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In general, Medicare plans do not cover this drug. This drug will likely be quite expensive and you may want to consider using a USARx discount instead of Medicare to find the best price for this prescription.It depends. Which coverage stage are you in? Click on a tab below…
$137
In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.
Here are some ways that may lower the cost of your citalopram prescription.
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Citalopram is an antidepressant belonging to a group of drugs called selective serotonin reuptake inhibitors (SSRIs).
Citalopram is used to treat depression.
Citalopram may also be used for purposes not listed in this medication guide.
You should not use citalopram if you also take pimozide, or if you are being treated with methylene blue injection.
Do not use citalopram if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine.
Some young people have thoughts about suicide when first taking an antidepressant. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor.
Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.
Do not give citalopram to anyone younger than 18 years old without the advice of a doctor. This medicine is not approved for use in children.
You should not use this medicine if you are allergic to citalopram or escitalopram (Lexapro), or if you also take pimozide.
Do not use citalopram if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
To make sure citalopram is safe for you, tell your doctor if you have:
a bleeding or blood clotting disorder;
liver or kidney disease;
narrow-angle glaucoma;
seizures or epilepsy;
heart disease, heart failure, a heart rhythm disorder, slow heartbeats, or recent history of heart attack;
personal or family history of Long QT syndrome;
an electrolyte imbalance (such as low levels of potassium or magnesium in your blood);
bipolar disorder (manic depression); or
a history of drug abuse or suicidal thoughts.
Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.
Taking an SSRI antidepressant during pregnancy may cause serious lung problems or other complications in the baby. However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant. Do not start or stop taking this medicine during pregnancy without your doctor's advice.
Citalopram can pass into breast milk and may harm a nursing baby. You should discuss the risks and benefits of using citalopram if you are breast-feeding.
Do not give this medicine to anyone under 18 years old without medical advice. Citalopram is not approved for use in children.
Take citalopram exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use this medicine in larger or smaller amounts or for longer than recommended.
Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.
It may take up to 4 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.
Do not stop using citalopram suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.
Store at room temperature away from moisture and heat.
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Ask your doctor before taking a nonsteroidal anti-inflammatory drug (NSAID) for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), diclofenac, indomethacin, meloxicam, and others. Using an NSAID with citalopram may cause you to bruise or bleed easily.
Drinking alcohol can increase certain side effects of citalopram.
Citalopram may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
Get emergency medical help if you have signs of an allergic reaction to citalopram: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.
Call your doctor at once if you have:
a light-headed feeling, like you might pass out;
blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights;
headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats;
severe nervous system reaction--very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out;
high levels of serotonin in the body--agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting; or
low levels of sodium in the body--headache, confusion, slurred speech, severe weakness, vomiting, feeling unsteady.
Common citalopram side effects may include:
problems with memory or concentration;
headache, drowsiness;
dry mouth, increased sweating;
numbness or tingling;
increased appetite, nausea, diarrhea, gas;
fast heartbeats, feeling shaky;
sleep problems (insomnia), feeling tired;
cold symptoms such as stuffy nose, sneezing, sore throat;
changes in weight; or
difficulty having an orgasm.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Taking citalopram with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before taking a sleeping pill, narcotic pain medicine, prescription cough medicine, a muscle relaxer, or medicine for anxiety, depression, or seizures.
Many drugs can interact with citalopram. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any you start or stop using, especially:
cimetidine;
lithium;
St. John's wort;
tryptophan (sometimes called L-tryptophan);
a blood thinner (warfarin, Coumadin, Jantoven);
any other antidepressant;
heart medication;
medicine to treat a psychiatric disorder; or
"triptan" migraine headache medicine.
This list is not complete and many other drugs can interact with citalopram. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Give a list of all your medicines to any healthcare provider who treats you.
Further informationRemember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use citalopram only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/27/2021.
Source: Drugs.com Citalopram (www.drugs.com/citalopram.html).
Commonly reported side effects of citalopram include: drowsiness, ejaculatory disorder, nausea, insomnia, and diaphoresis. Other side effects include: suicidal tendencies, agitation, diarrhea, impotence, sinusitis, anxiety, confusion, exacerbation of depression, lack of concentration, tremor, vomiting, anorexia, and xerostomia. See below for a comprehensive list of adverse effects.
For the ConsumerApplies to citalopram: oral solution, oral tablet
Oral route (Tablet; Solution)
Antidepressants increased the risk of suicidal thinking and behavior in children, adolescents, and young adults in short-term studies with major depressive disorder (MDD) and other psychiatric disorders. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared with placebo in adults beyond age 24, and there was a reduction in risk with antidepressants compared with placebo in adults aged 65 or older. This risk must be balanced with the clinical need. Monitor patients closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. Not approved for use in pediatric patients.
Along with its needed effects, citalopram may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking citalopram:
Less common
Rare
Incidence not known
Some side effects of citalopram may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common
Less common
Incidence not known
For Healthcare Professionals
Applies to citalopram: oral solution, oral tablet
GeneralThe side effects observed with citalopram in clinical trials were generally reported as mild and transient, occurring most frequently in the first 1 to 2 weeks of therapy, and attenuating subsequently. The most commonly reported side effects were nausea, somnolence, dry mouth, increased sweating, tremor, diarrhea, and ejaculation disorder.
Nervous systemPotentially life-threatening serotonin syndrome has been reported with SSRIs and SNRIs as monotherapy, but particularly with concomitant use of other serotonergic drugs and drugs that impair the metabolism of serotonin.
Very common (10% or more): Headache (up to 26.9%), somnolence (up to 17.9%), dizziness (up to 10.3%)
Common (1% to 10%): Amnesia, extrapyramidal disorder, migraine, paresthesia, tremor,
Uncommon (0.1% to 1%): Abnormal gait, ataxia, cerebrovascular accident, convulsions, dystonia, hypoesthesia, involuntary muscle contractions, neuralgia, speech disorder, syncope, hyperkinesia, hypertonia, hypokinesia, dyskinesia, vertigo, transient ischemic attack
Rare (less than 0.1%): Abnormal coordination, dyskinesia, grand mal convulsion, hyperesthesia, stupor
Frequency not reported: Akathisia, movement disorder, serotonin syndrome
Postmarketing reports: Choreoathetosis, myoclonus, neuroleptic malignant syndrome, nystagmus
GastrointestinalVery common (10% or more): Nausea (up to 21.4%), dry mouth (up to 20%)
Common (1% to 10%): Abdominal pain, constipation, diarrhea, dyspepsia, flatulence, increased saliva, taste loss/perversion, vomiting
Uncommon (0.1% to 1%): Abnormal bleeding (predominantly of the mucous membranes), dysphagia, eructation, esophagitis, gastrointestinal bleeding, gastritis, gastroenteritis, gingivitis, hemorrhoids, stomatitis, teeth grinding
Rare (less than 0.1%): Colitis, diverticulitis, duodenal ulcer, gastric ulcer, gastroesophageal reflux, gingival bleeding, glossitis, rectal hemorrhage
Frequency not reported: Gastrointestinal hemorrhage
Postmarketing reports: Pancreatitis
PsychiatricVery common (10% or more): Insomnia (up to 18.8%)
Common (1% to 10%): Abnormal dreams, aggravated depression, agitation, anxiety, apathy, confusion, depression, impaired concentration, nervousness, suicide attempt, sleep disorder
Uncommon (0.1% to 1%): Aggressive reaction, delusion, depersonalization, drug dependence, emotional lability, euphoria, hallucination, mania, panic reaction, paranoid reaction, paroniria, psychosis, psychotic depression
Rare (less than 0.1%): Catatonic reaction, melancholia, suicide-related events
Frequency not reported: Bruxism, restlessness, panic attack, suicidal ideation/behavior
Postmarketing reports: Delirium, withdrawal syndrome
OtherVery common (10% or more): Asthenia (up to 11.5%)
Common (1% to 10%): Fatigue, fever/pyrexia, tinnitus, asthenia
Rare (less than 0.1%): Facial edema, malaise, rigors
Postmarketing reports: Spontaneous abortion
DermatologicVery common (10% or more): Increased sweating (up to 11.3%)
Common (1% to 10%): Rash, pruritus
Uncommon (0.1% to 1%): Abnormal bleeding of the skin, acne, alopecia, dermatitis, dry skin, eczema, flushing, photosensitivity reaction, psoriasis, purpura, skin discoloration, urticaria
Rare (less than 0.1%): Decreased sweating, cellulitis, hypertrichosis, keratitis, melanosis, pruritus ani
Frequency not reported: Angioedema, ecchymosis
Postmarketing reports: Epidermal necrolysis, erythema multiforme
GenitourinaryUrinary retention and galactorrhea have been reported with other SSRIs.
The estimates of the incidence of untoward sexual experience and performance may underestimate their actual incidence, partly because patients and physicians may be reluctant to discuss this issue. In placebo-controlled clinical trials, ejaculation disorder (primarily ejaculation delay) was reported as a treatment-emergent side effect at an incidence of 6% and at least twice the incidence in placebo-treated male patients.
Common (1% to 10%): Abnormal orgasm/anorgasmia (female), amenorrhea, decreased libido, dysmenorrhea, ejaculation disorders/ejaculation delay, impotence, menstrual disorders, polyuria, ejaculation failure, micturition disorders
Uncommon (0.1% to 1%): Breast enlargement, breast pain, dysuria, galactorrhea, increased libido, menorrhagia, micturition frequency, nonpuerperal lactation, vaginal bleeding, vaginal hemorrhage, urinary incontinence, urinary retention
Rare (less than 0.1%): Hematuria, oliguria
Frequency not reported: Metrorrhagia, priapism
RespiratoryCommon (1% to 10%): Coughing, pharyngitis, rhinitis, sinusitis, upper respiratory tract infection, yawning
Uncommon (0.1% to 1%): Bronchitis, dyspnea, epistaxis, pneumonia
Rare (less than 0.1%): Asthma, bronchospasm, hiccups, increased sputum, laryngitis, pneumonitis, pulmonary embolism
CardiovascularCommon (1% to 10%): Chest pain, hypotension, palpitations, postural hypotension, tachycardia
Uncommon (0.1% to 1%): Angina pectoris, atrial fibrillation, bradycardia, cardiac failure, edema (extremities), extrasystoles, hematomas, hot flushes, hypertension, myocardial infarction, myocardial ischemia
Rare (less than 0.1%): Bundle branch block, cardiac arrest, phlebitis, QT prolongation, torsades de pointes
Frequency not reported: Ventricular arrhythmia, orthostatic hypotension
Postmarketing reports: Thrombosis
This drug has been associated with a dose-related QT-interval prolongation; there have been reports of QT-interval prolongation and ventricular arrhythmia, including torsade de pointes, particularly in females, patients with hypokalemia, or with pre-existing QT-interval prolongation, or other cardiac disease.
MusculoskeletalEpidemiological studies, primarily in patients aged 50 years or older, have shown an increased risk of bone fractures in patients receiving SSRIs or TCAs.
Common (1% to 10%): Arthralgia, back pain, myalgia
Uncommon (0.1% to 1%): Arthritis, leg cramps, muscle weakness, skeletal pain
Rare (less than 0.1%): Bursitis, osteoporosis
Postmarketing reports: Rhabdomyolysis
MetabolicCommon (1% to 10%): Anorexia, decreased/increased weight, decreased/increased appetite
Uncommon (0.1% to 1%): Abnormal glucose tolerance, thirst
Rare (less than 0.1%): Alcohol intolerance, dehydration, hypokalemia, hyponatremia, hypoglycemia, obesity
OcularCommon (1% to 10%): Abnormal accommodation
Uncommon (0.1% to 1%): Abnormal vision, conjunctivitis, dry eyes, eye pain, mydriasis
Rare (less than 0.1%): Abnormal lacrimation, cataract, diplopia, photophobia, ptosis
Frequency not reported: Visual disturbance, acute narrow angle glaucoma
Postmarketing reports: Angle-closure glaucoma
HepaticCommon (1% to 10%): Increased alkaline phosphatase
Uncommon (0.1% to 1%): Increased ALT, GGT, and AST
Rare (less than 0.1%): Bilirubinemia, cholelithiasis, cholecystitis, hepatitis, jaundice
Frequency not reported: Abnormal liver function test
Postmarketing reports: Cholestatic hepatitis, hepatic necrosis
ImmunologicCommon (1% to 10%): Influenza-like symptoms
Rare (less than 0.1%): Hay fever
HematologicUncommon (0.1% to 1%): Anemia, leukopenia, leukocytosis, lymphadenopathy
Rare (less than 0.1%): Coagulation disorder, granulocytopenia, hemorrhage, hypochromic anemia, lymphocytosis, lymphopenia
Frequency not reported: Thrombocytopenia
Postmarketing reports: Decreased prothrombin, hemolytic anemia
EndocrineRare (less than 0.1%): Goiter, hypothyroidism
Frequency not reported: Inappropriate ADH secretion
Postmarketing reports: Prolactinemia
RenalRare (less than 0.1%): Pyelonephritis, renal calculus, renal pain
Postmarketing reports: Acute renal failure
HypersensitivityFrequency not reported: Anaphylactic reaction, hypersensitivity not otherwise specified
Postmarketing reports: Allergic reaction
Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/27/2021.
Source: Drugs.com Citalopram (www.drugs.com/citalopram.html).
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