Citalopram Hydrobromide (Citalopram 10mg tablets)

 

Overview

Information specific to: Citalopram 10mg tablets when used in Anxiety.

Citalopram hydrobromide (Sit-al-oh-pram hi-droh-broh-mide) is a medicine which is used in depression and panic disorder.

The information in this Medicine Guide for Citalopram hydrobromide varies according to the condition being treated and the particular preparation used.

Your medicine

Citalopram hydrobromide is used to treat a variety of mental health problems. It is thought that Citalopram hydrobromide increases the activity and levels of certain chemicals in the brain. This can improve symptoms such as depression and anxiety.

Some people who take Citalopram hydrobromide may find that it intensifies depression and suicidal feelings in the early stages of treatment. These people have an increased risk of self-harm or suicide in the early stages of taking Citalopram hydrobromide. As Citalopram hydrobromide starts to work these risks decrease.

If you are taking Citalopram hydrobromide, or you care for someone who is taking Citalopram hydrobromide, you need to look out for changes in thoughts or behaviour that could be linked to self-harm or suicide.

If you notice any of these changes or are worried about how Citalopram hydrobromide is affecting you or someone you care for, you should contact your prescriber, a mental health professional or NHS Direct as soon as possible.

It is important that you discuss with your prescriber how long it will take before you can expect to feel any benefits from taking Citalopram hydrobromide.

Other information about Citalopram hydrobromide:

  • your doctor may start you on a low dose of this medicine and then increase the dose depending on how you respond to treatment

Do not share your medicine with other people. It may not be suitable for them and may harm them.

The pharmacy label on your medicine tells you how much medicine you should take. It also tells you how often you should take your medicine. This is the dose that you and your prescriber have agreed you should take. You should not change the dose of your medicine unless you are told to do so by your prescriber.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.

Whether this medicine is suitable for you

Citalopram hydrobromide is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

  • are aged over 65 years
  • are allergic or sensitive to or have had a reaction to any of the ingredients in the medicine
  • are having electroconvulsive therapy
  • are taking monoamine oxidase inhibitors or have taken them within the last two weeks
  • have diabetes
  • have epilepsy
  • have had bleeding problems
  • have had glaucoma
  • have kidney problems
  • have liver problems
  • have metabolic problems
  • have narrow angle glaucoma
  • have or have had mania
  • have or have had thoughts of committing suicide
  • have psychosis
  • have recently had a heart attack
  • have, have had or have risk factors for developing heart problems

Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for someone under 18 years of age.

As part of the process of assessing suitability to take this medicine a prescriber may also arrange tests:

  • to check that this medicine is not having any undesired effects
  • to determine whether or not the medicine is suitable and whether it must be prescribed with extra care

Over time it is possible that Citalopram hydrobromide can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Citalopram hydrobromide has become unsuitable, it is important that the prescriber is contacted immediately.

Alcohol

Alcohol can interact with certain medicines.

It is best to avoid drinking alcohol while you are taking this medicine.

Diet

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Citalopram hydrobromide:

  • there are no specific foods that you must exclude from your diet when taking Citalopram hydrobromide

Driving and operating machinery

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

In the case of Citalopram hydrobromide:

  • this medicine could affect your ability to drive or operate machinery

You should see how this medicine affects you before you judge whether you are safe to drive or operate machinery. If you are in any doubt about whether you should drive or operate machinery, talk to your prescriber.

Family planning and pregnancy

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Citalopram hydrobromide:

  • you should only take this medicine during pregnancy if your doctor thinks that you need it
  • children born to mothers who took Citalopram hydrobromide during the late stages of pregnancy may need regular check-ups

You need to discuss your specific circumstances with your doctor to weigh up the overall risks and benefits of taking this medicine. You and your doctor can make a decision about whether you are going to take this medicine during pregnancy.

If the decision is that you should not have Citalopram hydrobromide, then you should discuss whether there is an alternative medicine that you could take during pregnancy.

Breast-feeding

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Citalopram hydrobromide:

  • women who are taking Citalopram hydrobromide should not breast-feed

Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. If you wish to breast-feed you should discuss with your prescriber whether there are any other medicines you could take which would also allow you to breast-feed. You should not stop this medicine without taking advice from your doctor.

Taking other medicines

If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.

The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.

Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.

The following medicines may interact with Citalopram hydrobromide:

  • aspirin
  • astemizole
  • bupropion
  • buspirone
  • cimetidine
  • clomipramine
  • desipramine
  • dipyridamole
  • erythromycin, if injected into a vein
  • esomeprazole
  • flecainide
  • fluvoxamine
  • halofantrine
  • halofantrine
  • haloperidol
  • imipramine
  • lansoprazole
  • linezolid
  • lithium
  • mefloquine
  • metoprolol
  • mizolastine
  • moclobemide
  • moxifloxacin
  • nortriptyline
  • omeprazole
  • oxitriptan
  • pentamidine
  • pimozide
  • propafenone
  • risperidone
  • selegiline
  • sparfloxacin
  • sumatriptan
  • thioridazine
  • ticlopidine
  • tramadol
  • tryptophan

The following types of medicine may interact with Citalopram hydrobromide:

  • antiarrhythmics
  • anticoagulants
  • antihistamines
  • antimalarials
  • antimicrobials
  • antipsychotics
  • butyrophenones
  • cytochrome P450 enzyme inhibitors
  • medicines that affect seizure control
  • medicines that are metabolised by the cytochrome P450 system
  • medicines that can cause metabolic problems
  • medicines that prolong the QTc interval
  • medicines which affect platelet function
  • monoamine oxidase inhibitors
  • non-steroidal anti-inflammatories
  • phenothiazines
  • serotonergics
  • thioxanthenes
  • tricyclic antidepressants
  • triptans

If you are taking Citalopram hydrobromide and one of the above medicines or types of medicines, make sure your prescriber knows about it.

Complementary preparations and vitamins

Medicines can interact with complementary preparations and vitamins.

Make sure you tell your prescriber the names of all the complementary preparations and vitamins that you are taking or are planning to take.

Your prescriber can then decide whether it is appropriate for you to take combinations that are known to interact.

In the case of Citalopram hydrobromide:

  • this medicineinteracts with St. John's Wort

If you have been prescribed Citalopram hydrobromide you should only take something on the above list on the specific advice of your prescriber or pharmacist.

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