Citalopram

About citalopram

What is citalopram used for?

Citalopram is a type of antidepressant called selektiva serotoninåterupptagshämmare (SSRI), that is used to treat depression and panic disorders in adults.

How does citalopram work?

Citalopram increases the amount of circulating serotonin available in your brain. This may help the symptoms of depression eller panic disorder in some people.

Depression and panic disorders can develop for no apparent reason, or they may be triggered by a life event such as a relationship problem, a bereavement, or an illness.

Brain cells, called neurons, release a number of chemicals which go on to stimulate other neurons. This leads to electrical impulses which result in many functions controlled by the brain. Serotonin is one such chemical in the brain. Once released, it stimulates other neurons and is then taken back up into the neuron cells and recycled.

Citalopram side effects

The most common side effects of citalopram are:

• Känna sig illamående (illamående).

• Kräkningar.

• Indigestion.

• Förstoppning.

• Diarré.

• Feeling sleepy, weak or tired.

• Torr mun.

• Huvudvärk.

• Increased sweating.

• Mood changes.

Du hittar en fullständig lista i tillverkarens informationsblad som medföljer din medicin. De oönskade effekterna förbättras ofta när din kropp anpassar sig till den nya medicinen, men tala med din läkare eller apotekare om något av följande fortsätter eller blir besvärligt.

If you experience any other symptoms that you think may be due to this medicine, speak with your doctor or pharmacist for further advice.

How to manage citalopram side effects

Who should not take citalopram?

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking citalopram it is important that your doctor knows:

• Om du är gravid, försöker bli gravid eller ammar.

• If you have any liver or kidney disorders.

• If you have a heart condition or have been told you have an irregular heartbeat.

• If you have epilepsy.

• If you have high blood sugar levels (diabetes mellitus).

• If you have raised pressure in your eye(s) (glaucoma).

• If you have ever had a bleeding disorder.

• If you have ever had abnormally 'high' moods, called mania.

• If you are being treated with electroconvulsive therapy (ECT).

• Om du någonsin har haft en allergisk reaktion mot en medicin.

• If you have taken an antidepressant known as a monoamine-oxidase inhibitor (MAOI) within the previous two weeks.

• Om du tar några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.

How to take citalopram

• Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about citalopram and will provide you with a full list of the side effects which you may experience from taking it.

• Take citalopram exactly as your doctor tells you to. It is prescribed as a once-daily dose. You can generally take it at a time to suit you, but try to take your doses at the same time of day, each day. There are several strengths of tablet available, so your doctor will tell you which strength is right for you. This information will also be on the label of the pack you have been supplied with.

• If you are being treated for a panic disorder, your doctor may prescribe a low dose for you to begin with. This is because some people develop anxiety during the first two weeks, and slowly increasing the dose helps to reduce this.

• If you have been given Cipramil® oral drops, your doctor will tell you how many drops to take each day. Count the correct number of drops into a drink of water, orange juice or apple juice. Stir it briefly, and then drink it straightaway.

• You can take citalopram before or after food.

• If you forget to take a dose, take it as soon as you remember. If you do not remember until the following day, skip the missed dose. Do not take two doses together to make up for a forgotten dose.

Få ut det mesta av din behandling

• You may feel that citalopram is not working for you straightaway. It can take a week or two after starting this treatment before the effect begins to build up, and 4-6 weeks before you feel the full benefit. Do not stop taking it after a week or two, even if you feel it is not helping.

• Försök att hålla dina regelbundna möten med din läkare. Detta är så att din läkare kan följa upp din utveckling.

• If you drink alcohol, ask your doctor for advice. Your doctor is likely to recommend that you do not drink alcohol while you are on citalopram, as it increases the risk of side effects, such as feeling sleepy.

• If you have diabetes, you may need to check your blood sugar (glucose) more frequently, as citalopram may affect the levels of sugar in your blood. Your doctor will be able to advise you about this.

• If you buy any medicines, check with a pharmacist that they are safe to take with citalopram. This is because several medicines which are available from general retail outlets can interfere with this treatment. In particular, do not take the herbal remedy St John's wort, and ask for advice before buying any anti-inflammatory painkillers.

• There are several types of antidepressants and they differ in their possible side effects. If you find that citalopram does not suit you then let your doctor know, as another may be found that will.

• While you are taking citalopram, you may have thoughts about harming yourself or ending your life. These thoughts may also be associated with your condition. It is very important that you tell your doctor about this if it happens.

• You should expect that a course of treatment will last for several months. This is normal and helps to prevent your symptoms from recurring.

• Do not stop taking citalopram unless your doctor tells you to do so. Stopping treatment suddenly can cause problems and your doctor will probably want you to reduce your dose gradually when this becomes necessary.

• A few people taking citalopram find that their skin is more sensitive to sunlight than normal. Until you know how your skin reacts, use a sun cream with a high sun protection factor (SPF) in strong sunlight.

How to store citalopram

• Förvara alla läkemedel utom räckhåll och synhåll för barn.

• Förvara på en sval, torr plats, borta från direkt värme och ljus.

• You can use citalopram drops for 16 weeks after first opening the bottle. Do not use the drops after this time.

Viktig information om alla läkemedel

Vanliga frågor

Does citalopram cause weight gain?

Citalopram can sometimes cause weight gain, although not everyone experiences it. The effect varies between individuals and may be linked to changes in appetite, metabolism, or mood.

How does citalopram make you feel at first?

Citalopram may cause nausea, headaches, or anxiety at first, but these symptoms usually ease within a few weeks.

How long does citalopram take to work?

Citalopram usually takes 4-6 weeks to work, although some people may notice small improvements in their sleep or appetite sooner. Everyone responds differently, so for some it may be quicker or take a little longer.

How long can you stay on citalopram?

How long you can stay on citalopram varies. Many people take it for at least 6-12 months after starting to feel better, as this helps reduce the risk of symptoms returning. Some may need it for longer.

Can you drink alcohol on citalopram?

Drinking alcohol whilst taking citalopram is not usually recommended as it can make the side effects worse. It may also affect your mood, which can interfere with your recovery from depression or anxiety.

Can I drive or ride a bike on citalopram?

Citalopram can sometimes cause drowsiness, dizziness, or blurred vision, especially when you first start taking it. You should not drive, ride a bike, or use machinery if you are experiencing these side effects.