slowly by 10 mg/day every 2 weeks as clinically needed; dosage range: 10 to 40 mg/day. It can also interact with certain supplements as well as certain foods. Elderly: Pharmacokinetics are altered in patients >60 years of age; a lower maximum dose of 20 mg/day is recommended in this population because of the risk of QT prolongation. FOIA The drug is known to pass into human breast milk. Avoid combination, QT-prolonging Antipsychotics (Moderate Risk): May enhance the QTc-prolonging effect of QT-prolonging Antidepressants (Moderate Risk). -. You can also ask your pharmacist for information about how to dispose of your medication. Citalopram and its metabolites cross the human placenta (Heikkinen, Ekblad, Kero 2002). This could increase your risk for side effects from citalopram. For instance, some interactions can interfere with how well a drug works. Management: Limit citalopram dose to a maximum of 20 mg/day if used with voriconazole, which is a moderate CYP2C19 inhibitor. This could result in serotonin syndrome. Monitor therapy, Dabrafenib: May decrease the serum concentration of CYP3A4 Substrates (High risk with Inducers). Monitor therapy, CNS Depressants: May enhance the adverse/toxic effect of Selective Serotonin Reuptake Inhibitors. However, studies have shown that a small number of people (especially people younger than 25) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. The following information describes dosages that are commonly used or recommended. This could result in serotonin syndrome. To learn about other mild side effects, talk with your doctor or pharmacist, or view citalopram’s prescribing information.† For more information about this side effect, see “Side effect details” below. In addition, monitor for signs and symptoms of bleeding. This could result in serotonin syndrome. Monitor therapy, Ibrutinib: May enhance the adverse/toxic effect of Agents with Antiplatelet Properties. It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. Consider therapy modification, Doxepin-Containing Products: Citalopram may enhance the QTc-prolonging effect of Doxepin-Containing Products. Inhalte 1 Auf einen Blick - Citalopram 2 Was ist Citalopram? These arrhythmias can be sudden and are potentially dangerous. WebMD does not provide medical advice, diagnosis or treatment. Management: Consider alternatives to this drug combination. Generalized anxiety disorder (off-label use): Oral: Initial: 10 mg once daily; may gradually increase dose based on response and tolerability in 10 mg increments at intervals ≥1 week to a maximum dose of 40 mg/day for adults ≤60 years and 20 mg/day for adults >60 years of age (Blank 2006; Varia 2002). Management: Monitor for QTc interval prolongation and ventricular arrhythmias when these agents are combined. This is the most serious warning from the FDA. Controlled substances are medications that have the ability to cause either mental or physical dependence. What side effects can this medication cause? Citalopram was begun 4 weeks previously for behavioral . Lochmann D, Richardson T. Selective Serotonin Reuptake Inhibitors. The available data suggest that citalopram 20-60 mg once daily is safe for patients with depression. They may be able to suggest ways to help you take citalopram. Bleeding risk: May impair platelet aggregation resulting in increased risk of bleeding events, particularly if used concomitantly with aspirin, NSAIDs, warfarin, or other anticoagulants. While genetic testing for depression is in the early stages of research, it may become a useful took for identifying risk and creating effective…. Monitor therapy, Perhexiline: CYP2D6 Inhibitors (Weak) may increase the serum concentration of Perhexiline. You shouldn’t breastfeed while taking citalopram. Psychological symptoms may also emerge such as agitation, anxiety, akathisia, panic attacks, irritability, aggressiveness, worsening of mood, dysphoria, mood lability, hyperactivity, mania/hypomania, depersonalization, decreased concentration, slowed thinking, confusion, and memory or concentration difficulties. This could result in serotonin syndrome. Call your doctor if you have any unusual problems while taking this medication. Citalopram oral tablets are approved by the Food and Drug Administration (FDA) for treating depression in adults. Doses up to 40 mg/day have been studied; however, according to the manufacturer, dosing should not exceed 20 mg/day. Properly discard this product when it is expired or no longer needed. No pharmacokinetic information is available concerning patients with severe renal impairment. The 10 mg, 20 mg, and 40 mg strength tablets contain 12.49 mg, 24.98 mg, and 49.96 mg of citalopram hydrobromide, respectively. Management: Monitor for signs and symptoms of serotonin syndrome/serotonin toxicity (eg, hyperreflexia, clonus, hyperthermia, diaphoresis, tremor, autonomic instability, mental status changes) when these agents are combined. Management: Consider an alternative for one of the interacting drugs. Celexa is the brand-name medication that citalopram oral tablets are based on. Keep all medications away from children and pets. The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. This date is typically 1 year from the date they dispensed the medication. Monitor therapy, Aspirin: Selective Serotonin Reuptake Inhibitors may enhance the antiplatelet effect of Aspirin. Monitor for signs and symptoms of bleeding, QTc prolongation, or serotonin syndrome/serotonin toxicity (eg, hyperreflexia, clonus, hyperthermia, diaphoresis, tremor) if combined. Management: Monitor for signs and symptoms of serotonin syndrome/serotonin toxicity (eg, hyperreflexia, clonus, hyperthermia, diaphoresis, tremor, autonomic instability, mental status changes) when these agents are combined. Consider therapy modification, Blood Glucose Lowering Agents: Selective Serotonin Reuptake Inhibitors may enhance the hypoglycemic effect of Blood Glucose Lowering Agents. This is so you and your doctor can determine if the drug is working to treat your depression. It may take 1 to 4 weeks to feel a benefit from this drug and up to several weeks before you get the full benefit. Based on the International Society for Premenstrual Disorders auditable standards for diagnosis and management of premenstrual disorder, SSRIs are effective and recommended in the management of premenstrual dysphoric disorder. Although there aren’t known interactions between citalopram and alcohol, the manufacturer of the drug recommends against combining the two. 6. Posttraumatic stress disorder (off-label use): Oral: Initial: 20 mg once daily. Although doses up to 60 mg/day have been studied, due to safety considerations the recommended maximum dose is 40 mg/day for adults ≤60 years of age and 20 mg/day for adults >60 years (McElroy 2003). When you get citalopram oral tablets from a pharmacy, the pharmacist will add an expiration date to the label on the bottle. Avoid combination, Lofexidine: QT-prolonging Antidepressants (Moderate Risk) may enhance the QTc-prolonging effect of Lofexidine. When taken with citalopram, these supplements may increase your risk for serotonin syndrome (buildup of a substance called serotonin in the body).*. Do not double the dose to catch up. Monitor therapy, Selegiline: Selective Serotonin Reuptake Inhibitors may enhance the serotonergic effect of Selegiline. But they may be prescribed off-label to treat this condition. A boxed warning alerts doctors and patients about drug effects that may be dangerous. They can also advise you on healthy ways to feed your child. Nonsteroidal Anti-Inflammatory Agents (Nonselective) may diminish the therapeutic effect of Selective Serotonin Reuptake Inhibitors. sharing sensitive information, make sure you’re on a federal official website and that any information you provide is encrypted See the FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program. Management: Seek alternatives to the CYP2C19 substrate when possible. A generic drug is an exact copy of the active drug in a brand-name medication. Do not let anyone else take your medication. Citalopram may enhance the serotonergic effect of Doxepin-Containing Products. Monitor therapy, Rivaroxaban: Agents with Antiplatelet Properties may enhance the anticoagulant effect of Rivaroxaban. Nausea, dry mouth, loss of appetite, tiredness, drowsiness, sweating, blurred vision, and yawning may occur. Monitor therapy, Tocilizumab: May decrease the serum concentration of CYP3A4 Substrates (High risk with Inducers). Management: Monitor for QTc interval prolongation and ventricular arrhythmias when these agents are combined. This could result in serotonin syndrome. This could result in serotonin syndrome. In Canada - Call your doctor for medical advice about side effects. If you no longer need to take citalopram oral tablets and have leftover medication, it’s important to dispose of it safely. Some people should not take a dose greater than 20 mg once per day. Use is not recommended in patients with congenital long QT syndrome, bradycardia, recent MI, uncompensated heart failure, hypokalemia, and/or hypomagnesemia, or patients receiving concomitant medications which prolong the QT interval; if use is essential and cannot be avoided in these patients, ECG monitoring is recommended. Non-FDA-approved uses include alcohol use disorder, coronary arteriosclerosis, obsessive-compulsive disorder, panic disorder, postmenopausal flushing, and premenstrual dysphoric disorder. Aspirin can increase the risk of bleeding when used with this medication. Many people using this medication do not have serious side effects. Depression: The onset of action is 1 to 4 weeks; however, individual response varies greatly and full response may not be seen until 8 to 12 weeks after initiation of treatment. Learn more here. Few drugs appear to interact with citalopram in a clinically meaningful way. If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. American Psychological Association guidelines recommend selective serotonin reuptake inhibitors, including citalopram, as first-line treatments for chronic or severe MDD in adults. Your healthcare provider will want to see you often while you are taking citalopram, especially at the beginning of your treatment. This medicine is a pink, round, scored, film-coated, tablet imprinted with "I G" and "207". Advertisement Citalopram (Celexa) Get Citalopram (Celexa) for as low as $4.00 See GoodRx coupons Are you looking for information on escitalopram (Lexapro) instead? Using more than the recommended dosage of citalopram oral tablets can lead to serious side effects. After long-term (years) antidepressant treatment, WFSBP guidelines recommend tapering over 4 to 6 months, with close monitoring during and for 6 months after discontinuation. Non-FDA-approved uses include alcohol use disorder, coronary arteriosclerosis, obsessive-compulsive disorder, panic dis … This is referred to as the drug’s mechanism of action. Discontinuation syndrome: Abrupt discontinuation or interruption of antidepressant therapy has been associated with a discontinuation syndrome. This could result in serotonin syndrome. Some conditions may become worse when this drug is suddenly stopped. Management: Consider alternatives to NSAIDs. Sexual dysfunction: May cause or exacerbate sexual dysfunction. QT-prolonging Moderate CYP3A4 Inhibitors (Moderate Risk) may increase the serum concentration of Citalopram. Monitor therapy, Apixaban: Agents with Antiplatelet Properties may enhance the adverse/toxic effect of Apixaban. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. Patients with additional risk factors for QTc prolongation may be at even higher risk. Obsessive-compulsive disorder (off-label use): Oral: Initial: 20 mg once daily. Signs of a significant reaction like wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat. However, experts are not sure about how great this risk is and how much it should be considered in deciding whether a child or teenager should take an antidepressant. Note: Citalopram also comes in other forms: an oral solution and oral disintegrating tablets (which dissolve in your mouth). Show More Uses Citalopram is used to treat depression. A few cases of minor behavioral side effects such as drowsiness or fussiness have been reported, but no adverse effects on development have been found in . Do not store in the bathroom. You also can obtain the Medication Guide from the FDA website: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm. Management: Monitor for increased aripiprazole pharmacologic effects. Monitor therapy, Pentamidine (Systemic): May enhance the QTc-prolonging effect of QT-prolonging Antidepressants (Moderate Risk). Major depressive disorder (unipolar): Treatment of unipolar major depressive disorder, Aggressive or agitated behavior associated with dementiaa. Consider therapy modification, Glucosamine: May enhance the antiplatelet effect of Agents with Antiplatelet Properties. Review our medical disclaimer. Make sure laboratory personnel and all your doctors know you use this drug. Symptoms can include: It’s not known how long withdrawal symptoms last. http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm, American Society of Health-System Pharmacists, Inc. Disclaimer, U.S. Department of Health and Human Services. This article addresses only citalopram oral tablets. No, citalopram isn’t addictive. This could result in serotonin syndrome. Listen. Management: Monitor for QTc interval prolongation and ventricular arrhythmias when these agents are combined. Data from 2 randomized, placebo-controlled trials and a meta-analysis support the use of citalopram in the treatment of vasomotor symptoms (eg, hot flashes) in peri- or postmenopausal women Barton 2010, Kalay 2007, Shams 2014. 2000 May;25(3):241-54. Monitor therapy, Alosetron: May enhance the serotonergic effect of Serotonergic Agents (High Risk). 8600 Rockville Pike Use of the terms “male” and “female” in this article refers to sex assigned at birth. Monitor therapy, Agents with Antiplatelet Properties (e.g., P2Y12 inhibitors, NSAIDs, SSRIs, etc. Talk to your doctor about the possible risks of using this medication for your condition. Voriconazole may increase the serum concentration of Citalopram. Drug-drug interactions: Potentially significant interactions may exist, requiring dose or frequency adjustment, additional monitoring, and/or selection of alternative therapy. Avoid combination, BuPROPion: May enhance the adverse/toxic effect of Citalopram. In people who are poor CYP2C19 metabolizers, this enzyme doesn’t work as well as it should.† For more information, see the “Citalopram oral tablet interactions” section below. Citalopram may enhance the serotonergic effect of Selective Serotonin Reuptake Inhibitors. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Oral clearance decreased 37% and half-life doubled in reduced hepatic function. Specifically, the risk for bleeding may be increased. Monitor therapy, Bemiparin: Agents with Antiplatelet Properties may enhance the anticoagulant effect of Bemiparin. If you see a therapist, they may be able to help answer this question as well. Ask your pharmacist any questions you have about refilling your prescription. Management: Monitor for signs and symptoms of serotonin syndrome/serotonin toxicity (eg, hyperreflexia, clonus, hyperthermia, diaphoresis, tremor, autonomic instability, mental status changes) when these agents are combined. Some may be a better fit for you than others. Citalopram may cause problems in newborns following delivery if it is taken during the last months of pregnancy. QT-prolonging Strong CYP3A4 Inhibitors (Moderate Risk) may increase the serum concentration of Citalopram. How long a medication remains good to use can depend on many factors, including how and where you store the medication. 2019;250:135-144. Management: Seek alternatives to the CYP3A4 substrate when possible. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Monitor therapy, Opioid Agonists: May enhance the serotonergic effect of Serotonergic Agents (High Risk). URL of this page: https://medlineplus.gov/druginfo/meds/a699001.html. Call 911 or your local emergency number if your symptoms feel life threatening or if you think you’re having a medical emergency. (Blank 2006; Lenze 2005). This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This could result in serotonin syndrome. Monitor for evidence of bleeding and diminished antidepressant effects. Learn about dosage, side effects, uses, and more. Dapoxetine labeling lists this combination as contraindicated. This survey is being conducted by the WebMD marketing sciences department. El citalopram conlleva una serie de efectos secundarios no deseados que pueden ocasionar una serie de molestias en la persona. According to a study, accidental ingestion of Citalopram may also happen in children, and symptoms such as convulsions and other heart problems may be observed. 2001 May;34(3):85-90. Note: An adequate trial for assessment of effect in obsessive-compulsive disorder is considered to be ≥6 weeks at maximum tolerated dose (Issari 2016). Patients using this combination should be monitored closely for evidence of citalopram toxicity (eg, serotonin syndrome, QT prolongation). This could result in serotonin syndrome. Monitor therapy, Multivitamins/Minerals (with AE, No Iron): May enhance the antiplatelet effect of Agents with Antiplatelet Properties. Exercise has many benefits for older adults and can help you to live a longer and healthier life. Consider therapy modification, Erdafitinib: May decrease the serum concentration of CYP3A4 Substrates (High risk with Inducers). Management: Monitor for signs and symptoms of serotonin syndrome/serotonin toxicity (eg, hyperreflexia, clonus, hyperthermia, diaphoresis, tremor, autonomic instability, mental status changes) when these agents are combined. Citalopram is used to treat depression, including major depressive disorder (MDD). If you have any questions about eating certain foods with this drug, talk with your doctor. Displays little to no affinity for serotonin, dopamine, adrenergic, histamine, GABA, or muscarinic receptor subtypes. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. Citalopram oral tablets may also be used off-label for other conditions. These include: Note: For more information about the potential negative effects of citalopram, see the “Citalopram side effects” section above. This could result in serotonin syndrome. Monitor therapy, Amphetamines: May enhance the serotonergic effect of Serotonergic Agents (High Risk). Discontinuation of therapy: Consider planning antidepressant discontinuation for lower-stress times, recognizing non-illness-related factors could cause stress or anxiety and be misattributed to antidepressant discontinuation (Hathaway 2018). Its activity against other neurotransmitters is much less . A more recent study by the Centers for Disease Control and Prevention (CDC) found the risk of fetal abnormalities (commonly known as birth defects) from taking citalopram during pregnancy to be low. Unable to load your collection due to an error, Unable to load your delegates due to an error. You may report side effects to Health Canada at 1-866-234-2345. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Monitor therapy, Domperidone: QT-prolonging Agents (Moderate Risk) may enhance the QTc-prolonging effect of Domperidone. Patients with additional risk factors for QTc prolongation may be at even higher risk. National Library of Medicine It is unclear whether COX-2-selective NSAIDs reduce risk. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. To reduce your risk of side effects, your doctor may direct you to start taking this drug at a low dose and gradually increase your dose. If you’re interested or have questions about using citalopram for anxiety, talk with your doctor to learn more. This will help them determine how well citalopram is working to treat your depression. Selected from data included with permission and copyrighted by First Databank, Inc. Consider evaluating patients who have not had an iridectomy for narrow-angle glaucoma risk factors. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Talk to your doctor about having an eye examination before you start taking this medication. Estos efectos pueden dividirse en efectos secundarios no graves y efectos secundarios graves. Management: Monitor for QTc interval prolongation and ventricular arrhythmias when these agents are combined. Monitor therapy, Mitotane: May decrease the serum concentration of CYP3A4 Substrates (High risk with Inducers). Management: Patients receiving selective serotonin reuptake inhibitors should be advised to avoid alcohol. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088). Treasure Island (FL): StatPearls Publishing; 2023 Jan–. © 2005 - 2023 WebMD LLC, an Internet Brands company. Take citalopram exactly as directed. swelling under your skin, typically in your eyelids, lips, hands, or feet, swelling of your tongue, mouth, or throat, the severity of the condition you’re using citalopram oral tablets to treat, other medical conditions you may have or medications you may take, side effects you may have while taking citalopram, take any drug that is a CYP2C19 inhibitor†, feeling irritated (easily upset or frustrated), SSRIs other than citalopram, such as sertraline (Zoloft) and fluoxetine (Prozac), SNRIs, such as venlafaxine (Effexor), venlafaxine ER (Effexor XR), and duloxetine (Cymbalta). Serious side effects from citalopram oral tablets aren’t common, but they can occur. BECOME A MEMBER: http://www.patreon.com/easygermanSUBSCRIBE: http://goo.gl/sdP9nzCORRECTION: 0:36* Er macht ein Nickerchen.FACEBOOK: http://www.facebook.com/. Citalopram oral tablets aren’t approved for treating anxiety. Discontinue herbal products with anticoagulant or antiplatelet actions 2 weeks prior to surgical, dental, or invasive procedures. AHFS® Patient Medication Informationâ¢. Although not all of these side effects may occur, if they do occur they may need medical attention. Get medical help right away if you develop some of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness. In the US - Call your doctor for medical advice about side effects. Children younger than 18 years of age should not normally take citalopram, but in some cases, a doctor may decide that citalopram is the best medication to treat a child's condition. Exceptions: Bemiparin; Enoxaparin; Heparin. Protect from moisture. Single dose: AUC increased 30% and half-life increased 50%. They may recommend a treatment for any side effects you experience. Get medical help right away if you have any very serious side effects, including: fainting, fast/irregular heartbeat, black stools, vomit that looks like coffee grounds, seizures, eye pain/swelling/redness, widened pupils, vision changes (such as seeing rainbows around lights at night). With depression, a person has persistent feelings of sadness and loss of interest in activities they once enjoyed. This could result in serotonin syndrome. Talk to your doctor if you are using marijuana (cannabis). Monitor therapy, Ioflupane I 123: Selective Serotonin Reuptake Inhibitors may diminish the diagnostic effect of Ioflupane I 123. Management: Carefully consider risks and benefits of this combination and monitor closely; Canadian labeling recommends avoiding prasugrel or ticagrelor. Management: Monitor for signs and symptoms of serotonin syndrome/serotonin toxicity (eg, hyperreflexia, clonus, hyperthermia, diaphoresis, tremor, autonomic instability, mental status changes) when these agents are combined. Selective Serotonin Reuptake Inhibitors may enhance the serotonergic effect of Serotonin/Norepinephrine Reuptake Inhibitors. Management: Seek alternatives to this combination when possible. In addition, monitor for signs and symptoms of bleeding. Citalopram has a boxed warning for this side effect. Symptoms of a severe allergic reaction can include: Call your doctor right away if you have an allergic reaction to citalopram, as the reaction could become severe. Harv Rev Psychiatry. For information about the effectiveness of citalopram oral tablets, see the “Citalopram oral tablet uses” section below. Tell your doctor right away if you have any serious side effects, including: shaking (tremor), decreased interest in sex, changes in sexual ability, easy bleeding/bruising. Monitor therapy, Bosentan: May decrease the serum concentration of CYP3A4 Substrates (High risk with Inducers). Consider therapy modification, Enzalutamide: May decrease the serum concentration of CYP2C19 Substrates (High risk with Inducers). This list does not contain all drugs that may interact with citalopram. New safety information can be identified through the TGA's ongoing . Click here for more links and local resources. An official website of the United States government. Certain people may be at higher risk for this side effect, including those who: * CYP2C19 is an enzyme (protein) the body uses to metabolize (break down) certain medications, such as citalopram. Seit Mitte der 80er Jahre wird es verschrieben und zählt seit 1990 zu den am meisten verwendeten Antidepressiva. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Off-label drug use means using a drug for a purpose other than what it’s been approved for by the Food and Drug Administration (FDA). Discontinuation of therapy:When discontinuing antidepressant treatment that has lasted for >3 weeks, gradually taper the dose (eg, over 2 to 4 weeks) to minimize withdrawal symptoms and detect reemerging symptoms (APA 2010; WFSBP [Bauer 2015]). Generalized anxiety disorder (off-label use): Oral: Initial: 10 mg once daily; may increase dose based on response and tolerability in 10 mg increments at intervals ≥1 week up to 20 mg/day. Celexa is a brand (trade) name for citalopram which may be used to treat depression and other mood disorders. Depending on your medical history and other medications you take, your doctor may monitor your heart health using an electrocardiogram (EKG). They may prescribe a different dose of citalopram based on your medical history. * For more about factors that affect whether you can take citalopram, see the “Citalopram oral tablet precautions” section below.
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