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Terms Of Use


Brand Name(s) : Cipramil
Side Effects


Citalopram should be used with caution in: patients with epilepsy, heart disease, liver problems, kidney problems, diabetes mellitus, Susceptibility to angle-closure glaucoma (increased pressure in the eye), history of mania (very high energy and mood) or bleeding disorders (especially bleeding from the stomach and intestines), patients receiving electro-convulsive therapy (ECT), children and adolescents aged under 18 years and the elderly.

It should not be used in: patients who are being treated with monoamine oxidase inhibitors (MAOIs) or when taking pimozide (usually taken to treat mental disorders such as schizophrenia), and when entering the manic phase in patients with bipolar disorder.

Also see list of precautions and interactions.


Store below 25°C


Citalopram is used to treat a number of problems.

It is a member of a class of drugs called the selective serotonin reuptake inhibitors, sometimes known as SSRIs.

In general, this drug is used to treat depression or people who are prone to panic attacks.

Benefits of being on this drug include relief from depression and panic or anxiety.

Listed below are the typical uses of citalopram:

However on occasion your doctor may prescribe this medicine to treat a condition not on this list.


How often do I take it?

  • This medication is available as a tablet or as a solution (oral drops), either of which should be taken orally, usually as a single dose. Tablets should be taken with a glass of water and oral drops should be mixed with water, orange juice or apple juice before drinking.
  • Use this medication regularly in order to get the most benefit from it.
  • Remember to use it at the same time each day - unless specifically told otherwise by your doctor.
  • It may take several weeks before you notice any benefits of this drug.
  • Certain medical conditions may require different dosage instructions as directed by your doctor.

What dose?

  • Dosage is based on your age, gender, medical condition, response to therapy and use of certain interacting medicines.

Do I need to avoid anything?

  • Avoid drinking alcohol. Consult your doctor or pharmacist for more details.

When can I stop?

  • It is important to continue taking this medication even if you feel well, unless your doctor tells you to stop.


  • Nausea (feeling sick)
  • Vomiting
  • Indigestion
  • Abdominal pain
  • Constipation
  • Sleepiness
  • Dryness of the mouth
  • Excessive sweating
  • Tiredness
  • Lack of appetite
  • Diarrhoea
  • Discontinuation symptoms if you stop taking this drug (particularly when abrupt), such as dizziness, tingling, numbness or 'pins and needle' sensations, headache, anxiety and feeling sick.
  • Difficulty sleeping (insomnia)
  • Dizziness
  • Feeling faint or dizzy when standing up
  • Disturbances in vision
  • Taste disturbances (changes in sense of taste)
  • Tremors
  • Restlessness
  • Fits
  • Difficulty passing urine
  • Tingling, numbness or 'pins and needle' sensations (paraesthesia)
  • Rapid heart beat (tachycardia).
  • Rashes on exposure to sunlight
  • Increased risk of bleeding (particularly from the stomach or gut).

If any of these persist or you consider them severe then inform your doctor.

Tell your doctor immediately if you develop any of the following symptoms: feeling more depressed and/or thinking about suicide; unusual bleeding (vomit blood or develop black or blood stained stools); continuation of symptoms associated with depression (e.g. anxiety, hallucinations, confusion or manic symptoms).

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

The Yellow Card Scheme allows you to report suspected side effects from any type of medicine (which includes vaccines, herbals and over the counter medicines) that you are taking. It is run by the medicines safety watchdog called the Medicines and Healthcare products Regulatory agency (MHRA). Please report any suspected side effect on the Yellow Card Scheme website.


Before taking citalopram, tell your doctor or pharmacist if you are allergic to it; or to other selective serotonin reuptake inhibitors (SSRI); or if you have any other allergies.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: any mental disorders (particularly schizophrenia or bipolar disorder), epilepsy, liver disease or any sort of heart or blood disorder, diabetes, increased pressure in the eye (glaucoma), or are undergoing electroconvulsive therapy (ECT).

Before using this medication, tell your doctor or pharmacist your medical history, especially any of the following: any previous mental disorders or epilepsy, any bleeding disorders (especially bleeding from the gut).

Before having surgery, tell your doctor or dentist that you are taking this medication.

Does alcohol intake affect this drug?

  • Yes. Avoid alcohol whilst taking citalopram.

Pregnancy and breast-feeding - please ensure you read the detailed information below


It is not recommended to use citalopram during pregnancy. Ask your doctor or pharmacist if you have any doubts or questions about this.

It is sensible to limit use of medication during pregnancy whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.


Citalopram passes into breast milk and its use in breastfeeding is not recommended. Ask your doctor or pharmacist if you have any doubts or questions about this.

It is sensible to limit use of medication during breastfeeding whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.


Before using this medicine, tell your prescriber of all the medicines you are taking including prescription medicines and medicines you have bought over the counter without a prescription. Tell your prescriber if you are taking vitamins or complementary remedies such as herbal products, as these can also interact with medicines.

If you are taking more than one medicine, these may interact with each other. Your prescriber may decide to use medicines which interact with each other if the benefit outweighs the risks. In these cases, the dose of your medicines may need to be adjusted or you may be monitored more closely.

The following medicines may interact with citalopram:

  • Other antidepressants (monoamine oxidase inhibitors [MAOIs] including the reversible MAOI moclobemide, tryptophan and tricyclics, such as as imipramine, desipramine, amitriptyline)
  • The herbal remedy St John's Wort
  • Antimalarial agents (artemether/lumefantrine)
  • Antipsychotics (clozapine and pimazone)
  • Metoprolol
  • Antiepileptic medicines, used to control fits
  • Aspirin
  • Cimetidine
  • Bupropion
  • Lithium
  • Blood-thinning drugs (e.g. warfarin)
  • Non-steroidal anti-inflammatory drugs (e.g. aspirin or ibuprofen) and some other drugs for pain relief (tramodol)
  • Sumatriptan (anti-migraine drug)
  • Ritonavir (antiviral agent)
  • Rasagiline and selegiline (dopaminergics used in Parkinson's disease).

This information does not contain all possible interactions. Therefore, tell your prescriber of all the products you are using before taking this medicine.

If you have a question or want to discuss anything about your medicine, speak to your local pharmacist.


Symptoms of an overdose include: feeling sick (nausea), dizziness, sleepiness, changes in heart beat (which may become fast or irregular), rapid or deep breathing (hyperventilation), low blood pressure, fever, fainting, low heart rate (bradycardia), coma (unable to wake) and fits.

If you think you, or someone you care for, might have accidentally taken more than the recommended dose of citalopram or intentional overdose is suspected, contact your local hospital, GP or if in England call 111. In Scotland call NHS 24. In Wales, call NHS Direct Wales. In the case of medical emergencies, always dial 999.


If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

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Source: Selected from data included with permission and copyrighted by Boots UK Limited. This copyrighted material is sourced from a licensed data provider and is not for distribution, except as may be authorised by the applicable terms of use.
CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse events, nor should it be construed to indicate that use of a particular medicine is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any medicine, changing any diet, or discontinuing any course of treatment.

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