About citalopram hydrobromide
Selective serotonin reuptake inhibitor (SSRI)
Used for
- Depression
- Obsessive-compulsive disorder in some countries
Usual adult dose
Depression: usually 20 mg once daily; may increase to 40 mg daily. Maximum 40 mg daily, or 20 mg for older adults and certain risk groups.
Usual dose in children
Not routinely used in children; use depends on local guidance and specialist assessment.
Common side effects
- Nausea, dry mouth, sweating
- Sleepiness or difficulty sleeping
- Sexual problems
- Headache or dizziness
Important warnings
- May increase suicidal thoughts, especially early in treatment or after dose changes.
- Can cause abnormal heart rhythm; risk rises with higher doses and certain conditions.
- Do not stop suddenly; withdrawal symptoms may occur.
- May cause serotonin syndrome, particularly with other serotonin-raising medicines.
Pregnancy
Use only when benefits outweigh risks; late-pregnancy use may affect the newborn. Seek clinical review before changing treatment.
Breastfeeding
Small amounts enter breast milk. Monitor the infant for sleepiness, feeding problems, or poor weight gain.
Interactions
- MAO inhibitors and linezolid: risk of serotonin syndrome.
- Other serotonergic medicines, including tramadol and St John’s wort.
- Medicines that prolong the QT interval, such as some antiarrhythmics.
- NSAIDs, aspirin, and anticoagulants may increase bleeding risk.
AI-generated from general medical knowledge, not from this product's official leaflet. It may be incomplete or out of date. Not medical advice — ask a pharmacist or doctor before making any decision.