The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. Continue typing to refine. Odyssey Business Park, Ares Block, West End Road, South Ruislip, Middlesex, HA4 6QDTo bookmark a medicine you must sign up and log in.To view the changes to a medicine you must sign up and log in. A low initial starting dose is recommended to minimise the potential worsening of panic symptoms, which is generally recognised to occur early in the treatment of this disorder.
Although there may be an increased potential for undesirable effects at higher doses, if after some weeks on the recommended dose insufficient response is seen some patients may benefit from having their dose increased gradually up to a maximum of 40 mg /day (see section 5.1). ECG changes including nodal rhythm, prolonged QT intervals and wide QRS complexes may occur. This website is dedicated to providing reliable, evidence-based, and accurate information about use of medicines in pregnancy, in the form of freely available patient information leaflets called 'Bumps' ('Best Use of Medicines in Pregnancy'). Package leaflet: Information for the user Citalopram Mylan 10 mg, 20 mg, 30 mg, 40 mg Film-coated tablets (citalopram) Read all of this leaflet carefully before you start taking this medicine because it contains important information for you. Abrupt discontinuation should be avoided during pregnancy.The following symptoms may occur in the neonates after maternal SSRI/SNRI use in later stages of pregnancy: respiratory distress, cyanosis, apnoea, seizures, temperature instability, feeding difficulty, vomiting, hypoglycaemia, hypertonia, hypotonia, hyperreflexia, tremor, jitteriness, irritability, lethargy, constant crying, somnolence and difficulty sleeping. 31%) and CYP2D6 (approx. antidepressants [SSRIs], neuroleptics [thioxanthenes and butyrophenones]), mefloquin, bupropion and tramadol).Biotransformation of citalopram to demethylcitalopram is mediated by CYP2C19 (approx. Subsequently, the physician may continue decreasing the dose, but at a more gradual rate. No information is available in cases of severe renal impairment (creatinine clearance <20 mL/min). Co administration with serotonergic medicinal products (e.g. The kinetics are linear. Dizziness, sensory disturbances (including paraesthesia), sleep disturbances (including insomnia and intense dreams), agitation or anxiety, nausea and/or vomiting, tremor, confusion, sweating, headache, diarrhoea, palpitations, emotional instability, irritability, and visual disturbances are the most commonly reported reactions. This mydriatic effect has the potential to narrow the eye angle resulting in increased intraocular pressure and angle-closure glaucoma, especially in patients pre-disposed. MAOIs should not be introduced for seven days after discontinuation of citalopram (see section 4.5).Citalopram is contraindicated in the combination with linezolid unless there are facilities for close observation and monitoring of blood pressure (see section 4.5).Citalopram is contraindicated in patients with known QT-interval prolongation or congenital long QT syndrome. The Patient Medication Information leaflets are downloadable pdf files (you must have a pdf reader to view these files). 4.5 Interaction with other medicinal products and other forms of interaction6.6 Special precautions for disposal and other handling9. Children younger than 18 years of age should not normally take citalopram, but in some cases, a doctor may decide that citalopram is the best medication to treat a child's condition.You should know that your mental health may change in unexpected ways when you take citalopram or other antidepressants even if you are an adult over 24 years of age. Generally these symptoms are mild to moderate, however, in some patients they may be severe in intensity. Information is also available online at Keep all appointments with your doctor and the laboratory. Do not stop taking citalopram without talking to your doctor. Ask your pharmacist any questions you have about refilling your prescription.It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. In 2017, over 14 million items of citalopram were prescribed in the UK (source: openprescribing.net). The table below contains some of the most common ones associated with citalopram. Until further information is available, the simultaneous use of citalopram and 5-HT agonists, such as sumatriptan and other triptans, is not recommended (see section 4.4).Citalopram should be used cautiously when co-administered with Buprenorphine-containing medical products as the risk of serotonin syndrome, a potentially life-threatening condition, is increased (see section 4.4).In a pharmacokinetic study no effect was demonstrated on either citalopram or imipramine levels, although the level of desipramine, the primary metabolite of imipramine, was increased.
Depending on individual patient response, the dose may be increased to a maximum of 20 mg daily. You may become suicidal, especially at the beginning of your treatment and any time that your dose is increased or decreased. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Patients with panic disorder should be treated for a sufficient period to ensure that they are free from symptoms.
Although there may be an increased potential for undesirable effects at higher doses, if after some weeks on the recommended dose insufficient response is seen some patients may benefit from having their dose increased gradually up to a maximum of 40 mg /day (see section 5.1). ECG changes including nodal rhythm, prolonged QT intervals and wide QRS complexes may occur. This website is dedicated to providing reliable, evidence-based, and accurate information about use of medicines in pregnancy, in the form of freely available patient information leaflets called 'Bumps' ('Best Use of Medicines in Pregnancy'). Package leaflet: Information for the user Citalopram Mylan 10 mg, 20 mg, 30 mg, 40 mg Film-coated tablets (citalopram) Read all of this leaflet carefully before you start taking this medicine because it contains important information for you. Abrupt discontinuation should be avoided during pregnancy.The following symptoms may occur in the neonates after maternal SSRI/SNRI use in later stages of pregnancy: respiratory distress, cyanosis, apnoea, seizures, temperature instability, feeding difficulty, vomiting, hypoglycaemia, hypertonia, hypotonia, hyperreflexia, tremor, jitteriness, irritability, lethargy, constant crying, somnolence and difficulty sleeping. 31%) and CYP2D6 (approx. antidepressants [SSRIs], neuroleptics [thioxanthenes and butyrophenones]), mefloquin, bupropion and tramadol).Biotransformation of citalopram to demethylcitalopram is mediated by CYP2C19 (approx. Subsequently, the physician may continue decreasing the dose, but at a more gradual rate. No information is available in cases of severe renal impairment (creatinine clearance <20 mL/min). Co administration with serotonergic medicinal products (e.g. The kinetics are linear. Dizziness, sensory disturbances (including paraesthesia), sleep disturbances (including insomnia and intense dreams), agitation or anxiety, nausea and/or vomiting, tremor, confusion, sweating, headache, diarrhoea, palpitations, emotional instability, irritability, and visual disturbances are the most commonly reported reactions. This mydriatic effect has the potential to narrow the eye angle resulting in increased intraocular pressure and angle-closure glaucoma, especially in patients pre-disposed. MAOIs should not be introduced for seven days after discontinuation of citalopram (see section 4.5).Citalopram is contraindicated in the combination with linezolid unless there are facilities for close observation and monitoring of blood pressure (see section 4.5).Citalopram is contraindicated in patients with known QT-interval prolongation or congenital long QT syndrome. The Patient Medication Information leaflets are downloadable pdf files (you must have a pdf reader to view these files). 4.5 Interaction with other medicinal products and other forms of interaction6.6 Special precautions for disposal and other handling9. Children younger than 18 years of age should not normally take citalopram, but in some cases, a doctor may decide that citalopram is the best medication to treat a child's condition.You should know that your mental health may change in unexpected ways when you take citalopram or other antidepressants even if you are an adult over 24 years of age. Generally these symptoms are mild to moderate, however, in some patients they may be severe in intensity. Information is also available online at Keep all appointments with your doctor and the laboratory. Do not stop taking citalopram without talking to your doctor. Ask your pharmacist any questions you have about refilling your prescription.It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. In 2017, over 14 million items of citalopram were prescribed in the UK (source: openprescribing.net). The table below contains some of the most common ones associated with citalopram. Until further information is available, the simultaneous use of citalopram and 5-HT agonists, such as sumatriptan and other triptans, is not recommended (see section 4.4).Citalopram should be used cautiously when co-administered with Buprenorphine-containing medical products as the risk of serotonin syndrome, a potentially life-threatening condition, is increased (see section 4.4).In a pharmacokinetic study no effect was demonstrated on either citalopram or imipramine levels, although the level of desipramine, the primary metabolite of imipramine, was increased.
Depending on individual patient response, the dose may be increased to a maximum of 20 mg daily. You may become suicidal, especially at the beginning of your treatment and any time that your dose is increased or decreased. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Patients with panic disorder should be treated for a sufficient period to ensure that they are free from symptoms.