What happens if stop taking celexa

If an overdose occurs, call your doctor or You may need urgent medical care. You may also contact the poison control center at Headache, nausea, diarrhea, dry mouth, increased sweating, feeling nervous, restless, fatigue, or having trouble sleeping insomnia. These will often improve over the first week or two as you continue to take the medication. Sexual side effects, such as problems with orgasm or ejaculatory delay often do not diminish over time.

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SSRI antidepressants including citalopram may increase the risk of bleeding events. Combined use of aspirin, nonsteroidal anti-inflammatory drugs e. This may include symptoms such as gums that bleed more easily, nose bleed, or gastrointestinal bleeding. Some cases have been life threatening. August Citalopram at doses greater than 40 mg per day could potentially cause a dangerous abnormality in the electrical activity of the heart. Citalopram use is discouraged in patients with congenital long QT syndrome.

Patients with low levels of potassium and magnesium in the blood are also at increased risk. If you are currently taking citalopram at a dose greater than 40 mg per days, talk to your health care professional.

Seek immediate care if you experience an irregular heartbeat, shortness of breath, dizziness, or fainting while taking citalopram. If you are taking citalopram, your health care professional may occasionally order an electrocardiogram ECG, EKG to monitor your heart rate and rhythm.

Your health care provider may also order tests to check levels of potassium and magnesium in your blood. To date, there are no known problems associated with long term use of citalopram. It is a safe and effective medication when used as directed.

Citalopram should not be taken with or within 2 weeks of taking monoamine oxidase inhibitors MAOIs. Citalopram may increase the effects of other medications that can cause bleeding e. Sleep, energy, or appetite may show some improvement within the first weeks. Improvement in these physical symptoms can be an important early signal that the medication is working. Depressed mood and lack of interest in activities may need up to weeks to fully improve.

Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. This risk may persist until significant remission occurs. In short-term studies, antidepressants increased the risk of suicidality in children, adolescents, and young adults when compared to placebo. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age Adults age 65 and older taking antidepressants have a decreased risk of suicidality.

Patients, their families, and caregivers should be alert to the emergence of anxiety, restlessness, irritability, aggressiveness and insomnia. All patients being treated with antidepressants for any indication should watch for and notify their health care provider for worsening symptoms, suicidality and unusual changes in behavior, especially during the first few months of treatment.

Last Updated: January This information is being provided as a community outreach effort of the College of Psychiatric and Neurologic Pharmacists. This information is for educational and informational purposes only and is not medical advice.

This information contains a summary of important points and is not an exhaustive review of information about the medication. Learn about its symptoms, diagnosis, treatment, and the outlook for people who have it.

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For example, a doctor may deem it necessary for some people to take SSRIs such as citalopram during their pregnancy to prevent the return of depression. The National Alliance on Mental Illness advises anyone who becomes pregnant while taking citalopram to contact their doctor immediately. Withdrawal symptoms during pregnancy are likely to resemble those in people who are not pregnant.

The management techniques are also likely to be similar. Individuals should call a doctor immediately if any side effects are severe. They should call if their symptoms feel life threatening. It is also essential to call if someone is having suicidal thoughts and is at immediate risk of self-harm, suicide, or hurting another person. The National Suicide Prevention Lifeline is available at to provide support to those having thoughts of suicide.

The long-term use of citalopram is safe when people take it as their doctor prescribes. However, research indicates that using any antidepressant for more than 6 weeks can cause withdrawal symptoms on tapering or stopping the drug. Those taking citalopram or other antidepressants for an extended period should work with their doctor to find effective treatments and strategies to minimize withdrawal effects.

It is also important to monitor for the return of depressive symptoms after stopping long-term antidepressant use. Coming off citalopram can lead to withdrawal symptoms, particularly if people have been taking it for more than 6 weeks.

It is important that people who wish to stop taking antidepressants do so under medical supervision. Individuals should discuss their options with a doctor. These may include alternative medications and strategies for minimizing withdrawal symptoms and preventing the return of depressive symptoms.

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