{"id":28915,"date":"2021-04-22T09:06:02","date_gmt":"2021-04-22T13:06:02","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=28915"},"modified":"2024-09-20T10:52:52","modified_gmt":"2024-09-20T14:52:52","slug":"celexa-side-effects","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/celexa-side-effects\/","title":{"rendered":"Celexa side effects and how to avoid them"},"content":{"rendered":"<p><a href=\"#celexa-side-effects\"><span style=\"font-weight: 400;\">Celexa<\/span> <span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\"> | <a href=\"#serious-side-effects\">Serious side effects<\/a><\/span><span style=\"font-weight: 400;\">\u00a0| <a href=\"#how-long-do-side-effects-last\">How long do side effects last?<\/a><\/span><span style=\"font-weight: 400;\">\u00a0| <a href=\"#warnings\">Warnings<\/a> | <a href=\"#interactions\">Interactions<\/a> | <a href=\"#how-to-avoid-side-effects\">How to avoid side effects<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">, also known by its generic name, <\/span><span style=\"font-weight: 400;\">citalopram<\/span><span style=\"font-weight: 400;\"> (or <\/span><span style=\"font-weight: 400;\">citalopram hydrobromide<\/span><span style=\"font-weight: 400;\">), is a <\/span><span style=\"font-weight: 400;\">brand-name<\/span><span style=\"font-weight: 400;\"> prescription medication used to treat adults with depression (<\/span><span style=\"font-weight: 400;\">major depressive disorder<\/span><span style=\"font-weight: 400;\">). <\/span><span style=\"font-weight: 400;\">It<\/span><span style=\"font-weight: 400;\"> may also be used off-label to treat other conditions such as generalized <\/span><span style=\"font-weight: 400;\">anxiety disorder<\/span><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/ocd-treatment-and-medications\"><span style=\"font-weight: 400;\">obsessive-compulsive disorder<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">panic disorder<\/span><span style=\"font-weight: 400;\">, social <\/span><span style=\"font-weight: 400;\">anxiety disorder<\/span><span style=\"font-weight: 400;\">, or premenstrual dysphoric disorder. <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> is often used in combination with counseling by <\/span><span style=\"font-weight: 400;\">mental health<\/span><span style=\"font-weight: 400;\"> professionals.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> is approved by the <\/span><span style=\"font-weight: 400;\">FDA<\/span><span style=\"font-weight: 400;\"> (but not in children) and is part of a class of <\/span><span style=\"font-weight: 400;\">antidepressants<\/span><span style=\"font-weight: 400;\"> called <\/span><span style=\"font-weight: 400;\">SSRIs<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">selective serotonin reuptake inhibitors<\/span><span style=\"font-weight: 400;\">). <\/span><span style=\"font-weight: 400;\">SSRIs<\/span><span style=\"font-weight: 400;\"> work by increasing serotonin levels in the brain, which helps symptoms of depression.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Continue reading to learn about the <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">, warnings, and <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\"> of <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h2 id=\"celexa-side-effects\"><span style=\"font-weight: 400;\">Common side effects of Celexa<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As with any medication, there is a potential for <\/span><span style=\"font-weight: 400;\">adverse effects<\/span><span style=\"font-weight: 400;\"> with <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/celexa\/what-is\"><span style=\"font-weight: 400;\">Celexa<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> may take a few weeks to feel like it is working\u2014it does not take effect immediately. After taking <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> daily for a few weeks, patients generally notice an improvement in symptoms of <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/depression-treatment-and-medications\"><span style=\"font-weight: 400;\">depression<\/span><\/a><span style=\"font-weight: 400;\">. Patients may see improvements in mood, energy, appetite, and sleep, for example.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many of the <\/span><span style=\"font-weight: 400;\">common side effects<\/span><span style=\"font-weight: 400;\"> of Celexa are mild and tend to go away as the body adjusts to the medication. If <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> are troublesome or do not go away, contact your healthcare professional for <\/span><span style=\"font-weight: 400;\">medical advice<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here is a list of the most common <\/span><span style=\"font-weight: 400;\">possible side effects of citalopram<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">):<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach problems like nausea, vomiting, heartburn, stomach pain, <\/span><span style=\"font-weight: 400;\">constipation<\/span><span style=\"font-weight: 400;\">, or diarrhea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry mouth<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drowsiness<\/span><span style=\"font-weight: 400;\"> or <\/span><span style=\"font-weight: 400;\">tiredness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insomnia (<\/span><span style=\"font-weight: 400;\">trouble sleeping<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sweating\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tremor\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sexual <\/span><span style=\"font-weight: 400;\">dysfunction<\/span><span style=\"font-weight: 400;\"> (impotence, ejaculation problems, or low libido)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Flulike symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decreased appetite\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/anxiety-treatment-and-medications\"><span style=\"font-weight: 400;\">Anxiety<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Agitation\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Menstrual cramps\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dizziness\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Yawning\u00a0<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Weight changes<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">SSRI<\/span><span style=\"font-weight: 400;\"> medications have been associated with appetite loss and weight loss. However, the <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=2632b547-2e13-447f-ac85-c774e437d6a8#Section_6.10\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">manufacturer\u2019s information<\/span><\/a><span style=\"font-weight: 400;\"> mentions both decreased weight and increased weight as frequent <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">. The information also states that in studies, people who took <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> lost about one pound, compared to those who took a <\/span><span style=\"font-weight: 400;\">placebo<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you take <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> and notice changes in appetite or weight, consult your prescriber.\u00a0<\/span><\/p>\n<h2 id=\"serious-side-effects\"><span style=\"font-weight: 400;\">Serious side effects of Celexa<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">, less commonly, can cause some severe <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">. If you have any of these <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">, seek medical attention right away. <\/span><span style=\"font-weight: 400;\">Serious side effects<\/span><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Suicidal thoughts<\/span><span style=\"font-weight: 400;\"> or behavior<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Worsening<\/span><span style=\"font-weight: 400;\"> of depression\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mania or hypomania\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">EKG\/<\/span><span style=\"font-weight: 400;\">heart rhythm<\/span><span style=\"font-weight: 400;\"> changes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bleeding\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Angle-closure <\/span><span style=\"font-weight: 400;\">glaucoma<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Seizures\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low sodium levels associated with SIADH (syndrome of inappropriate antidiuretic hormone secretion)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Priapism (prolonged erection)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Extrapyramidal symptoms (involuntary muscle movements)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Withdrawal symptoms<\/span><span style=\"font-weight: 400;\"> if abruptly discontinued<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Serotonin syndrome<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anaphylaxis<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Suicidal thoughts<\/span><span style=\"font-weight: 400;\"> and behavior<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">All <\/span><span style=\"font-weight: 400;\">antidepressants<\/span><span style=\"font-weight: 400;\">, including <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">, have a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/black-box-warning\/\"><span style=\"font-weight: 400;\">black box warning<\/span><\/a><span style=\"font-weight: 400;\">. A black box warning is the strongest warning required by the <\/span><span style=\"font-weight: 400;\">FDA<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Antidepressants<\/span><span style=\"font-weight: 400;\"> can increase the risk of <\/span><span style=\"font-weight: 400;\">suicidal thoughts<\/span><span style=\"font-weight: 400;\"> and behavior. This most often occurs in children, adolescents, and <\/span><span style=\"font-weight: 400;\">young adults<\/span><span style=\"font-weight: 400;\"> up to age 24 years. However, any patient taking an <\/span><span style=\"font-weight: 400;\">antidepressant<\/span><span style=\"font-weight: 400;\"> should be closely monitored for mood or behavior changes and <\/span><span style=\"font-weight: 400;\">suicidal thoughts<\/span><span style=\"font-weight: 400;\"> or behavior. Families and caregivers should observe the patient and report any changes to the prescriber.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Serotonin syndrome<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/serotonin-syndrome-symptoms\/\"><span style=\"font-weight: 400;\">Serotonin syndrome<\/span><\/a><span style=\"font-weight: 400;\"> is a life-threatening condition caused by a buildup of serotonin. Symptoms can range from mild to severe and include nausea, diarrhea, confusion, tremor, muscle stiffness, and in extreme cases, can cause high fever, seizures, irregular heartbeat, and unconsciousness. If you have any of these symptoms, get emergency medical treatment immediately.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Sexual side effects<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sexual side effects<\/span><span style=\"font-weight: 400;\"> can occur with <\/span><span style=\"font-weight: 400;\">SSRI<\/span><span style=\"font-weight: 400;\"> treatment (or may be associated with the psychiatric condition). Although the incidence varies, it is something to monitor with <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> treatment.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=2632b547-2e13-447f-ac85-c774e437d6a8#Section_6.10\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">studies<\/span><\/a><span style=\"font-weight: 400;\"> comparing <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> to <\/span><span style=\"font-weight: 400;\">placebo<\/span><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">6.1% of people who took <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> had abnormal ejaculation, compared to 1% of people who took a <\/span><span style=\"font-weight: 400;\">placebo<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">3.8% of people who took <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> had decreased libido, compared to less than 1% of people who took a <\/span><span style=\"font-weight: 400;\">placebo<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">2.8% of people who took <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> experienced impotence, compared to less than 1% of people who took a <\/span><span style=\"font-weight: 400;\">placebo<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Priapism (prolonged erection) has been associated with all drugs in the <\/span><span style=\"font-weight: 400;\">SSRI<\/span><span style=\"font-weight: 400;\"> class<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Sexual problems related to <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> can affect females, too. In female patients who took <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">, 1.3% reported decreased libido, and 1.1% reported inability to reach an orgasm.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The manufacturer information states that reliable estimates of both incidence and severity of <\/span><span style=\"font-weight: 400;\">sexual side effects<\/span><span style=\"font-weight: 400;\"> are difficult to collect because sexual problems are a difficult topic of discussion. Because of this, estimates likely underestimate the actual occurrence. There are no adequately designed trials that have studied <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> and sexual problems.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you take <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> and have <\/span><span style=\"font-weight: 400;\">sexual side effects<\/span><span style=\"font-weight: 400;\">, discuss them with your doctor.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Severe <\/span><span style=\"font-weight: 400;\">allergic reactions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Severe <\/span><span style=\"font-weight: 400;\">allergic reactions<\/span><span style=\"font-weight: 400;\"> to <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> are rare. However, if you have symptoms of anaphylaxis\u2014such as hives, difficulty breathing, or swelling of the face, lips, or tongue\u2014 seek emergency medical treatment right away.\u00a0<\/span><\/p>\n<h2 id=\"how-long-do-side-effects-last\"><span style=\"font-weight: 400;\">How long do <\/span><span style=\"font-weight: 400;\">Celexa<\/span> <span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> last?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">For many people, <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> tend to last a few weeks as your body adjusts to <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> persist or are troublesome, consult your doctor, who can decide if a dosage change or another medication may be appropriate. Do not stop taking <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> on your own until you talk to your doctor, who can advise you on a tapering schedule if you need to stop taking it.<\/span><\/p>\n<h2 id=\"warnings\"><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> contraindications &amp; warnings<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Restrictions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> is not appropriate for everyone. When discussing <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> with your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\">, be sure to tell them about any <\/span><span style=\"font-weight: 400;\">medical conditions<\/span><span style=\"font-weight: 400;\"> you may have.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> is contraindicated in people who:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Take a type of <\/span><span style=\"font-weight: 400;\">antidepressant<\/span><span style=\"font-weight: 400;\"> known as an MAOI (<\/span><span style=\"font-weight: 400;\">monoamine oxidase<\/span><span style=\"font-weight: 400;\"> inhibitor), or have taken an MAOI within 14 days of <\/span><span style=\"font-weight: 400;\">Celexa<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are taking <\/span><span style=\"font-weight: 400;\">pimozide<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">linezolid<\/span><span style=\"font-weight: 400;\">, or intravenous methylene blue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are allergic to <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> or any inactive ingredient in <\/span><span style=\"font-weight: 400;\">the prescription drug<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> also should not be used in people who:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have uncorrected electrolyte abnormalities<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have <\/span><span style=\"font-weight: 400;\">heart rhythm<\/span><span style=\"font-weight: 400;\"> problems like <\/span><span style=\"font-weight: 400;\">QT prolongation<\/span><span style=\"font-weight: 400;\"> or ventricular arrhythmia<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have bradycardia (slow <\/span><span style=\"font-weight: 400;\">heart rate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have had a recent <\/span><span style=\"font-weight: 400;\">heart attack<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have congestive heart failure<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> should be used with caution in people who:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a history of <\/span><span style=\"font-weight: 400;\">heart rhythm<\/span><span style=\"font-weight: 400;\"> problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are at risk for electrolyte abnormalities (your doctor will monitor labs such as <\/span><span style=\"font-weight: 400;\">potassium<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">magnesium<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use other medications that cause CNS (central nervous system) depression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use alcohol<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are poor CYP2C19 metabolizers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are under 25 years old<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are older adults<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are pregnant, especially in the third trimester<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have liver problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a history of mania or hypomania (<\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> is not approved for use in <\/span><span style=\"font-weight: 400;\">bipolar disorder<\/span><span style=\"font-weight: 400;\">\u2014patients should be screened for <\/span><span style=\"font-weight: 400;\">bipolar disorder<\/span><span style=\"font-weight: 400;\"> before taking <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have angle-closure <\/span><span style=\"font-weight: 400;\">glaucoma<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a history of seizures<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are dehydrated.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Tell your doctor if you are pregnant, planning to become pregnant, or <\/span><span style=\"font-weight: 400;\">breastfeeding<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Neonates who were exposed to certain <\/span><span style=\"font-weight: 400;\">antidepressants<\/span><span style=\"font-weight: 400;\">, including <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">, during the third trimester of pregnancy, have developed complications leading to prolonged hospitalizations, requiring tube feeding and breathing assistance. Neonates who were exposed to <\/span><span style=\"font-weight: 400;\">SSRIs<\/span><span style=\"font-weight: 400;\"> in pregnancy also may have an <\/span><span style=\"font-weight: 400;\">increased risk<\/span><span style=\"font-weight: 400;\"> of PPHN (persistent pulmonary hypertension of the newborn).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our mental health newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Mental Health Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Withdrawal<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Although <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> is not classified as a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/controlled-substances-act\/\"><span style=\"font-weight: 400;\">controlled substance<\/span><\/a><span style=\"font-weight: 400;\">, it still should not be stopped abruptly. If you need to stop taking <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">, do not just stop taking it\u2014ask your doctor for a tapering schedule, so you can slowly stop taking the medication over a few weeks. Abruptly discontinuing an <\/span><span style=\"font-weight: 400;\">antidepressant<\/span><span style=\"font-weight: 400;\">, like <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">, can cause <\/span><span style=\"font-weight: 400;\">withdrawal symptoms<\/span><span style=\"font-weight: 400;\">. <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=2632b547-2e13-447f-ac85-c774e437d6a8#Section_6.1.1\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Withdrawal symptoms<\/span><\/a><span style=\"font-weight: 400;\"> generally resolve on their own but can sometimes be severe. Symptoms of withdrawal include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Irritability<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mood swings (which can be very strong)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Agitation\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Electric shock sensations\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anxiety\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confusion\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lethargy\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insomnia\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hypomania\u00a0<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Overdose\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">When taking <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">, follow the dosing instructions provided by your healthcare professional. The manufacturer recommends taking <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> once daily, in the morning or evening.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although individual situations vary, <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> is usually started at a lower dose and slowly increased if needed, under close supervision of your doctor.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Doses above 40 mg per day are <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=2632b547-2e13-447f-ac85-c774e437d6a8#Section_10\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">not recommended<\/span><\/a><span style=\"font-weight: 400;\"> due to the risk of <\/span><span style=\"font-weight: 400;\">QT prolongation<\/span><span style=\"font-weight: 400;\"> (electrical disturbance of the heart), and because efficacy studies did not show that doses above 40 mg daily were effective.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The recommended maximum dose is 20 mg per day in:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Adults over 60 years old<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Patients with liver problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Patients who are poor CYP2C19 metabolizers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Patients who take cimetidine or another CYP2C19 inhibitor<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">People with mild or moderate kidney problems do not require a dosage adjustment. However, <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> should be used with caution <\/span><span style=\"font-weight: 400;\">in patients<\/span><span style=\"font-weight: 400;\"> with severe kidney problems.\u00a0<\/span><\/p>\n<h2 id=\"interactions\"><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Before taking <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">, tell your doctor about all of the medications you take, including <\/span><span style=\"font-weight: 400;\">prescription drugs<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">over-the-counter<\/span><span style=\"font-weight: 400;\"> (OTC) medications, and vitamins or dietary supplements. <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> has some <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\"> to be aware of:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>MAOI antidepressants<\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> MAOI (<\/span><span style=\"font-weight: 400;\">monoamine oxidase<\/span><span style=\"font-weight: 400;\"> inhibitor) <\/span><span style=\"font-weight: 400;\">antidepressants<\/span><span style=\"font-weight: 400;\"> should not be taken within 14 days of <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> due to the risk of <\/span><span style=\"font-weight: 400;\">serotonin syndrome<\/span><span style=\"font-weight: 400;\">. Examples of MAOIs include <\/span><span style=\"font-weight: 400;\">phenelzine<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">tranylcypromine<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">selegiline<\/span><span style=\"font-weight: 400;\">, and <\/span><span style=\"font-weight: 400;\">isocarboxazid<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Other drugs that increase serotonin: <\/strong><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> increases serotonin levels, and can interact with other medications that increase serotonin, causing <\/span><span style=\"font-weight: 400;\">serotonin syndrome<\/span><span style=\"font-weight: 400;\">. These medications include other <\/span><span style=\"font-weight: 400;\">antidepressant medications<\/span><span style=\"font-weight: 400;\">, triptans for migraine, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lithium-carbonate\"><span style=\"font-weight: 400;\">lithium<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">tryptophan<\/span><span style=\"font-weight: 400;\">, opioid pain medications (such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/tramadol-hcl\"><span style=\"font-weight: 400;\">tramadol<\/span><\/a><span style=\"font-weight: 400;\">), <\/span><span style=\"font-weight: 400;\">St. John\u2019s Wort<\/span><span style=\"font-weight: 400;\">, and dextromethorphan (a popular cough suppressant found in many cough and cold products, both prescription and OTC).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong><a href=\"https:\/\/www.drugabuse.gov\/sites\/default\/files\/drugfacts-cnsdepressants.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">CNS depressants<\/a><\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> Drugs that slow down the central nervous system, such as sedatives, tranquilizers, and sleep medications, should be used cautiously in people who take <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Alcohol<\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> Avoid alcohol while taking <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>NSAIDs and blood thinners: <\/strong><span style=\"font-weight: 400;\">Nonsteroidal anti-inflammatory drugs<\/span><span style=\"font-weight: 400;\"> (such as <\/span><span style=\"font-weight: 400;\">ibuprofen<\/span><span style=\"font-weight: 400;\">, aspirin, and <\/span><span style=\"font-weight: 400;\">naproxen<\/span><span style=\"font-weight: 400;\">) and blood thinners (such as <\/span><span style=\"font-weight: 400;\">warfarin<\/span><span style=\"font-weight: 400;\">) may increase the risk of bleeding when taken with <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">This is not a full list of <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\">, and other <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\"> can occur. Consult your doctor for a full list of <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h2 id=\"how-to-avoid-side-effects\"><span style=\"font-weight: 400;\">How to avoid <\/span><span style=\"font-weight: 400;\">Celexa<\/span> <span style=\"font-weight: 400;\">side effects<\/span><\/h2>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Dosage<\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> Follow appropriate dosing instructions as given by your doctor. The starting dose varies based on your medical history. Take <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> once daily as directed, with or without food. If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take your regular dose at the usual time\u2014do not double up. The length of treatment with <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> can vary. Your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> can advise you on the length of treatment that is right for you. Do not change your dose or stop taking your medication unless your doctor has given you specific instructions on how to do so.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Medical history<\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> Discuss any <\/span><span style=\"font-weight: 400;\">medical conditions<\/span><span style=\"font-weight: 400;\"> and history with your doctor, so he or she can determine if <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> is safe for you.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Interactions<\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> Because <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> has potential <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\">, be sure to review all of the medications you take with your prescriber. This includes prescription, OTC, and any vitamins or dietary supplements you take. Any time you take a new medicine (prescription or <\/span><span style=\"font-weight: 400;\">OTC<\/span><span style=\"font-weight: 400;\">), ask your doctor or pharmacist if it is safe to take with <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">. Avoid alcohol when taking <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Communicate<\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> Talk to your doctor and\/or pharmacist. If you experience mild <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">, your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> may be able to give you tips on avoiding them. Keep a journal with any <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> and what helps them. For example, if <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> makes you tired, you may try taking it at bedtime. If you have <\/span><span style=\"font-weight: 400;\">serious side effects<\/span><span style=\"font-weight: 400;\">, tell your doctor right away or seek emergency medical attention when needed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Read the Medication Guide<\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> When you fill or refill your <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> prescription, you will receive a medication guide. This guide reviews <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> and warnings. Read the guide each time you fill your prescription, which will help keep important information about <\/span><span style=\"font-weight: 400;\">Celexa<\/span><span style=\"font-weight: 400;\"> fresh in your mind.<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Celexa side effects | Serious side effects\u00a0| How long do side effects last?\u00a0| Warnings | Interactions | How to avoid side effects Celexa, also known by its generic name, citalopram (or citalopram hydrobromide), is a brand-name prescription medication used to treat adults with depression (major depressive disorder). It may also be used off-label to treat [&hellip;]<\/p>\n","protected":false},"author":99,"featured_media":28930,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[451,12752,450],"coauthors":[10668],"class_list":["post-28915","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-depression","tag-medication-side-effects","tag-mental-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Common and serious Celexa side effects | SingleCare<\/title>\n<meta name=\"description\" content=\"Stomach problems, dry mouth, and insomnia are common Celexa side effects. 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