Citalopram 20 mg film-coated tablets
What Citalopram is used for :
- Citalopram is used to treat depression.
 
Do not take Citalopram :
- If you’re allergic to the active substances or any other component of this medicine.
 - If you are currently taking or took a monoamine oxidase inhibitor (MAOI) in the past 14 days.
 - If you are currently taking one of these medications: Escitalopram, Linezolid, Pimozide or Methylene Blue.
 
Warnings and precautions :
- Talk to your doctor about all your medical conditions before taking this drug including:
 - If you have heart problems such as abnormal heart rhythm or heart failure.
 - If you’ve had a recent heart attack.
 - If you are taking or took medications for Parkinson’s disease in the past 14 days.
 - If you have seizures or epilepsy.
 - If you have any bleeding disorders.
 - If you have liver disease.
 - If you have severe kidney disease.
 - This medicine raises the chance of suicidal thoughts or actions in children, adolescents and young adults.
 -  All people who take this drug need to be watched closely. 
 - Call the doctor right away if any thoughts or actions of suicide occur.
 - This medication increases the risk of bleeding if taken with certain medications such as blood thinners.
 - A severe and sometimes deadly problem called serotonin syndrome may happen.
 -  The risk may be greater if you also take certain other drugs. 
 - Do not stop taking this drug all of a sudden without calling your doctor. 
 - You may have a greater risk of side effects.
 -  Your doctor will slowly stop this medicine for you.
 
Possible Side Effects :
- Stop using this product and seek immediate medical help if you develop rash; hives; blisters; itching; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; or swelling of the mouth, face, lips, tongue, or throat.
 
Serious Side Effects :
- Serotonin syndrome characterized by change in balance; confusion; hallucinations; fever; fast or abnormal heartbeat; flushing; muscle twitching or stiffness; seizures; shivering or shaking; sweating a lot; severe diarrhea, upset stomach, or throwing up; or very bad headache.
 - Suicidal thoughts.
 - Low sodium levels.
 - Bleeding.
 - Seizures.
 - Irregular heartbeat.
 
Other medicines and Citalopram :
- Tell your doctor about all the medicines you are taking.
 - Taking  in combination with a monoamine oxidase inhibitor (MAOI) can lead to serious, sometimes fatal, reactions.
 
How to take Citalopram  : 
- Take this medicine as indicated by your doctor.
 - Take this medicine at the same time of the day.
 - Do not discontinue this medication suddenly.
 - The usual starting dose is 10 or 20 mg once daily. Your doctor may gradually increase it for you.
 
How to store Citalopram   :
- Store at room temperature 68 to 77°F (20 to 25°C).
 - Keep this medicine out of reach of children.
 - Do not use this medicine after the expiry date stated on the package. 
 - The expiry date refers to the last day of that month.
 
*Dosage form and route of administration of Citalopram 20 mg film-coated tablets and 40 mg film-coated tablets should be prescribed according to therapeutic indication and disease severity of each individual patient.