citalopram (oral) (cont.)
What happens if I miss a dose (Celexa)?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose (Celexa)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid while taking citalopram (Celexa)?
Avoid taking tryptophan while you are taking citalopram.
Drinking alcohol can increase certain side effects of citalopram.
Citalopram may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
What other drugs will affect citalopram (Celexa)?
Taking citalopram with other drugs that make you sleepy or slow your breathing can increase these effects. Ask your doctor before taking citalopram with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.
Ask your doctor before taking a nonsteroidal anti-inflammatory drug (NSAID) for pain, arthritis, fever, or swelling. This includes aspirin, celecoxib, diclofenac, indomethacin, meloxicam, and others, and others. Using an NSAID with citalopram may cause you to bruise or bleed easily.
Many drugs can interact with citalopram. Not all possible interactions are listed here. Tell your doctor about all your medications and any you start or stop using during treatment with citalopram, especially:
- other antidepressants--amitriptyline, doxepin, clomipramine, desipramine, imipramine, nortriptyline, protriptyline, trimipramine;
- St. John's wort;
- trytophan (sometimes called L-tryptophan)
- arsenic trioxide, vandetanib;
- an antibiotic--azithromycin, clarithromycin, erythromycin, levofloxacin, moxifloxacin, pentamidine;
- anti-malaria medication--chloroquine, halofantrine, mefloquine;
- a blood thinner such as warfarin, Coumadin;
- heart rhythm medication--amiodarone, dofetilide, disopyramide, dronedarone, flecainide, ibutilide, procainamide, propafenone, quinidine, sotalol;
- HIV or AIDS medications;
- medicine to prevent or treat nausea and vomiting--dolasetron, droperidol, ondansetron;
- medicines to treat psychiatric disorders--chlorpromazine, clozapine, haloperidol, mesoridazine, pimozide, thioridazine, ziprasidone;
- migraine headache medicine--sumatriptan, zolmitriptan;
- narcotic medication--fentanyl, methadone;
- seizure medication; or
- stomach acid reducers--cimetidine, lansoprazole, omeprazole.
This list is not complete and many other drugs can interact with citalopram. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Give a list of all your medicines to any healthcare provider who treats you.
Where can I get more information?
Your pharmacist can provide more information about citalopram.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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