STARCITIN

This medicine contains the active ingredient citalopram which belongs to a group of medicines called antidepressants. Medicines like citalopram which are Selective Serotonin Reuptake Inhibitor (SSRI) help the brain cells to produce higher amount of a chemical serotonin which makes us feel happy and satisfied. Citalopram is prescribed for the treatment of depression and panic attacks.

Is Citalopram suitable for me?

Citalopram is not suitable for everyone. Do not use it

• if you are allergic to citalopram or other ingredients of this medicine
• if you are taking monoamine oxidase inhibitors (MAOIs) such as phenelzine, iproniazid, isocarboxazid, nialamide, tranylcypromine and moclobemide, selegiline and linezolid.
• if you have problems with heart rhythm

In particular, you must tell the doctor if you:

• have liver or kidney disease
• have diabetes
• have epilepsy or other fits
• have a bleeding disorder
• have mania or panic disorder
• are receiving electroconvulsive therapy ECT
• have eyes problems
• have heart problems
• have irregular heartbeat
• are pregnant, trying to get pregnant or breastfeeding

Citalopram interacts with other medicines. It is most important that you tell the doctor all the medications and herbal supplements that you are currently taking.

See the package leaflet for a complete list of possible contraindications and warnings.

How should I take Citalopram?

This medicine is available in form of a film-coated tablet.

You should take citalopram exactly as instructed by your doctor or pharmacist.

• The usual dose for the treatment of depression is 20 mg taken as a single daily dose. The maximum dose for this condition is 40 mg per day.
• For the treatment of panic disorder the starting dose is 10 mg taken as a single daily dose during the first week, and it will be increased to 20 or 30 mg per day. The maximum dose for panic disorder is 40 mg per day.

Do not use more of it, do not use it more often, or do not use it for a longer time than your doctor instructed. Also, this medicine works best if there is a constant amount in the blood. To help keep this amount constant, do not miss any doses and take the medicine at the same time each day. Do not take two doses together if you miss a dose. Read the information leaflet provided with your medication for additional information. Talk to your doctor if you have any additional questions.

What are Citalopram side effects?

Like all medicines citalopram can cause side effects, including:

Very common:

• feeling sleepy 
• trouble sleeping
• headache
• feeling weak, tired
• increased sweating
• dry mouth
• feeling sick

Common:

• lack of appetite, weight loss
• decreased sex drive or ability
• anxiety, nervousness, confusion, apathy
• tremor
• tingling or numbness in the hands or feet
• feeling dizzy 
• problems with concentration and memory
• palpitations
• blocked or runny nose (rhinitis)
• diarrhea, vomiting, constipation, stomach pain, flatulence
• pain in muscles and joints

Consult a doctor if the side effects are severe. See the package leaflet for a complete list of side effects.