Below you will find Celexa Citalopram side effects
1. Nausea and Vomiting One of the most common side effects of Citalopram is nausea and vomiting. This may occur in the first few weeks of taking the medication and usually subsides over time. It is important to take Citalopram with food to help reduce the likelihood of experiencing these side effects.
2. Headaches Another common side effect of Citalopram is headaches. These can be mild to severe and may occur in the first few weeks of taking the medication. If headaches persist, it is important to talk to your healthcare provider.
3. Insomnia Citalopram can also cause insomnia, or difficulty sleeping. This can be especially troublesome for those who already have trouble sleeping. If you experience insomnia while taking Citalopram, talk to your healthcare provider about possible solutions.
4. Drowsiness On the other hand, some people may experience drowsiness while taking Citalopram. This can be a desirable side effect for those who have trouble falling asleep, but it can also affect the ability to perform daily activities. If drowsiness persists, talk to your healthcare provider.
5. Sexual Side Effects Citalopram can also cause sexual side effects, such as decreased libido, difficulty achieving orgasm, and erectile dysfunction. These side effects can be especially troublesome for those who are already struggling with sexual dysfunction. Talk to your healthcare provider about possible solutions if you experience sexual side effects while taking Citalopram.
6. Weight Gain Another potential side effect of Citalopram is weight gain. This is thought to be due to the medication’s effect on the appetite and metabolism. If you experience significant weight gain while taking Citalopram, talk to your healthcare provider about possible solutions.
7. Dry Mouth Citalopram can also cause dry mouth, which can be uncomfortable and lead to dental problems if left untreated. Drinking plenty of water and using sugar-free gum or candy can help alleviate this side effect.
8. Sweating Some people may experience excessive sweating while taking Citalopram. This can be especially troublesome in social situations. If sweating becomes a problem, talk to your healthcare provider about possible solutions.
9. Tremors In rare cases, Citalopram can cause tremors or shaking. This can be a sign of a serious side effect and should be reported to your healthcare provider immediately.
10. Suicidal Thoughts While rare, Citalopram has been associated with an increased risk of suicidal thoughts, especially in children and young adults. It is important to be aware of this risk and seek help immediately if you or a loved one experiences any thoughts of self-harm while taking Citalopram.
11. Serotonin Syndrome In rare cases, taking Citalopram can lead to serotonin syndrome, a potentially life-threatening condition. Symptoms of serotonin syndrome include agitation, confusion, rapid heartbeat, high blood pressure, fever, sweating, and muscle rigidity. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
12. Bleeding Problems Some people may experience bleeding problems while taking Citalopram. This can include nosebleeds, bleeding gums, and easy bruising. If you experience any bleeding problems while taking Citalopram, talk to your healthcare provider.
13. Hyponatremia, or low sodium levels in the blood, is another potential side effect of Citalopram. Symptoms of hyponatremia include headache, nausea, vomiting, seizures, and confusion. If you experience any of these symptoms while taking Citalopram.
14. Dizziness and Lightheadedness Citalopram can also cause dizziness and lightheadedness, especially when standing up from a sitting or lying position. This is due to a drop in blood pressure and can be especially troublesome for those who already have low blood pressure. If dizziness and lightheadedness persist, talk to your healthcare provider.
15. Mania or Hypomania In rare cases, Citalopram can cause mania or hypomania, especially in those with bipolar disorder. Symptoms of mania or hypomania include elevated mood, increased energy, decreased need for sleep, and impulsive behavior. If you experience any of these symptoms while taking Citalopram, talk to your healthcare provider immediately.
16. Seizures, Seizures are a rare but serious side effect of Citalopram. If you have a history of seizures, it is important to talk to your healthcare provider before taking Citalopram. If you experience a seizure while taking Citalopram, seek medical attention immediately.
17. Liver Damage In rare cases, Citalopram can cause liver damage. Symptoms of liver damage include abdominal pain, yellowing of the skin or eyes, and dark urine. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
18. Allergic Reactions Some people may be allergic to Citalopram or its ingredients. Symptoms of an allergic reaction include rash, hives, itching, swelling of the face, lips, tongue, or throat, and difficulty breathing. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
19. Withdrawal Symptoms If Citalopram is stopped suddenly, withdrawal symptoms can occur. These can include flu-like symptoms, dizziness, nausea, and headaches. It is important to talk to your healthcare provider before stopping Citalopram, and to follow their instructions for tapering off the medication.
20. Cognitive Impairment In rare cases, Citalopram can cause cognitive impairment, including memory loss and confusion. If you experience any cognitive impairment while taking Citalopram, talk to your healthcare provider immediately.
21. Stomach Problems Citalopram can cause stomach problems such as diarrhea, constipation, and abdominal pain. These side effects are usually mild and go away on their own. However, if they persist or worsen, talk to your healthcare provider.
22. Respiratory Problems In rare cases, Citalopram can cause respiratory problems such as difficulty breathing or shortness of breath. This is a serious side effect and requires immediate medical attention.
23. Skin Reactions Citalopram can cause skin reactions such as rash, itching, and hives. In rare cases, it can also cause a severe allergic reaction called Stevens-Johnson syndrome, which can be life-threatening. If you experience any skin reactions while taking Citalopram, talk to your healthcare provider.
24. Muscle Pain Citalopram can cause muscle pain or stiffness, especially in the neck, shoulders, and back. This is usually mild and goes away on its own. However, if it persists or worsens, talk to your healthcare provider.
25. Vision Changes In rare cases, Citalopram can cause vision changes such as blurred vision, double vision, or eye pain. If you experience any vision changes while taking Citalopram, talk to your healthcare provider.
26. Low Blood Sodium Citalopram can cause low blood sodium levels, especially in older adults. Symptoms of low blood sodium include headache, nausea, vomiting, confusion, and seizures. If you experience any of these symptoms while taking Citalopram, talk to your healthcare provider.
27. Increased Risk of Bleeding Citalopram can increase the risk of bleeding, especially in people who take blood-thinning medications or have a bleeding disorder. If you experience any unusual bleeding while taking Citalopram, talk to your healthcare provider.
28. Increased Risk of Bone Fractures In some studies, long-term use of SSRIs like Citalopram has been associated with an increased risk of bone fractures, especially in older adults. If you have concerns about your risk of bone fractures while taking Citalopram, talk to your healthcare provider.
29. Decreased Platelet Function Citalopram can also decrease platelet function, which can increase the risk of bleeding. This is usually mild and goes away on its own, but if you have concerns, talk to your healthcare provider.
30. Interactions with Other Medications Citalopram can interact with other medications, including other antidepressants, blood thinners, and certain pain medications. It is important to tell your healthcare provider about all the medications you are taking, including over-the-counter medications and supplements, before starting Citalopram.In summary, while Citalopram can be an effective medication for depression and anxiety, it also comes with a range of potential side effects. It is important to be aware of these side effects and to talk to your healthcare provider if you experience any of them. If you are considering taking Citalopram, talk to your healthcare provider about the potential benefits and risks of the medication, and whether it is the right choice for you.
31. Increased Risk of Serotonin Syndrome with Other Drugs Taking Citalopram with other medications that increase serotonin levels, such as some pain medications and herbal supplements, can increase the risk of serotonin syndrome. Symptoms of serotonin syndrome include agitation, confusion, rapid heartbeat, high blood pressure, fever, sweating, and muscle rigidity. If you experience any of these symptoms while taking Citalopram with other medications, seek medical attention immediately.
32. Increased Risk of Mania with Other Drugs Taking Citalopram with other medications that can cause mania, such as some antidepressants and stimulants, can increase the risk of mania or hypomania. Symptoms of mania or hypomania include elevated mood, increased energy, decreased need for sleep, and impulsive behavior. If you experience any of these symptoms while taking Citalopram with other medications, talk to your healthcare provider immediately.
33. Increased Risk of Suicide in Children and Adolescents Studies have shown that children and adolescents taking Citalopram may have an increased risk of suicidal thoughts and behavior. It is important to closely monitor children and adolescents taking Citalopram and to report any changes in behavior or mood to their healthcare provider.
34. Teratogenicity There is some evidence to suggest that taking Citalopram during pregnancy may increase the risk of birth defects, particularly cardiac defects. If you are pregnant or planning to become pregnant, talk to your healthcare provider about the risks and benefits of taking Citalopram.
35. Withdrawal Syndrome in Newborns Babies born to mothers who took Citalopram during pregnancy may experience withdrawal symptoms such as irritability, feeding difficulties, and breathing problems. It is important to talk to your healthcare provider about the risks and benefits of taking Citalopram during pregnancy.
36. Tardive Dyskinesia In rare cases, long-term use of Citalopram can cause tardive dyskinesia, a movement disorder characterized by involuntary movements of the face, tongue, and limbs. If you experience any involuntary movements while taking Citalopram, talk to your healthcare provider.
37. Hypermotility In rare cases, Citalopram can cause hypermotility, or increased bowel movements. This can be a sign of a serious side effect and should be reported to your healthcare provider immediately.
38. Hair Loss Citalopram can cause hair loss in some people. This is usually mild and goes away on its own, but if you have concerns, talk to your healthcare provider.
39. Galactorrhea In rare cases, Citalopram can cause galactorrhea, or breast milk production in non-pregnant or non-breastfeeding women. If you experience this side effect while taking Citalopram, talk to your healthcare provider.
40. Pancreatitis In rare cases, Citalopram can cause pancreatitis, a serious inflammation of the pancreas. Symptoms of pancreatitis include severe abdominal pain, nausea, and vomiting. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
41. Aggression In rare cases, Citalopram can cause aggression or violent behavior. If you experience any changes in behavior or mood while taking Citalopram, talk to your healthcare provider immediately.
42. Hypoglycemia Citalopram can cause hypoglycemia, or low blood sugar, in people with diabetes. Symptoms of hypoglycemia include dizziness, confusion, and sweating. If you experience any of these symptoms while taking Citalopram, talk to your healthcare provider.
43. Neuroleptic Malignant Syndrome In rare cases, taking Citalopram with other drugs that affect serotonin levels can cause neuroleptic malignant syndrome, a potentially life-threatening condition. Symptoms of neuroleptic malignant syndrome include fever, muscle stiffness, confusion, and seizures. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
44. Photosensitivity Citalopram can cause photosensitivity, or sensitivity to sunlight. This can increase the risk of sunburn and skin damage. If you experience any skin reactions or sunburn while taking Citalopram, talk to your healthcare provider.
45. Hypermagnesemia In rare cases, taking high doses of Citalopram can cause hypermagnesemia, or high levels of magnesium in the blood. Symptoms of hypermagnesemia include muscle weakness, lethargy, and confusion. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
46. Hypertension Citalopram can cause hypertension, or high blood pressure, in some people. This can increase the risk of heart disease and stroke. If you have concerns about your blood pressure while taking Citalopram, talk to your healthcare provider.
47. Akathisia In rare cases, Citalopram can cause akathisia, a movement disorder characterized by an inability to sit still or restlessness. If you experience any movement problems while taking Citalopram, talk to your healthcare provider.
48. Suicidal Thoughts in Young Adults In addition to an increased risk of suicide in children and adolescents, young adults aged 18-24 may also have an increased risk of suicidal thoughts and behavior while taking Citalopram. It is important to closely monitor young adults taking Citalopram and to report any changes in behavior or mood to their healthcare provider.
49. Increased Risk of Bleeding in Surgery Citalopram can increase the risk of bleeding during surgery. If you are planning to have surgery, tell your healthcare provider about all the medications you are taking, including Citalopram.
50. Psychological Dependence Some people may become psychologically dependent on Citalopram and experience withdrawal symptoms when they stop taking the medication. It is important to talk to your healthcare provider before stopping Citalopram and to follow their instructions for tapering off the medication.
51. Erectile Dysfunction Citalopram can cause erectile dysfunction in men, making it difficult to achieve or maintain an erection. If you experience this side effect while taking Citalopram, talk to your healthcare provider.
52. Decreased Libido In addition to erectile dysfunction, Citalopram can also cause decreased libido, or a decreased interest in sexual activity. If you experience this side effect while taking Citalopram, talk to your healthcare provider.
53. Sleep Disturbances Citalopram can cause sleep disturbances such as insomnia or vivid dreams. These side effects are usually mild and go away on their own, but if they persist or worsen, talk to your healthcare provider.
54. Weight Changes Citalopram can cause weight changes, including weight gain or weight loss. If you have concerns about your weight while taking Citalopram, talk to your healthcare provider.
55. Sweating Citalopram can cause excessive sweating, especially at night. If you experience this side effect while taking Citalopram, talk to your healthcare provider.
56. Cognitive and Motor Impairment In rare cases, Citalopram can cause cognitive and motor impairment, including difficulty with concentration, memory, and coordination. If you experience any of these symptoms while taking Citalopram, talk to your healthcare provider.
57. Impaired Driving and Operating Heavy Machinery Due to its potential to cause cognitive and motor impairment, Citalopram can impair the ability to drive or operate heavy machinery. It is important to avoid driving or operating heavy machinery until you know how Citalopram affects you.
58. Drug Dependency Some people may become dependent on Citalopram and experience withdrawal symptoms when they stop taking the medication. It is important to talk to your healthcare provider before stopping Citalopram and to follow their instructions for tapering off the medication.
59. Interaction with Alcohol Citalopram can interact with alcohol and increase the risk of side effects such as drowsiness, dizziness, and impaired coordination. It is important to avoid alcohol while taking Citalopram.
60. Interaction with Grapefruit Juice Citalopram can interact with grapefruit juice and increase the risk of side effects. It is important to avoid grapefruit juice while taking Citalopram.
61. Insomnia Citalopram can cause insomnia, or difficulty falling or staying asleep. This side effect is usually mild and goes away on its own, but if it persists or worsens, talk to your healthcare provider.
62. Fatigue In addition to insomnia, Citalopram can also cause fatigue or excessive tiredness. If you experience this side effect while taking Citalopram, talk to your healthcare provider.
63. Tremors Citalopram can cause tremors or shaking, especially in the hands. This side effect is usually mild and goes away on its own, but if it persists or worsens, talk to your healthcare provider.
64. Abnormal Dreams Citalopram can cause abnormal dreams, including vivid or disturbing dreams. If you experience this side effect while taking Citalopram, talk to your healthcare provider.
65. Dry Mouth Citalopram can cause dry mouth, which can increase the risk of dental problems. If you experience this side effect while taking Citalopram, talk to your healthcare provider.
66. Changes in Appetite Citalopram can cause changes in appetite, including decreased or increased appetite. If you have concerns about your appetite while taking Citalopram, talk to your healthcare provider.
67. Joint Pain Citalopram can cause joint pain or stiffness, especially in the hands and feet. This side effect is usually mild and goes away on its own, but if it persists or worsens, talk to your healthcare provider.
68. Muscle Twitching In rare cases, Citalopram can cause muscle twitching, especially in the face or limbs. If you experience this side effect while taking Citalopram, talk to your healthcare provider.
69. Increased Heart Rate Citalopram can cause an increased heart rate or palpitations, especially in people with preexisting heart conditions. If you have concerns about your heart rate while taking Citalopram, talk to your healthcare provider.
70. Increased Risk of Severe Withdrawal Stopping Citalopram suddenly can cause severe withdrawal symptoms such as nausea, headache, and dizziness. It is important to talk to your healthcare provider before stopping Citalopram and to follow their instructions for tapering off the medication.
71. Increased Risk of Hyponatremia In rare cases, taking Citalopram can cause hyponatremia, or low levels of sodium in the blood. Symptoms of hyponatremia include headache, nausea, vomiting, confusion, and seizures. If you experience any of these symptoms while taking Citalopram, talk to your healthcare provider.
72. Anemia In rare cases, taking Citalopram can cause anemia, a condition characterized by a low red blood cell count. Symptoms of anemia include fatigue, weakness, and shortness of breath. If you experience any of these symptoms while taking Citalopram, talk to your healthcare provider.
73. Thrombocytopenia In rare cases, taking Citalopram can cause thrombocytopenia, a condition characterized by a low platelet count. Symptoms of thrombocytopenia include bleeding and bruising easily. If you experience any of these symptoms while taking Citalopram, talk to your healthcare provider.
74. Impaired Liver Function In rare cases, taking Citalopram can cause impaired liver function. Symptoms of impaired liver function include jaundice, dark urine, and abdominal pain. If you experience any of these symptoms while taking Citalopram, talk to your healthcare provider.
75. Increased Risk of Suicidal Thoughts in Adults. Adults taking Citalopram may have an increased risk of suicidal thoughts and behavior. It is important to closely monitor adults taking Citalopram and to report any changes in behavior or mood to their healthcare provider.
76. Eosinophilia In rare cases, taking Citalopram can cause eosinophilia, a condition characterized by a high level of eosinophils in the blood. Symptoms of eosinophilia include rash, fever, and muscle pain. If you experience any of these symptoms while taking Citalopram, talk to your healthcare provider.
77. Osteoporosis In some studies, long-term use of SSRIs like Citalopram has been associated with an increased risk of osteoporosis, a condition characterized by weakened bones. If you have concerns about your risk of osteoporosis while taking Citalopram, talk to your healthcare provider.
78. Seizures In rare cases, taking Citalopram can cause seizures, especially in people with a history of seizures or epilepsy. If you experience a seizure while taking Citalopram, seek medical attention immediately.
79. Agitation and Restlessness In rare cases, taking Citalopram can cause agitation and restlessness, especially in children and adolescents. If you experience this side effect while taking Citalopram, talk to your healthcare provider.
80. Memory Impairment In rare cases, taking Citalopram can cause memory impairment, including difficulty with concentration, recall, and recognition. If you experience any memory problems while taking Citalopram, talk to your healthcare provider.
81. Hypothyroidism In rare cases, taking Citalopram can cause hypothyroidism, a condition characterized by an underactive thyroid gland. Symptoms of hypothyroidism include fatigue, weight gain, and cold intolerance. If you experience any of these symptoms while taking Citalopram, talk to your healthcare provider.
82. Allergic Reaction In rare cases, taking Citalopram can cause an allergic reaction. Symptoms of an allergic reaction include rash, itching, swelling, and difficulty breathing. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
83. Gastrointestinal Bleeding In rare cases, taking Citalopram can cause gastrointestinal bleeding, which can be life-threatening. Symptoms of gastrointestinal bleeding include black or tarry stools, abdominal pain, and vomiting blood. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
84. Cardiac Arrhythmia In rare cases, taking Citalopram can cause cardiac arrhythmia, or an irregular heartbeat. Symptoms of cardiac arrhythmia include palpitations, dizziness, and fainting. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
85. Increased Risk of Falls Due to its potential to cause dizziness and impaired coordination, taking Citalopram can increase the risk of falls, especially in older adults. It is important to take precautions to prevent falls, such as using assistive devices and avoiding activities that require balance or coordination.
86. Discontinuation Syndrome Stopping Citalopram suddenly can cause discontinuation syndrome, a set of symptoms that can include dizziness, headache, nausea, and anxiety. It is important to talk to your healthcare provider before stopping Citalopram and to follow their instructions for tapering off the medication.
87. Hypersensitivity Syndrome In rare cases, taking Citalopram can cause hypersensitivity syndrome, a potentially life-threatening condition characterized by fever, rash, and organ dysfunction. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
88. Interference with Cognitive and Motor Performance Due to its potential to cause cognitive and motor impairment, taking Citalopram can interfere with activities that require concentration and coordination, such as driving or operating heavy machinery.
89. Interaction with Other Medications Citalopram can interact with other medications, including prescription drugs, over-the-counter medications, and herbal supplements. It is important to tell your healthcare provider about all the medications you are taking, including Citalopram, to avoid potential interactions.
90. Increased Risk of Bleeding in People with Blood Clotting Disorders Citalopram can increase the risk of bleeding in people with blood clotting disorders such as hemophilia. If you have a blood clotting disorder, talk to your healthcare provider about the risks and benefits of taking Citalopram.
91. Serotonin Syndrome In rare cases, taking Citalopram with other drugs that affect serotonin levels can cause serotonin syndrome, a potentially life-threatening condition. Symptoms of serotonin syndrome include agitation, confusion, rapid heart rate, high blood pressure, and muscle rigidity. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
92. Increased Risk of Bone Fractures In some studies, long-term use of SSRIs like Citalopram has been associated with an increased risk of bone fractures, especially in older adults. If you have concerns about your risk of bone fractures while taking Citalopram, talk to your healthcare provider.
93. Increased Risk of Bleeding in People with Ulcers Citalopram can increase the risk of bleeding in people with ulcers. If you have an ulcer, talk to your healthcare provider about the risks and benefits of taking Citalopram.
94. Discoloration of Teeth In rare cases, taking Citalopram can cause discoloration of the teeth, especially in children. If you notice any changes in the color of your teeth while taking Citalopram, talk to your healthcare provider.
95. Akinesia In rare cases, Citalopram can cause akinesia, a movement disorder characterized by a lack of movement or slowness of movement. If you experience any movement problems while taking Citalopram, talk to your healthcare provider.
96. Decreased Platelet Aggregation Citalopram can decrease platelet aggregation, or the ability of platelets to clump together and form a blood clot. This can increase the risk of bleeding. If you have concerns about your risk of bleeding while taking Citalopram, talk to your healthcare provider.
97. Decreased Bone Density In some studies, long-term use of SSRIs like Citalopram has been associated with a decreased bone density, which can increase the risk of osteoporosis and bone fractures. If you have concerns about your bone health while taking Citalopram, talk to your healthcare provider.
98. Drug Interactions with CYP2D6 Inhibitors Citalopram can interact with drugs that inhibit the activity of the CYP2D6 enzyme, which can increase the levels of Citalopram in the blood and increase the risk of side effects. It is important to tell your healthcare provider about all the medications you are taking, including Citalopram, to avoid potential interactions.
99. Drug Interactions with CYP3A4 Inducers Citalopram can interact with drugs that induce the activity of the CYP3A4 enzyme, which can decrease the levels of Citalopram in the blood and decrease its effectiveness. It is important to tell your healthcare provider about all the medications you are taking, including Citalopram, to avoid potential interactions.
100. Long-Term Effects on Brain Function The long-term effects of taking Citalopram on brain function are not fully understood. It is important to talk to your healthcare provider about the risks and benefits of long-term use of Citalopram, especially if you are considering taking the medication for an extended period of time. In conclusion, while Citalopram can be an effective medication for depression and anxiety, it also comes with a range of potential side effects. It is important to be aware of these side effects and to talk to your healthcare provider if you experience any of them while taking Citalopram. If you are considering taking Citalopram, talk to your healthcare provider about the potential benefits and risks of the medication, and whether it is the right choice for you.
101. Sexual Dysfunction in Women In addition to erectile dysfunction and decreased libido in men, Citalopram can also cause sexual dysfunction in women, including decreased arousal, difficulty achieving orgasm, and pain during intercourse. If you experience any of these symptoms while taking Citalopram, talk to your healthcare provider.
102. Photosensitivity In rare cases, taking Citalopram can cause photosensitivity, or an increased sensitivity to sunlight. This can increase the risk of sunburn and skin damage. If you experience any skin changes or reactions while taking Citalopram, talk to your healthcare provider.
103. Increased Risk of Infection In some studies, long-term use of SSRIs like Citalopram has been associated with an increased risk of infection, possibly due to their effects on the immune system. If you have concerns about your risk of infection while taking Citalopram, talk to your healthcare provider.
104. Akathisia In rare cases, taking Citalopram can cause akathisia, a movement disorder characterized by restlessness, agitation, and an inability to sit still. If you experience any of these symptoms while taking Citalopram, talk to your healthcare provider.
105. Impaired Respiratory Function In rare cases, taking Citalopram can cause impaired respiratory function, especially in people with preexisting respiratory conditions. If you have concerns about your respiratory function while taking Citalopram, talk to your healthcare provider.
106. Withdrawal Symptoms in Newborns If a pregnant woman takes Citalopram during the third trimester of pregnancy, her newborn may experience withdrawal symptoms such as irritability, feeding difficulties, and respiratory distress. If you are pregnant or planning to become pregnant while taking Citalopram, talk to your healthcare provider about the risks and benefits of the medication.
107. Increased Risk of Mania or Hypomania In rare cases, taking Citalopram can cause mania or hypomania, especially in people with a history of bipolar disorder. Symptoms of mania or hypomania include elevated or irritable mood, increased energy, decreased need for sleep, and impulsive behavior. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
108. Increased Risk of Seizures in People with Epilepsy Taking Citalopram can increase the risk of seizures, especially in people with a history of epilepsy. If you have epilepsy, talk to your healthcare provider about the risks and benefits of taking Citalopram.
109. Increased Risk of Bleeding in People with Liver or Kidney Disease Citalopram can increase the risk of bleeding in people with liver or kidney disease. If you have liver or kidney disease, talk to your healthcare provider about the risks and benefits of taking Citalopram.
110. Increased Risk of Suicidal Thoughts and Behavior in Children and Adolescents Children and adolescents taking Citalopram may have an increased risk of suicidal thoughts and behavior. It is important to closely monitor children and adolescents taking Citalopram and to report any changes in behavior or mood to their healthcare provider.
111. Tardive Dyskinesia In rare cases, taking Citalopram can cause tardive dyskinesia, a movement disorder characterized by repetitive, involuntary movements of the face, tongue, and limbs. If you experience any movement problems while taking Citalopram, talk to your healthcare provider.
112. Hypermotility In rare cases, taking Citalopram can cause hypermotility, or excessive muscle movement. Symptoms of hypermotility include muscle spasms, twitching, and jerking. If you experience any movement problems while taking Citalopram, talk to your healthcare provider.
113. Increased Risk of Glaucoma In some studies, long-term use of SSRIs like Citalopram has been associated with an increased risk of glaucoma, a condition characterized by damage to the optic nerve. If you have concerns about your risk of glaucoma while taking Citalopram, talk to your healthcare provider.
114. Derealization and Depersonalization In rare cases, taking Citalopram can cause derealization and depersonalization, which are feelings of detachment from reality and the self, respectively. If you experience these symptoms while taking Citalopram, talk to your healthcare provider.
115. Psychotic Symptoms In rare cases, taking Citalopram can cause psychotic symptoms such as hallucinations and delusions. If you experience any of these symptoms while taking Citalopram, seek medical attention immediately.
116. Changes in Blood Pressure Taking Citalopram can cause changes in blood pressure, including both increases and decreases. If you have concerns about your blood pressure while taking Citalopram, talk to your healthcare provider.
117. Increased Risk of Cardiovascular Events In some studies, long-term use of SSRIs like Citalopram has been associated with an increased risk of cardiovascular events such as heart attack and stroke. If you have concerns about your cardiovascular health while taking Citalopram, talk to your healthcare provider.
118. Hypersomnia In rare cases, taking Citalopram can cause hypersomnia, or excessive sleepiness. If you experience excessive sleepiness while taking Citalopram, talk to your healthcare provider.
119. Hypertensive Crisis Taking Citalopram with certain medications, such as MAO inhibitors, can cause a hypertensive crisis, which is a severe increase in blood pressure that can be life-threatening. It is important to tell your healthcare provider about all the medications you are taking, including Citalopram, to avoid potential interactions.
120. Worsening of Preexisting Conditions Taking Citalopram can worsen preexisting conditions such as seizures, bipolar disorder, and glaucoma. If you have any preexisting conditions, talk to your healthcare provider about the risks and benefits of taking Citalopram.
121. Increased Risk of Stroke in Older Adults In some studies, long-term use of SSRIs like Citalopram has been associated with an increased risk of stroke in older adults. If you are an older adult taking Citalopram, talk to your healthcare provider about the risks and benefits of the medication.
122. Interference with Blood Sugar Control in People with Diabetes Taking Citalopram can interfere with blood sugar control in people with diabetes, potentially leading to hyperglycemia or hypoglycemia. If you have diabetes, talk to your healthcare provider about the risks and benefits of taking Citalopram.
123. Interference with Electroconvulsive Therapy (ECT) Taking Citalopram can interfere with the effectiveness of electroconvulsive therapy (ECT), a treatment for severe depression and other mental health conditions. If you are undergoing ECT, talk to your healthcare provider about the risks and benefits of taking Citalopram.
124. Increased Risk of Breast Cancer In some studies, long-term use of SSRIs like Citalopram has been associated with an increased risk of breast cancer in women. If you have concerns about your risk of breast cancer while taking Citalopram, talk to your healthcare provider.
125. Increased Risk of Hemorrhagic Stroke in People with Atrial Fibrillation Taking Citalopram can increase the risk of hemorrhagic stroke in people with atrial fibrillation, a condition characterized by an irregular heartbeat. If you have atrial fibrillation, talk to your healthcare provider about the risks and benefits of taking Citalopram.
126. Interference with Cognitive and Motor Development in Infants If a pregnant woman takes Citalopram during the third trimester of pregnancy, her infant may experience interference with cognitive and motor development. If you are pregnant or planning to become pregnant while taking Citalopram, talk to your healthcare provider about the risks and benefits of the medication.
127. Interference with Breastfeeding Taking Citalopram can pass into breast milk and may affect the health of a nursing infant. If you are breastfeeding while taking Citalopram, talk to your healthcare provider about the risks and benefits of the medication.
128. Interference with Fertility
Taking Citalopram can interfere with fertility in men and women. If you have concerns about your fertility while taking Citalopram, talk to your healthcare provider.
129. Increased Risk of Pneumonia in People with Parkinson’s Disease Taking Citalopram can increase the risk of pneumonia in people with Parkinson’s disease. If you have Parkinson’s disease, talk to your healthcare provider about the risks and benefits of taking Citalopram.
130. Increased Risk of Suicidal Thoughts and Behavior in Young Adults Young adults taking Citalopram may have an increased risk of suicidal thoughts and behavior. It is important to closely monitor young adults taking Citalopram and to report any changes in behavior or mood to their healthcare provider.
References
Trial of Psilocybin versus Escitalopram for Depression.
Carhart-Harris R, Giribaldi B, Watts R, Baker-Jones M, Murphy-Beiner A, Murphy R, Martell J, Blemings A, Erritzoe D, Nutt DJ.N Engl J Med. 2021 Apr 15;384(15):1402-1411. doi: 10.1056/NEJMoa2032994.PMID: 33852780 Clinical Trial.RESULTS: A total of 59 patients were enrolled; 30 were assigned to the psilocybin group and 29 to the escitalopram group. The mean scores on the QIDS-SR-16 at baseline were 14.5 in the psilocybin group and 16.4 in the escitalopram group. …The incidence of adver …
Acute Effects of Psilocybin After Escitalopram or Placebo Pretreatment in a Randomized, Double-Blind, Placebo-Controlled, Crossover Study in Healthy Subjects.
Becker AM, Holze F, Grandinetti T, Klaiber A, Toedtli VE, Kolaczynska KE, Duthaler U, Varghese N, Eckert A, Grünblatt E, Liechti ME.Clin Pharmacol Ther. 2022 Apr;111(4):886-895. doi: 10.1002/cpt.2487. Epub 2021 Nov 22.PMID: 34743319 Free PMC article. Clinical Trial.The outcome measures included self-rating scales that evaluated subjective effects, autonomic effects, adverse effects, plasma brain-derived neurotrophic factor (BDNF) levels, electrocardiogram QTc time, whole-blood HTR2A and SCL6A4 gene expression, an …
Side Effect Profiles of Selective Serotonin Reuptake Inhibitors: A Cross-Sectional Study in a Naturalistic Setting.
Anagha K, Shihabudheen P, Uvais NA.Prim Care Companion CNS Disord. 2021 Jul 29;23(4):20m02747. doi: 10.4088/PCC.20m02747.PMID: 34324797 Free article.Systematic evaluation of side effects associated with SSRIs with structured instruments in a naturalistic setting is an important design to fully understand the side effect profile of various SSRIs. We examined the frequencies of the side effects …
A comparative review of escitalopram, paroxetine, and sertraline: Are they all alike?
Sanchez C, Reines EH, Montgomery SA.Int Clin Psychopharmacol. 2014 Jul;29(4):185-96. doi: 10.1097/YIC.0000000000000023.PMID: 24424469 Free PMC article. Review.Among the three most widely prescribed SSRIs are paroxetine, sertraline, and escitalopram. Escitalopram is commonly referred to as an SSRI, but also has well-documented allosteric properties, and thus can be further classed as an allosteric serotonin reuptake inhibi …
[Sexual side effects from treatment with SSRI].
Hutters CL, Giraldi A.Ugeskr Laeger. 2022 Apr 4;184(14):V11210824.PMID: 35410653 Free article. Review. Danish.The mechanism is thought to be through serotoninergic inhibition of the sexual response. More than 70% of patients treated with sertraline, citalopram or paroxetine experience sexual side effects, while escitalopram and fluvoxamine yield the lowest deg …
Psychedelic drugs in the treatment of psychiatric disorders.
Ibrahim IB, Videbech P, Straszek SPV.Ugeskr Laeger. 2023 Aug 7;185(32):V01230066.PMID: 37615227 Free article. Review. Danish.This review aims at RCT’s of psychedelics used in the treatment of depression and PTSD. …Phase 2 and 3 trials have shown the effect of MDMA on PTSD. No serious adverse events were reported in controlled settings, but larger studies are needed to establish safety a …
Antidepressant side effects and their impact on treatment outcome in people with major depressive disorder: an iSPOT-D report.
Braund TA, Tillman G, Palmer DM, Gordon E, Rush AJ, Harris AWF.Transl Psychiatry. 2021 Aug 4;11(1):417. doi: 10.1038/s41398-021-01533-1.PMID: 34349116 Free PMC article. Clinical Trial. Severity of side effects were assessed using the Frequency, Intensity, and Burden of Side Effects Rating (FIBSER) scale and assessed at day 4 and weeks 2, 4, 6, and 8. Frequency, intensity, and burden of side effects were greatest at week …
Treatment for anxiety: Mindfulness meditation versus escitalopram (TAME): Design of a randomized, controlled non-inferiority trial.
Hoge EA, Bui E, Mete M, Philip SR, Gabriel C, Ward MJ, Suzuki R, Dutton MA, Simon NM.Contemp Clin Trials. 2020 Apr;91:105965. doi: 10.1016/j.cct.2020.105965. Epub 2020 Feb 19.PMID: 32087339 Clinical Trial.We will use a non-inferiority, comparative effectiveness trial design, in which individuals with diagnosed anxiety disorders will be randomized to either pharmacotherapy with escitalopram or MBSR for 8 weeks of treatment. Treatment outcome will be based on gold standard sy …
Escitalopram-associated rhabdomyolysis.
Mathisen KK, Hardersen R.Tidsskr Nor Laegeforen. 2023 Aug 24;143(12). doi: 10.4045/tidsskr.23.0093. Print 2023 Sep 5.PMID: 37668131 Free article. English, Norwegian.This case history describes a case of rhabdomyolysis resulting from treatment with escitalopram as monotherapy at the recommended dose. This is a rare and little-known side effect of selective serotonin reuptake inhibitors….
Escitalopram-induced Parkinsonism.
Ak S, Anıl Yağcıoğlu AE.Gen Hosp Psychiatry. 2014 Jan-Feb;36(1):126.e1-2. doi: 10.1016/j.genhosppsych.2013.09.010. Epub 2013 Oct 5.PMID: 24176515OBJECTIVE: Since the early reports associating extrapyramidal side effects (EPS) to serotonin reuptake inhibitors (SSRI), SSRIs have been pointed as more common offenders among antidepressants in producing EPS. …METHOD: A 29-year-old male patient complaining of an …