CITALOPRAM- citalopram tablet, film coated 
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Medication Guide

Citalopram Tablets, USP
(sye tal′ oh pram)

Read the Medication Guide that comes with citalopram tablets before you start taking them and each time you get a refill. There may be new information. This Medication Guide does not take the place of talking to your healthcare provider about your medical condition or treatment. Talk with your healthcare provider if there is something you do not understand or want to learn more about.

What is the most important information I should know about citalopram tablets?

Citalopram tablets and other antidepressant medicines may cause serious side effects, including:

  1. Suicidal thoughts or actions:
  2. Citalopram tablets and other antidepressant medicines may increase suicidal thoughts or actions in some children, teenagers, or young adults within the first few months of treatment or when the dose is changed.
  3. Depression or other serious mental illnesses are the most important causes of suicidal thoughts or actions.
  4. Watch for these changes and call your healthcare provider right away if you notice:
    • New or sudden changes in mood, behavior, actions, thoughts, or feelings, especially if severe.
    • Pay particular attention to such changes when citalopram tablets are started or when the dose is changed.

    Keep all follow-up visits with your healthcare provider and call between visits if you are worried about symptoms.
  6. Call your healthcare provider right away if you have any of the following symptoms, or call 911 if an emergency, especially if they are new, worse, or worry you:
    1. attempts to commit suicide
    2. acting on dangerous impulses
    3. acting aggressive or violent
    4. thoughts about suicide or dying
    5. new or worse depression
    6. new or worse anxiety or panic attacks
    7. feeling agitated, restless, angry, or irritable
    8. trouble sleeping
    9. an increase in activity or talking more than what is normal for you
    10. other unusual changes in behavior or mood

    Call your healthcare provider right away if you have any of the following symptoms, or call 911 if an emergency. Citalopram tablets may be associated with these serious side effects:
  8. Changes in the electrical activity of your heart (QT prolongation and Torsade de Pointes).
    This condition can be life-threatening. The symptoms may include:
    1. chest pain
    2. fast or slow heartbeat
    3. shortness of breath
    4. dizziness or fainting
  9. Serotonin Syndrome. This condition can be life-threatening and may include:
    1. agitation, hallucinations, coma, or other changes in mental status
    2. coordination problems or muscle twitching (overactive reflexes)
    3. racing heartbeat, high or low blood pressure
    4. sweating or fever
    5. nausea, vomiting, or diarrhea
    6. muscle rigidity
  10. Severe allergic reactions:
    1. trouble breathing
    2. swelling of the face, tongue, eyes, or mouth
    3. rash, itchy welts (hives) or blisters, alone or with fever or joint pain
  11. Abnormal bleeding: Citalopram tablets and other antidepressant medicines may increase your risk of bleeding or bruising, especially if you take the blood thinner warfarin (Coumadin ®, Jantoven ®), a non-steroidal anti-inflammatory drug (NSAIDs, like ibuprofen or naproxen), or aspirin.
  12. Seizures or convulsions
  13. Manic episodes:
    1. greatly increased energy
    2. severe trouble sleeping
    3. racing thoughts
    4. reckless behavior
    5. unusually grand ideas
    6. excessive happiness or irritability
    7. talking more or faster than usual
  14. Changes in appetite or weight. Children and adolescents should have height and weight monitored during treatment.
  15. Low salt (sodium) levels in the blood. Elderly people may be at greater risk for this. Symptoms may include:
    1. headache
    2. weakness or feeling unsteady
    3. confusion, problems concentrating or thinking or memory problems
  16. Visual problems
    1. eye pain
    2. changes in vision
    3. swelling or redness in or around the eye
  17. Only some people are at risk for these problems. You may want to undergo an eye examination to see if you are at risk and receive preventative treatment if you are.

Do not stop citalopram tablets without first talking to your healthcare provider. Stopping citalopram tablets too quickly may cause serious symptoms including:

What are citalopram tablets?

Citalopram tablets are a prescription medicine used to treat depression. It is important to talk with your healthcare provider about the risks of treating depression and also the risks of not treating it. You should discuss all treatment choices with your healthcare provider. Citalopram tablets are also used to treat:

Talk to your healthcare provider if you do not think that your condition is getting better with citalopram tablet treatment.

Who should not take citalopram tablets?

Do not take citalopram tablets if you:

What should I tell my healthcare provider before taking citalopram tablets? Ask if you are not sure.

Before starting citalopram tablets, tell your healthcare provider if you:

Tell your healthcare provider about all the medicines that you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Citalopram tablets and some medicines may interact with each other, may not work as well, or may cause serious side effects.

Your healthcare provider or pharmacist can tell you if it is safe to take citalopram tablets with your other medicines. Do not start or stop any medicine while taking citalopram tablets without talking to your healthcare provider first.

If you take citalopram tablets, you should not take any other medicines that contain citalopram hydrobromide or escitalopram oxalate including: Lexapro ®.

How should I take citalopram tablets?

What should I avoid while taking citalopram tablets?

Citalopram tablets can cause sleepiness or may affect your ability to make decisions, think clearly, or react quickly. You should not drive, operate heavy machinery, or do other dangerous activities until you know how citalopram tablets affect you. Do not drink alcohol while using citalopram tablets.

What are the possible side effects of citalopram tablets?

Citalopram tablets may cause serious side effects, including:

See “What is the most important information I should know about citalopram tablets?”

Common possible side effects in people who take citalopram tablets include :

Other side effects in children and adolescents include:

Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of citalopram tablets. For more information, ask your healthcare provider or pharmacist.

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 tablets?

Keep citalopram tablets and all medicines out of the reach of children.

General information about citalopram tablets

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use citalopram tablets for a condition for which they were not prescribed. Do not give citalopram tablets to other people, even if they have the same condition. They may harm them.

This Medication Guide summarizes the most important information about citalopram tablets. If you would like more information, talk with your healthcare provider. You may ask your healthcare provider or pharmacist for information about citalopram tablets that is written for healthcare professionals.

For more information about citalopram tablets, call Mylan Pharmaceuticals Inc. at
1-877-446-3679 (1-877-4-INFO-RX).

What are the ingredients in citalopram tablets?

Active ingredient: citalopram hydrobromide

Inactive ingredients:

This Medication Guide has been approved by the U.S. Food and Drug Administration.

The brands listed are trademarks of their respective owners.

Manufactured for:
Mylan Pharmaceuticals Inc.
Morgantown, WV 26505 U.S.A.

Manufactured by:
Mylan Laboratories Limited
Hyderabad — 500 034, India
Code No.: MH/DRUGS/25/NKD/89


Revised: 2/2017

Revised: 2/2021
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