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celexa dosing uptodate

Celexa (citalopram) is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Contains indications, interactions, and side effects for Celexa.

Other names for this medication:
Ctp, Citalopram

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Ask your doctor or pharmacist if you have any questions. If you don't have a medication guide, request one from your pharmacist. Tablet, capsule, and liquid versions of Celexa are readily available. If you are taking Celexa, avoid drinking alcohol. Celexa can make you sleepy or impair your capacity to think clearly, make decisions, or act quickly. Avoid taking two doses at once. If you miss a dose of Celexa, take the missed dose as soon as you remember, If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. It is usually taken once a day with or without food. A marked measuring spoon or medicine cup should be used to measure the oral liquid form. Take your time reading and implementing these guidelines. As directed, take Celexa as directed. This medicine should come with a Medication Guide. When performing activities that call for alertness, exercise caution because Celexa may cause drowsiness, anxiety, or blurred vision. Avoid using any stimulants, including alcohol and caffeine. You should not drive, operate heavy machinery, or do other dangerous activities until you know how Celexa affects you. Your physician may ask you to sign some paperwork as proof that you comprehend this information. The Celexa dosage may need to be adjusted by your doctor until it is suitable for you.


-Sustained pharmacologic therapy for several months or longer may be necessary for the treatment of acute episodes of depression. -Sustained pharmacologic therapy for several months or longer may be necessary for acute episodes of depression. -Doses of 60 mg/day did not show a benefit in efficacy over doses of 40 mg/day. Information on the correct dosage of Celexa in detail Initial dose: 20 mg orally once a day Maintenance dose: 20 to 40 mg orally once a day Maximum dose: 40 mg orally per day Comments: -The initial dose may be increased if necessary to 40 mg once a day after at least 1 week of therapy. Comments: -Doses of 60 mg/day did not demonstrate an advantage in efficacy over doses of 40 mg/day. Over 60 years of age: Recommended dose: 20 mg orally once daily. Utilization: Depression treatment Usual Adult Celexa Dose for Depression: Common Geriatric Celexa Dosage for Depression:

Missed dose

Do not take two doses at one time. If it's almost time for your next dose, skip the missed dose and take the medication as soon as you remember.


However, if overdose is suspected, seek emergency medical attention. It is unlikely that an overdose will occur if Celexa is given by a healthcare professional in a hospital setting. If you take too much Celexa call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away.

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Side effects

Call your physician for advice on possible side effects. Other side effects in kids and teens include: increased thirst abnormal increase in muscle movement or agitation nose bleed urinating more often heavy menstrual periods possible slowed growth rate and weight change. Common side effects also include: nausea sleepiness weakness dizziness feeling anxious trouble sleeping sexual problems sweating shaking not feeling hungry dry mouth constipation diarrhea respiratory infections yawning. Consult a pharmacist or member of your healthcare team for more details. See the section titled "Celexa Precautions." Celexa has been associated with serious side effects. Any side effect that bothers you or does not go away should be reported to your healthcare provider. These are not all of Celexa's potential side effects. You may report side effects to the FDA at 1-800-FDA-1088. Throughout their Celexa treatment, you should keep an eye on your child's height and weight.


Celexa can cause a serious heart problem. Drug interactions with Celexa (more info) John's wort; tramadol; or tryptophan (sometimes called L-tryptophan). Citalopram can interact with many different medications, particularly: Not all possible drug interactions are listed here. Tell your doctor about all your current medicines. This includes vitamins, herbal products, prescription and over-the-counter medications. Numerous other medications may interact with citalopram; this list is not all-inclusive. Your risk may be higher if you also use certain other medicines for infections, asthma, heart problems, high blood pressure, depression, mental illness, cancer, malaria, or HIV. cimetidine; a blood thinner (warfarin, Coumadin, Jantoven); a diuretic or "water pill"; lithium; St.


Abnormal bleeding If you are unsure whether you take an MAOI, including the antibiotic linezolid, consult your doctor, pharmacist, or other healthcare professional. If you experience any of the following symptoms, contact your doctor right away, or dial 911 in an emergency, especially if they are new, worse, or worry you: attempts at suicide acting on dangerous impulses acting aggressive or violent thoughts about suicide or dying experiencing new or worse depression experiencing new or worse anxiety or panic attacks having difficulty falling asleep having a rise in activity or talking more than usual for you Celexa and other antidepressant medicines may cause serious side effects, including: 1. If you also take aspirin, warfarin (Coumadin, Jantoven), or non-steroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen or naproxen), you run a higher risk of bleeding or bruising while taking Celexa and other antidepressant medications. These harmful side effects of Celexa may occur: 2. changes in appetite or weight. QT prolongation and Torsade de Pointes are two changes in the electrical activity of your heart that can be fatal. Weight and height should be checked on children and adolescents while they are receiving treatment. 9. The most significant risk factors for suicidal thoughts or behaviors are depression or other severe mental illnesses. Keep an eye out for these changes and contact your doctor right away if you notice any: New or abrupt changes in mood, behavior, thoughts, or feelings, especially if they are severe. When taking Celexa, avoid drinking alcohol. If you have stopped taking an MAOI within the last 14 days, do not start Celexa. Do not take an MAOI within 14 days of stopping Celexa. Elderly people may be more susceptible to this. If you experience any of the following symptoms, seek medical attention right away: high fever uncontrolled muscle spasms stiff muscles rapid changes in heart rate or blood pressure confusion loss of consciousness (pass out) taking the antipsychotic medication pimozide (Orap), as this medication can cause serious heart problems; having a heart condition, such as congenital long QT syndrome Celexa can make you feel sleepy or may impair your capacity to think clearly, make decisions, or react quickly. Maintain all follow-up appointments with your healthcare provider, and call in between appointments if you have any concerns about symptoms. low blood sodium (salt) levels. Manic episodes include extreme increases in energy and sleep disturbances, racing thoughts, reckless behavior, excessive happiness or irritability, and faster or more frequent talking. When starting Celexa or changing the dose, pay close attention to any such changes. Celexa users who take an MAOI at the same time may experience severe, potentially fatal side effects. Convulsions or seizures 7. reactions resembling neuroleptic malignant syndrome or serotonin syndrome Severe allergic reactions: trouble breathing swelling of the face, tongue, eyes, or mouth rash, itchy welts (hives) or blisters, alone or with fever or joint pain 5. Avoid taking Celexa if you have any of the following conditions: you are allergic to Celexa, escitalopram oxalate (Lexapro), or any of its ingredients; you are taking a monoamine oxidase inhibitor (MAOI). Suicidal thoughts or behaviors: During the first few months of treatment or when the dose is changed, some children, teenagers, or young adults may experience an increase in suicidal thoughts or behaviors while taking Celexa or other antidepressant medications. Agitation, hallucinations, coma or other changes in mental status, coordination issues or muscle twitching (overactive reflexes), racing heartbeat, high or low blood pressure sweating or fever, nausea, vomiting, or diarrhea, and muscle rigidity are possible symptoms. Symptoms may include: chest pain fast or slow heartbeat shortness of breath dizziness or fainting 3. Without first consulting your doctor, do not stop taking Celexa. Symptoms may include: headache, weakness or feeling unsteady, confusion, difficulties focusing or thinking, or memory issues. A life-threatening version of this condition exists. Until you are certain of how Celexa affects you, you should refrain from operating machinery, operating a vehicle, or engaging in other risky activities.

Is Celexa good for anxiety?

An SSRI like Celexa can prevent serotonin from being reabsorbed back into the nerve cells that previously released it. This simple act can improve mood, reduce feelings of anxiety, and decrease the severity of panic attacks and other panic disorder symptoms.

Is Celexa good for anxiety?

Citalopram (generic Celexa) is an inexpensive antidepressant medication used to treat anxiety. While it can help with your anxiety, it may take a few weeks for your symptoms to get better, so try to be patient. You may experience some side effects while taking Celexa, but these are generally mild.

What is the most common side effect of Celexa?

The most commonly reported side effects were nausea, somnolence, dry mouth, increased sweating, tremor, diarrhea, and ejaculation disorder.

Is Celexa the best antidepressant?

Citalopram outperforms all other antidepressants except escitalopram for acute phase depression, according to new review. Citalopram (brand names: Cipramil and Celexa) is an antidepressant drug in the selective serotonin reuptake inhibitor (SSRI) class.

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Neo Mok Sep 19, 2017, 12:11:58 PM

Low sodium levels can cause fluid to build up in the body and lead to respiratory depression and coma. It’s classified by the FDA as a selective serotonin reuptake inhibitor (SSRI) antidepressant prescription drug used to treat depression. If you had a pre-existing heart condition like heart attack, stroke, or QT prolongation, this likely isn’t the antidepressant for you. It can also be used to treat anxiety disorders, panic disorder, and obsessive-compulsive disorder (OCD).

DkAngelito Jul 11, 2021, 6:37:10 AM

At least 32 lawsuits relating to suicide were filed against Forest after users attempted or were successful at suicide attempts. Drug manufacturers are responsible for ensuring that their medications are safe. Serotonin Syndrome – Serotonin syndrome is a potentially fatal adverse reaction cause by Celexa’s ability to increase the levels of serotonin in the brain. The company denied the improper marketing accusation but in 2010, Forest paid $313 million to settle Department of Justice charges and pled guilty to a charge of obstruction of justice after several employees were found to have lied to FDA inspectors at a Forest facility. Severe side effects however, may be serious, result in permanent injury or be life-threatening.

Samir Mondol Mar 28, 2016, 2:29:57 AM

This guide should not replace a conversation with your doctor, who has a holistic view of your medical history, other diagnoses, and other prescriptions. Sharing prescription medication is illegal, and can cause harm. The optimal dosage varies patient by patient, but should not exceed 40mg daily. Stopping Celexa suddenly can create withdrawal symptoms including dizziness, nausea, anxiety, irritability, sleep disturbance, and electric shock-like sensations.

pivovarovanatol Jun 25, 2014, 1:41:01 AM

Experts believe depression may be caused by disturbances in the balance between serotonin and other neurotransmitters. Paxil works by preventing the reuptake of serotonin by nerve cells after it has been released. Paxil (paroxetine) is a selective serotonin reuptake inhibitor (SSRI) antidepressant used to treat depression, OCD, PTSD, PMDD, and social anxiety disorder. Zoloft (sertraline) is a selective serotonin reuptake inhibitor (SSRI) type antidepressant used to treat depression, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), social anxiety disorder, panic disorder, and premenstrual dysphoric disorder (PMDD). Drugs such as Zoloft may restore the chemical balance among neurotransmitters in the brain.

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