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If you suffer from depression, this medicine may be able to help you. It is an antidepressant (mood suppressant) from the family of drugs known as selective serotonin reuptake inhibitors or SSRIs. It is commonly used to treat depression, as well as other conditions diagnosed by a doctor.
Citalopram helps restore chemical balance in the brain by increasing the supply of a chemical messenger in the brain called serotonin. It effectively relieves depression by increasing serotonin levels without affecting many of the other brain chemicals.
Citalopram is a Selective Serotonin Reuptake Inhibitor (SSRI). Although not fully understood, it appears that these SSRIs increase the level of serotonin in the brain by preventing the nerve cell that releases it from re-uptake. In this way, the serotonin is still available for the next nerve cell. Serotonin is a chemical known to raise mood and prevent depression in adequate amounts. By adjusting serotonin levels, SSRIs allow the brain to function normally and the neurotransmitters in the brain to work properly. Because Citalopram does not affect other brain chemicals, it is a safe, effective treatment that will not alter the brain's other activities.
To find reliable relief, Citalopram should be taken faithfully at the same time each day. Some people find relief from their symptoms after as little as a week, but full relief usually takes between 2 and 4 weeks, as the medication stabilizes serotonin levels in the brain. Because depression is a long-term condition, you should keep taking your regular dosage even after your symptoms have gone away to prevent them from coming back. Most doctors will recommend that you continue taking Citalopram for several months after the symptoms have gone away.
Because the serotonin level in the brain varies from person to person, you may need to fine-tune your dosage for best results. If you do not feel any relief after a few weeks, the dose may need to be adjusted. Be patient and remember that Citalopram is an excellent long-term treatment and the overall results will be worth it.
While there are some mild side effects, such as dry mouth, nausea, diarrhea, and insomnia, these are usually not serious and most will subside as you adjust to the medication.
The Citalopram side effects are usually well tolerated and quite moderate, although some Citalopram side effects are bothersome and common. Arguably the most common and persistent side effect is sexual dysfunction. Studies show that in short-term studies, approximately 16% of patients discontinued treatment due to this side effect, compared to 8% of patients who received placebo. In these studies, only 6% of patients prescribed ejaculatory dysfunction compared to 1% of patients who received placebo, although many physicians report a much higher incidence of this complaint in patients. Orgasmic disorders, which are considered the female equivalent of ejaculation disorders, are also more common than reported in formal studies.
Other common side effects of Citalopram include dry mouth, increased sweating, nausea, drowsiness, and insomnia, all of which are over 10%. This incidence should be seen in context as in the same studies the incidence of dry mouth, sweating, nausea, somnolence and insomnia was also higher than 10% with placebo.
Nausea is a common side effect when starting the medication, but is usually self-limiting and usually resolves within 2 to 3 weeks of starting the medication. Most doctors encourage their patients to try to overcome this nausea, knowing that it will often go away with continued medication. Unfortunately, the side effects of sexual dysfunction often don't go away over time and are relatively often the reason patients taking Citalopram, like other SSRI drugs, why users choose to discontinue treatment.
Rare but serious side effects of Citalopram can include priapism, an increased risk of suicidal thoughts and suicide, especially in patients under the age of 25, and the so-called serotonin syndrome. Serotonin syndrome is uncommon when taking Citalopram alone, but may occur more frequently when Citalopram is added to other drugs with serotonergic effects. Some herbal remedies such as St. John's wort are best avoided while taking Citalopram to prevent serotonin syndrome.
It is always best to discuss the side effects of any medication, including Citalopram side effects, with your doctor. Sometimes side effects can be reduced as the dose is reduced, and Citalopram withdrawal can usually be avoided or minimized by taping the drug gradually rather than stopping the medication abruptly.
Citalopram withdrawal, also called Citalopram withdrawal, is a phenomenon common to most selective serotonin reuptake inhibitor (SSRI) medications. Citalopram does not cause withdrawal symptoms as often as the SSRIs with a shorter half-life, but mild to moderate withdrawal syndrome is quite common. The most common Citalopram withdrawal symptoms are dizziness and pressure in the head. These final symptoms of Citalopram withdrawal can be very distressing and are sometimes described as electric shocks, especially in the head and neck area. Other symptoms may include sweating, tremors, confusion, nightmares, insomnia, and nausea.
Another aspect of the withdrawal syndrome can be the persistence of sexual dysfunction, especially orgasmic disorders, which is often a side effect of individuals taking Citalopram.
In general, patients taking any of the selective serotonin reuptake inhibitors, including Citalopram, should taper and discontinue the medication gradually, rather than stopping abruptly. If a dose or multiple doses of Citalopram are missed or missed during therapy, resuming the medication will usually quickly end the Citalopram withdrawal symptoms.
Withdrawal symptoms from Paroxetine and Effexor are more common than Citalopram withdrawal because these drugs have a shorter half-life. The half-life of a drug is defined as the time it takes for one half of the drug in the bloodstream to be eliminated from the body. Citalopram's serum half-life is approximately 35 hours, making it much less likely to cause withdrawal symptoms than Paroxetine with a half-life of approximately 24 hours and venlafaxine, the active ingredient of Effexor, with a half-life of only 4,9 hours (the active metabolite of venlafaxine has a half-life of approximately 10,3 hours). Citalopram withdrawal syndrome is more likely when a higher dose is stopped suddenly than when a low dose is stopped.
If you have been taking the medicine for some time and you are getting better, your doctor may suggest lowering your regular dose. If you feel better and your anxiety or depression symptoms have subsided, you may want to consider discontinuing use. In the event that you are on your way to getting off the drug, you should be aware of Citalopram withdrawal symptoms.
SSRI antidepressants like these can cause side effects as well as symptoms during the withdrawal phase. It is believed that an SSRI antidepressant can cause a withdrawal symptom, depending on the half-life of the drug. Citalopram has a high half-life compared to other SSRIs. This means that patients taking it can expect some troubling and uncomfortable symptoms when tapping or suddenly stopping the medication.
Patients taking citalopram may experience a number of symptoms when they stop taking it suddenly or significantly reduce the dose. These withdrawal or stopping symptoms include:
You may experience any of the above symptoms if the drug withdrawal or withdrawal is unsupervised or abrupt. You may also experience mania or a very "happy" or elated feeling, completely opposite to your depressive feelings.
You may also experience “freeze frames” where you are suddenly fully aware of your body and surroundings for a few seconds. In some cases, you may also experience the symptoms that Citalopram helps you overcome, such as sad thoughts and anxiety. Another possible symptom after tapering off an SSRI is sexual dysfunction, such as lack of libido and premature ejaculation.
To be on the safe side, patients should discuss any withdrawal symptoms they feel with their doctor. It is best not to come off the medication immediately. Most patients say that slowly decreasing the dosage can minimize withdrawal symptoms and make it easier to cope with stopping the medication.
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