Tips
It is safe to take with or without food.
Before treatment, blood tests may be required to check electrolyte levels (for example, potassium, magnesium), and these may need to be corrected if necessary.
Dosages higher than 40mg/day are not advised.
Report any signs of worsening depression or suicidal ideation to your doctor, especially during the first few months of therapy.
Stopping abruptly may cause withdrawal symptoms; instead, taper off gradually under medical supervision.
Do not drive or operate machinery until you understand the full effects of citalopram, as it may impair your judgment and ability to drive or operate machinery.
If symptoms of serotonin syndrome (such as agitation, hallucinations, fast heart rate, dizziness, flushing, nausea, and diarrhea) develop, seek immediate medical attention.
If you are pregnant or become pregnant while taking citalopram, notify your doctor. In neonates exposed to Citalopram during the third trimester of pregnancy, complications such as prolonged hospitalization, respiratory support, and tube feeding have been reported. Citalopram is also excreted in breastmilk, and breastfeeding infants have been reported to experience drowsiness, decreased feeding, and weight loss.