But for others, a different medication may be a better option.It’s not known if Celexa is safe to take during pregnancy. Consideration should be given to factors which may affect the disposition of a minor metabolite of citalopram (didemethylcitalopram) since increased levels of this metabolite could theoretically prolong the QTc interval in susceptible individuals. They may monitor your side effects during treatment or suggest different medications.Examples of some drugs that can affect the CNS include:If you’re taking a drug that acts on your CNS or if you’re not sure, talk with your doctor before you start using Celexa. For the following reactions a dose-response was discovered: Sweating increased, dry mouth, insomnia, somnolence, diarrhoea, nausea and fatigue.The table shows the percentage of adverse drug reactions associated with SSRIs and/or citalopram seen in either ≥ 1% of patients in double-blind placebo-controlled trials or in the post-marketing period. Caution is warranted for patients who are being treated simultaneously with anticoagulants, medicinal products that affect the platelet function, such as non steroidal anti-inflammatory drugs (NSAIDs), acetylsalicylic acid, dipyridamole and ticlopidine or other medicines (e.g. These conditions affect how well you sleep on a regular basis. A meta-analysis of placebo-controlled clinical trials of antidepressant drugs in adult patients with psychiatric disorders showed an increased risk of suicidal behaviour with antidepressants compared to placebo in patients less than 25 years old.Close supervision of patients and in particular those at high risk should accompany drug therapy especially in early treatment and following dose changes. Dosage adjustments should be made carefully on an individual patient basis, to maintain the patient at the lowest effective dose.Patients with depression should be treated for a sufficient period of at least 6 months to ensure that they are free from symptoms.A single oral dose of 8mg (4 drops) is recommended for the first week before increasing the dose to 16mg (8 drops) daily. A reduction in the dose of citalopram may be necessary based on monitoring of undesirable effects during concomitant treatment.Escitalopram (the active enantiomer of citalopram) is an inhibitor of the enzyme CYP2D6. ECG monitoring may be advisable in case of overdose or conditions of altered metabolism with increased peak levels, e.g. For instance, some interactions can interfere with how well a drug works. And you may wonder if Celexa is used for certain other conditions.SSRIs, including Celexa, are sometimes used off-label for the treatment of Treatment of OCD usually requires doses of Celexa that are higher than those used for depression. In some situations, your doctor may adjust your dose, requiring you to split tablets. In addition, these conditions may be co-morbid with major depressive disorder. Cilexin contains ingredients that stimulate production of nitric oxide which then gives better blood circulation. This information is intended for use by health professionalsEach 1ml of Citalopram Oral Drops contains 40mg of citalopram (as hydrochloride). For symptoms of serotonin syndrome, see the “Celexa side effects” section above. Therefore, co-administration of citalopram with other medicinal products in clinical practice has very low likelihood of producing pharmacokinetic medicinal product interactions.The absorption and other pharmacokinetic properties of citalopram have not been reported to be affected by food. Among the different scales researchers used to evaluate people in the study was the modified Alzheimer Disease Cooperative Study — Clinical Global Impression of Change. A pharmacokinetic interaction study of lithium and citalopram did not reveal any pharmacokinetic interactions (see also above).