Citalopram Orion
This medicine helps treat depression, panic disorder, and obsessive-compulsive disorder by increasing serotonin in the brain.
Form
tabletti, kalvopäällysteinen
Strength
20 mg
Active Ingredient
Citalopram hydrobromide
Manufacturer
Orion Corporation
How to Use
Dosage
Typically, you take 20 mg once a day. Your doctor might increase this to a maximum of 40 mg daily if needed.
Method
Take the tablet with a glass of water, with or without food.
Important
The maximum daily dose is 40 mg. For elderly or patients with liver problems, it is usually 20 mg per day.
Possible Side Effects
COMMON
- •Drowsiness
- •Insomnia
- •Increased sweating
- •Dry mouth
- •Nausea
- •Loss of appetite
- •Agitation or restlessness
- •Decreased libido (sexual desire)
- •Anxiety
- •Sexual dysfunction (decreased sexual desire or ability)
- •Painful periods
- •Nervousness
- •Confusion
- •Abnormal dreams
- •Tremor (shaking)
- •Numbness or tingling (prickling sensations)
- •Dizziness
- •Attention disturbances
- •Tinnitus (ringing in the ears)
- •Yawning
- •Diarrhea
- •Vomiting
- •Constipation
- •Itching
- •Muscle or joint pain
- •Impotence or ejaculation problems
- •Abnormal orgasm or difficulty achieving orgasm in women
- •Fatigue
- •Skin pricking sensation
- •Weight loss
RARE
- •Subcutaneous bleeding (bleeding under the skin)
- •Increased appetite
- •Aggressiveness
- •Depersonalization (feeling detached from oneself)
- •Hallucinations
- •Mania
- •Fainting
- •Dilated pupils
- •Fast heart rate
- •Slow heart rate
- •Rash or hives
- •Hair loss
- •Increased sensitivity to sunlight
- •Difficulty urinating
- •Heavy menstrual bleeding
- •Swelling of arms and legs
- •Weight gain
- •Movement disorders
- •Taste disturbances
- •Unusual bleeding
- •Liver inflammation
- •Fever
- •Fatigue, confusion, and muscle twitching, which can be signs of a rare condition called hyponatremia (abnormally low sodium levels in the blood)
- •Seizures or more frequent seizures
- •High fever, restlessness, confusion, tremor, and sudden muscle jerks; these can be signs of a rare condition called serotonin syndrome
- •Swelling of skin, tongue, lips or face, breathing or swallowing difficulties (allergic reactions), sudden swelling of skin or mucous membranes (angioedema)
- •Gastrointestinal bleeding (bleeding from the stomach or intestines)
- •Fast, irregular heartbeat and fainting, which can be symptoms of a life-threatening condition known as torsades de pointes
- •Thoughts of suicide or death
- •Abnormally low platelet count (thrombocytopenia), which increases the risk of bleeding and bruising
- •Hypersensitivity reactions
- •Inappropriate secretion of antidiuretic hormone (SIADH)
- •Increased prolactin levels in the blood
- •Low potassium levels in the blood (hypokalemia), which can cause muscle weakness, twitching, or abnormal heart rhythm
- •Panic attack
- •Teeth grinding
- •Restlessness
- •Convulsions
- •Unusual muscle movements or stiffness
- •Involuntary muscle movements (akathisia)
- •Vision disturbances
- •Prolonged QT interval observed on ECG
- •Irregular heartbeat (ventricular arrhythmia)
- •Dizziness when standing up due to low blood pressure (orthostatic hypotension)
- •Nosebleed
- •Abnormal liver function test results
- •Bleeding disorders, including skin and mucous membrane bleeding (ecchymosis)
- •Milk production from breasts in men and non-pregnant or non-breastfeeding women (galactorrhea)
- •Irregular menstruation
- •Heavy vaginal bleeding shortly after childbirth (postpartum hemorrhage)
- •Painful erection in men (priapism)
Important Warnings
- Do not take if you are allergic to citalopram or any other ingredients.
- Do not take if you are currently taking other medicines called MAO inhibitors.
- Do not take if you have an abnormal heart rhythm (visible on an ECG).
- Do not take if you are using medicines for heart rhythm problems or medicines that can affect your heart rhythm.
- Talk to your doctor if you have had mania or hypomania episodes.
Show 10 more warnings
- Talk to your doctor if you have severe liver or kidney disease.
- Talk to your doctor if you have increased bleeding tendency or are pregnant.
- Talk to your doctor if you have diabetes, as this medicine can affect blood sugar levels.
- Talk to your doctor if you have epilepsy, especially if seizures become more frequent.
- Talk to your doctor if you have low sodium levels in your blood.
- Talk to your doctor if you are receiving electroconvulsive therapy (ECT).
- Talk to your doctor if you have had psychosis, as this medicine can worsen psychotic symptoms.
- Talk to your doctor if you have narrow-angle glaucoma or have had glaucoma.
- Talk to your doctor if you have heart problems or recently had a heart attack.
- Seek immediate medical help if you have thoughts of harming yourself or committing suicide.
Use in Elderly Patients
Category C
Suitable for older adults, with specific precautions. Serotonergic. Risk of QT prolongation. A significant adverse effect is low serum sodium level. Increases risk of falls. Consider potential interactions especially with preparations that increase risk of bleeding. (updated 12.2.2024)