Citalopram (sye tal' oh pram) Capsules
for oral use
What is the most important information I should know about Citalopram Capsules?
Citalopram Capsules may cause serious side effects, including:
Increased risk of suicidal thoughts and actions. Citalopram Capsules and other antidepressant medicines may increase suicidal thoughts and actions in some children, adolescents, and young adults, especially within the first few months of treatment or when the dose is changed. Citalopram Capsules is not for use in children.
Call your healthcare provider or get emergency help right away if you or your family member have any of the following symptoms, especially if they are new, worse, or worry you:
- thoughts about suicide or dying
- new or worse depression
- feeling very agitated or restless
- trouble sleeping (insomnia)
- acting aggressive, being angry, or violent
- an extreme increase in activity and (mania)
- attempts to commit suicide
- new or worse anxiety
- panic attacks
- new or worse irritability
- acting on dangerous impulses
- other unusual changes in behavior or mood
What is Citalopram Capsules?
Citalopram Capsules is a prescription medicine used to treat a certain type of depression called Major Depressive Disorder (MDD) in adults.
It is not known if Citalopram Capsules is safe and effective for use in children.
Who should not take Citalopram Capsules?
Do not take Citalopram Capsules if you:
- take a Monoamine Oxidase Inhibitor (MAOI)
- have stopped taking an MAOI in the last 14 days
- are being treated with the antibiotic linezolid or intravenous methylene blue
- take pimozide
- are allergic to citalopram or any of the ingredients in Citalopram Capsules. See the end of this Medication Guide for a complete list of ingredients in Citalopram Capsules.
Ask your healthcare provider or pharmacist if you are not sure if you take an MAOI, including MAOIs such as linezolid or intravenous methylene blue.
Do not start taking an MAOI for at least 14 days after you stop treatment with Citalopram Capsules.
Before taking Citalopram Capsules, tell your healthcare provider about all your medical conditions, including if you:
- have or had a family history of suicide, depression, bipolar disorder, mania or hypomania
- have an abnormal heart rhythm called QT prolongation
- have or had heart problems, including a heart attack, heart failure, abnormal heart rhythm, or long QT syndrome
- have low potassium, magnesium, or sodium levels in your blood
- have or had bleeding problems
- have or had seizures (convulsions)
- have high pressure in the eye (glaucoma)
- have or had kidney or liver problems
- are pregnant or plan to become pregnant. Citalopram Capsules may harm your unborn baby. Taking Citalopram Capsules late in pregnancy may lead to an increased risk of certain problems in your newborn. Talk to your healthcare provider about the risks and benefits of treating depression during pregnancy.
- Tell your healthcare provider right away if you become pregnant or think you may be pregnant during treatment with Citalopram Capsules.
- There is a pregnancy registry for females who are exposed to Citalopram Capsules during pregnancy. The purpose of the registry is to collect information about the health of females exposed to Citalopram Capsules and their baby. If you become pregnant during treatment with Citalopram Capsules, talk to your healthcare provider about registering with the National Pregnancy Registry for Antidepressants. You can register by calling 1-844-405-6185 or visiting online at https://womensmentalhealth.org/research/pregnancyregistry/antidepressants.
- are breastfeeding or plan to breastfeed. Citalopram passes into your breast milk. Talk to your healthcare provider about the best way to feed your baby during treatment with Citalopram Capsules.
- If you breastfeed during treatment with Citalopram Capsules, tell your healthcare provider right away if your baby develops sleepiness or fussiness, or is not feeding or gaining weight well.
Tell your healthcare provider about all the medicines that you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
Citalopram Capsules and other medicines may affect each other causing possible serious side effects. Citalopram Capsules may affect the way other medicines work and other medicines may affect the way Citalopram Capsules works.
Especially tell your healthcare provider if you take:
- medicines used to treat migraine headaches known as triptans
- tricyclic antidepressants
- tramadol, fentanyl, meperidine, methadone, or other opioids
- St. John’s Wort
- medicines that can affect blood clotting such as aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) and warfarin
- gatifloxacin or moxifloxacin
- medicines used to control your heart rate or rhythm (antiarrhythmics)
- medicines used to treat mood, anxiety, psychotic or thought disorders, including selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs)
Ask your healthcare provider if you are not sure if you are taking any of these medicines. Your healthcare provider can tell you if it is safe to take Citalopram Capsules with your other medicines.
Do not start or stop any other medicines during treatment with Citalopram Capsules without talking to your healthcare provider first. Stopping Citalopram Capsules suddenly may cause you to have serious side effects. See, “What are the possible side effects of Citalopram Capsules?”
Know the medicines you take. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.
How should I take Citalopram Capsules?
- Take Citalopram Capsules exactly as your healthcare provider tells you to take it. Do not change your dose or stop taking Citalopram Capsules without first talking to your healthcare provider.
- Your healthcare provider may need to change the dose of Citalopram Capsules until it is the right dose for you.
- Take Citalopram Capsules 1 time each day with or without food.
- If you take too much Citalopram Capsules,call your healthcare provider or poison control center at 1-800-222-1222 or go to the nearest hospital emergency room right away.
What are the possible side effects of Citalopram Capsules?
Citalopram Capsules may cause serious side effects, including:
The most common side effects of Citalopram Capsules include:
- muscle aches and pain
- swelling of your sinuses
- joint stiffness
- not feeling hungry (anorexia)
These are not all the possible side effects of Citalopram Capsules.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How should I store Citalopram Capsules?
- Store Citalopram Capsules at room temperature between 68°F to 77°F (20°C to 25°C).
Keep Citalopram Capsules and all medicines out of the reach of children.
General information about the safe and effective use of Citalopram Capsules.
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use Citalopram Capsules for a condition for which it was not prescribed.Do not give Citalopram Capsules to other people, even if they have the same symptoms that you have. It may harm them. You may ask your healthcare provider or pharmacist for information about Citalopram Capsules that is written for healthcare professionals.
What are the ingredients in Citalopram Capsules?
Active ingredient: citalopram hydrobromide
Inactive ingredients: copovidone, croscarmellose sodium, gelatin, magnesium stearate, microcrystalline cellulose, talc and titanium dioxide. The capsule shells contain the colorants FD&C Blue #1 and FD&C Red #3.
Distributed by: Almatica Pharma LLC, Morristown, NJ 07960 USA
For more information about Citalopram Capsules, call 1-877-447-7979.