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Celexa ® (Citalopram) is used to treat depression by helping to restore the balance of certain natural chemicals in the brain. Celexa ® has been prescribed for over a decade to help patients find relief from depression--if you are suffering from depression, Celexa® may be able to help you, too.

 
Celexa ®
  Product Ships Rx Price Order
Celexa 10mg 30 Tablets USA Free $119
Celexa 20mg 30 Tablets USA Free $119
Celexa 20mg 60 Tablets USA Free $199
Celexa 20mg 90 Tablets USA Free $279
Celexa 40mg 30 Tablets USA Free $119
Celexa 40mg 60 Tablets USA Free $209
Celexa 40mg 90 Tablets USA Free $299
Citalopram (Generic Celexa) 20 MG 30 Tablets USA Free $44
Citalopram (Generic Celexa) 20 MG 60 Tablets USA Free $54
Citalopram (Generic Celexa) 20 MG 90 Tablets USA Free $59
Citalopram x 10 10mg Global Free $4
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Citalopram x 30 10mg Global Free $12
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Citalopram x 360 10mg Global Free $139
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Citalopram x 40 20mg Global Free $19
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Citalopram x 50 20mg Global Free $42
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Citalopram x 60 10mg Global Free $24
Citalopram x 60 20mg Global Free $48
Citalopram x 60 40mg Global Free $47
Citalopram x 80 20mg Global Free $37
Citalopram x 80 40mg Global Free $62
Citalopram x 90 10mg Global Free $35
Citalopram x 90 20mg Global Free $69
Citalopram x 90 40mg Global Free $69
Citalopram x 90 5MG Global Free $18



Celexa ® is manufactured by Forest Pharmaceuticals Inc.

Chemical Name : Citalopram

Important Note
The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

Uses
Citalopram is used to treat depression. This medication works by helping to restore the balance of certain natural chemicals in the brain.

Other Uses
This medication has also been used to treat certain eating disorders (e.g., anorexia nervosa, bulimia).

How to Use
Take this medication by mouth usually once daily, with or without food; or as directed by your doctor. The dosage is based on your medical condition and response to therapy. It is important to continue taking this medication as prescribed even if you feel well. Also, do not stop taking this medication without consulting your doctor. It may take up to several weeks before the full benefit of this drug takes effect.

Side Effects
Nausea, drowsiness, diarrhea, trouble sleeping, upset stomach, or dry mouth may occur. If any of these effects persist or worsen, notify your doctor promptly. Tell your doctor immediately if any of these serious side effects occur: vomiting, loss of appetite, unusual or severe mental/mood changes, increased sweating/flushing, unusual fatigue, uncontrolled movements (tremor). Tell your doctor immediately if any of these unlikely but serious side effects occur: blurred vision, stomach pain, fever, joint pain, muscle pain, unusually fast heartbeat, decreased interest in sex, changes in sexual ability, change in amount of urine. Tell your doctor immediately if any of these highly unlikelybut very serious side effects occur: weight changes, taste changes, changes in menstrual period, unusual swelling of the hands/feet/face, seizures, painful and/or prolonged erection. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
Tell your doctor your medical history, especially of: liver problems, kidney problems, seizures, heart problems, other mental/mood disorders (e.g., bipolar disorder), thyroid problems, any allergies. This drug may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. Caution is advised when using this product in the elderly because they may be more sensitive to the effects of the drug. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This drug passes into breast milk. Because of the potential risk to the infant, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.

Drug Interactions
Certain medications taken with this product could result in serious, even fatal, drug interactions. Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, selegiline, tranylcypromine) within 2 weeks before or after treatment with this medication. Consult your doctor or pharmacist for additional information. This drug is not recommended for use with: weight loss drugs (e.g., sibutramine, phentermine). Ask your doctor or pharmacist for more details. Tell your doctor of all prescription and nonprescription medication you may use, especially: other SSRI antidepressants (e.g., fluoxetine, sertraline), nefazodone, trazodone, tramadol, venlafaxine, "triptan" migraine drugs (e.g., sumatriptan, zolmitriptan), tricyclic antidepressants (e.g., amitriptyline, nortriptyline), cimetidine, lithium, itraconazole, macrolide antibiotics (e.g., clarithromycin, erythromycin), any herbal/ natural products (e.g., melatonin, St John's wort, ayahuasca). Tell your doctor if you take any drugs that cause drowsiness such as: medicine for sleep, sedatives, tranquilizers, anti- anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine), anti-seizure drugs (e.g., carbamazepine), muscle relaxants, certain antihistamines (e.g., diphenhydramine). Do not start or stop any medicine without doctor or pharmacist approval.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: irregular heartbeat, fainting, severe dizziness or lightheadedness.

Notes
Do not share this medication with others. Laboratory and/or medical tests may be performed to monitor your progress.

Missed Dose
If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Storage
Store at room temperature between 59 and 86 degrees F (15 and 30 degrees C) away from light and moisture.

 

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 Types of depression : Depressive disorders come in different forms, just as do other illnesses, such as heart disease and diabetes. Three of the most common types of depressive disorders are discussed below. However, remember that within each of these types, there are variations in the number, severity, and persistence of symptoms. Major depression is characterized by a combination of symptoms, including sad mood (see symptom list), that interfere with the ability to work, sleep, eat, and enjoy once-pleasurable activities. Disabling episodes of depression can occur once, twice, or several times in a lifetime. Dysthymia is a less severe type of depression. It involves long-term (chronic) symptoms that do not disable, but yet prevent the affected person from functioning at "full steam" or from feeling good. Sometimes, people with dysthymia also experience episodes of major depression. This combination of the two types of depression is referred to as double-depression. Another type of depression is bipolar disorder, which was formerly called manic-depressive illness or manic depression. This condition shows a particular pattern of inheritance. Not nearly as common as the other types of depressive disorders, bipolar disorder involves cycles of depression and mania, or elation. Bipolar disorder is often a chronic, recurring condition. Sometimes, the mood switches are dramatic and rapid, but most often they are gradual. When in the depressed cycle, the person can experience any or all of the symptoms of a depressive disorder. When in the manic cycle, any or all of the symptoms listed under mania may be experienced. Mania often affects thinking, judgment, and social behavior in ways that cause serious problems and embarrassment. For example, unwise business or financial decisions may be made when an individual is in a manic phase.

Causes of depression : Some types of depression run in families, indicating that a biological vulnerability to depression can be inherited. This seems to be the case especially with bipolar disorder. Studies have been done of families in which members of each generation develop bipolar disorder. The investigators found that those with the illness have a somewhat different genetic makeup than those who do not become ill. However, the reverse is not true. That is, not everybody with the genetic makeup that causes vulnerability to bipolar disorder has the illness. Apparently, additional factors, possibly a stressful environment, are involved in its onset. Major depression also seems to occur in generation after generation in some families, although not as strongly as in Bipolar I or II. Indeed, major depression can also occur in people who have no family history of depression. An external event often seems to initiate an episode of depression. Thus, a serious loss, chronic illness, difficult relationship, financial problem, or any unwelcome change in life patterns can trigger a depressive episode. Very often, a combination of genetic, psychological, and environmental factors is involved in the onset of a depressive disorder. Nothing in the universe is as complex and fascinating as the human brain. The over 100 chemicals that circulate in the brain are known as neurochemicals or neurotransmitters. Much of our research and knowledge, however, has focused on four of these neurochemical systems: norepinephrine, serotonin, dopamine, and acetycholine. In the new millennium, after new discoveries are made, it is possible that these four neurochemicals will be viewed as the "black bile, yellow bile, phlegm, and blood" of the twentieth century. Different neuropsychiatric illnesses seem to be associated with an over-abundance or a lack of some of these neurochemicals in certain parts of the brain. For example, a lack of dopamine at the base of the brain causes Parkinson disease. Alzheimer dementia seems to be related to lower acetylcholine levels in the brain. The addictive disorders are under the influence of the neurochemical dopamine. That is to say, drugs and alcohol work by releasing dopamine in the brain. The dopamine causes euphoria, which is a pleasant sensation. Repeated use of drugs or alcohol, however, desensitizes the dopamine system, which means that the system gets used to the drugs and alcohol. Therefore, a person needs more drugs or alcohol to achieve the same high feeling. Thus, the addicted person takes more and more to feel less and less high. The different types of schizophrenia are associated with an imbalance of dopamine (too much) and serotonin (poorly regulated) in certain areas of the brain. Finally, the depressive disorders appear to be associated with altered brain serotonin and norepinephrine systems. Both of these neurochemicals are lower in depressed people. Please note that I specified, "associated with" instead of, "caused by." I made this distinction because we really don't know whether low levels of neurochemicals in the brain cause depression or whether depression causes low levels of neurochemicals in the brain.

Depressive disorders have been with man since the beginning of recorded history. Depression is divided into two types, endogenous and neurotic. Endogenous means that the depression comes from within the body, perhaps of genetic origin, or comes out of nowhere. Neurotic or reactive depression has a clear environmental precipitating factor, such as the death of a spouse, or other significant loss, such as the loss of a job. Although there is some argument even today (as in all branches of medicines), most experts agree that: A depressive disorder is a syndrome (group of symptoms) that reflects a sad mood exceeding normal sadness or grief. More specifically, the sadness of depression is characterized by a greater intensity and duration and by more severe symptoms and functional disabilities than is normal. Depression symptoms are characterized not only by negative thoughts, moods, and behaviors, but also by specific changes in bodily functions (e.g., eating, sleeping, and sexual activity). The functional changes are often called neurovegetative signs. Certain people with depressive disorder, especially bipolar depression (manic depression), seem to have an inherited vulnerability to this condition. Depressive disorders are a huge public health problem

Difficulty concentrating, remembering, making decisions. Persistent physical symptoms that do not respond to treatment, such as headaches, digestive disorders, and chronic pain.

 

 

 

 

 

13th March 2010