Celexa/Citalopram hydrobromide IS USED FOR:

Treating depression. It may also be used for other conditions as determined by your doctor.

Celexa/Citalopram is a selective serotonin reuptake inhibitor (SSRI). It helps to restore the brain's chemical balance by increasing the supply of serotonin, which helps improve mood.

DO NOT USE Celexa/Citalopram hydrobromide IF:

• you are allergic to any ingredient in Celexa/Citalopram
• you are taking astemizole, pimozide, dexfenfluramine, fenfluramine, phenothiazines (eg, Mellaril/thioridazine), sibutramine, or terfenadine
• you are taking or have taken a monoamine oxidase (MAO) inhibitor (eg, phenelzine) or St. John's wort within the last 14 days

Contact your doctor or health care provider right away if any of these apply to you.

POSSIBLE SIDE EFFECTS OF Celexa/Citalopram hydrobromide :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Change in taste; decreased menstrual flow or painful periods; diarrhea; dry mouth; ejaculation disorder; impotence; increased sweating; loss of appetite; nausea; runny nose; sinus inflammation; tiredness; tremor; upset stomach; weight loss or gain.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); anxiety; cold sweat; confusion; dizziness; fatigue; hostility; impulsiveness; irritability; lack of concern; mania; mental/mood changes; panic attacks; restlessness; seizures; shakiness; sleeplessness; sore throat or fever; suicidal thoughts or behaviors; vision changes; worsening of depression.

IMPORTANT SAFETY INFORMATION:

• LAB TESTS may be performed to monitor your progress. Be sure to keep all doctor and lab appointments.
• If you experience a worsening of your symptoms (anxiety, agitation, insomnia, irritability, restlessness, or suicidal thinking) contact your doctor immediately.
• Celexa/Citalopram is not recommended for use in CHILDREN. Safety and effectiveness have not been confirmed.
• Celexa/Citalopram may cause dizziness or drowsiness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Celexa/Citalopram. Using Celexa/Citalopram alone, with other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
• PREGNANCY and BREAST-FEEDING: Celexa/Citalopram has been shown to cause harm to the human fetus. If you become pregnant, discuss with your doctor the benefits and risks of using Celexa/Citalopram during pregnancy. If you are pregnant, talk with your doctor about gradually decreasing your dose during the last trimester of pregnancy. Celexa/Citalopram is excreted in breast milk. Do not breast-feed while taking Celexa/Citalopram.
• Celexa/Citalopram will add to the effects of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants.
• Additional monitoring of your condition is recommended at the start of treatment with Celexa/Citalopram and whenever a change in your dose is made.

BEFORE USING Celexa/Citalopram hydrobromide :

Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you have allergies to medicines, foods, or other substances
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you have suicidal tendencies or have attempted suicide, liver or kidney disease, stomach bleeding, seizures, or mania

Some MEDICINES MAY INTERACT with Celexa/Citalopram. Tell your health care provider if you are taking any other medicines (especially any of the following):

• Anorexiants (eg, phentermine), Zyvox/linezolid, Lithobid/lithium, or Imitrex/sumatriptan because side effects such as irritability or altered consciousness may occur
• Periactin/Cyproheptadine or Risperdal/risperidone because the effectiveness of Celexa/Citalopram may be decreased
• Imitrex/Sumatriptan because the effectiveness of Celexa/Citalopram may be decreased
• Pimozide because the risk of a change in heart rhythm may be increased
• Clozaril/Clozapine, H antagonists (eg, diphenhydramine), Reglan/metoclopramide, phenothiazines (eg, Mellaril/thioridazine), Risperdal/risperidone, or Desyrel/trazodone because the actions and side effects of these medicines may be increased ₁
• Fenfluramine and derivatives, MAO inhibitors (eg, phenelzine), Eldepryl/selegiline, sibutramine, St. John's wort, and Ultram/tramadol because the actions and side effects, such as irritability or altered consciousness, of these medicines may be increased
• Anticoagulants (eg, Coumadin/warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, Motrin/ibuprofen) because of increased risk of bleeding of the stomach and bowels

This may not be a complete list of all interactions that may occur. Ask your health care provider if Celexa/Citalopram may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

HOW TO USE Celexa/Citalopram hydrobromide :

Use Celexa/Citalopram as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Celexa/Citalopram may be taken with or without food.
• You may notice improvement in your depression in 1 to 4 weeks. Continue to take your medicine as directed even when depression improves.
• Celexa/Citalopram comes with an additional patient information sheet called a Medication Guide. Read it carefully and reread it each time you get Celexa/Citalopram refilled.
• If it is necessary to stop Celexa/Citalopram , your doctor will need to reduce the dosage over a few days to a week.
• Do not miss any doses. If you miss a dose of Celexa/Citalopram , skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Celexa/Citalopram.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.