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Common side effects include nausea, trouble sleeping, sexual problems, shakiness, feeling tired, and sweating. In the National Institute for Health and Clinical Excellence ranking of ten antidepressants for efficacy and cost-effectiveness citalopram is fifth in effectiveness after mirtazapine, escitalopram, venlafaxine, and sertraline and fourth in cost-effectiveness. The ranking results were based on the meta-analysis by Andrea Cipriani. Citalopram is generic celexa cost in the UK and other European countries for panic disorder, with or without agoraphobia. Citalopram may be used off-label to treat anxiety, and dysthymia, premenstrual dysphoric disorder, body dysmorphic disorder, and obsessive—compulsive disorder. Citalopram has been found to reduce the symptoms of diabetic neuropathy.
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