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Discontinuing an antidepressant medication usually involves reducing your dose in increments, allowing two to six weeks or longer between dose reductions. Your clinician can instruct you in tapering your dose and prescribe the appropriate dosage pills. In some cases, you can use a pill cutter to create smaller-dose pills, though be sure to check with your clinician or pharmacist to find out if your antidepressant can be cut. Your tapering schedule will depend on which antidepressant you're taking, how long you've been taking it, your current dose, and any symptoms you had during previous medication changes. However, depending on how you respond to each dose reduction, you may want to taper more gradually using smaller dose reductions, longer intervals between dose reductions, or both. If you experience discontinuation symptoms after a particular dose reduction, you may want to add back half the dose — or all of it — and continue from there with smaller dose reductions. There are no hard and fast rules for getting off antidepressants, other than that the approach should be individualized!

Intended for UK patients and members of the public. If you get any side effects, talk to your doctor, pharmacist or nurse. A Summary of Product Characteristics SmPC is a document describing the properties and the approved conditions of use of a medicine. All medicines have both risks and benefits of treatment, it is important to minimise the risks. Some products will have specific activities or materials that companies need to do or provide in order to make the risks of treatment with the medicine as small as possible, these are known as Risk Minimisation Measures or RMMs. Here, you will see all available strengths and their associated documents.

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The usual dose of citalopram is 20mg a day for adults. But you might start at a lower dose and increase to a maximum dose of 40mg a day. If you are taking citalopram to prevent panic attacks, your starting dose will usually be 10mg once a day. If you're over 65 years old, or have liver problems, the maximum recommended dose is 20mg a day. The usual dose of citalopram for children is 10mg a day, but this may be increased to 40mg a day. With liquid drops of citalopram, taking 4 drops is the same as a 10mg tablet.

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 licensed 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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Results: No relapse was observed in the 20 mg citalopram continuation period. Moreover, it appears that psychosocial impairment may increase the risk of recurrence, thus conditioning a poor outcome. Error: Search field were incomplete. Archadhaa Sivakanthan and others. Kiran Kumar Gudivada and others. Celecoxib Augmentation of Vortioxetine for Cognition in MDD Anti-inflammatory augmentation of vortioxetine did not provide additional benefit in reduc.

Having chronic anxiety is debilitating, and it can leave you in 20 mg citalopram state of constant worry and fear about ordinary situations. This could be your family doctor or a psychiatrist who can address your symptoms through treatment. Medication can be a key part of your anxiety treatment. Citalopram, also known by the brand name Celexa, is approved by the FDA as an antidepressant. Citalopram is a selective serotonin reuptake inhibitor SSRI. SSRIs are a group of medications that prevent serotonin from being reabsorbed and recycled back into the nerve cell that originally produced and released it.

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SSRIs are known to increase the risk of bleeding due to their effect on platelet function. This risk may be significant in patients with 20 mg citalopram risk factors for bleeding disorders. Healthcare professionals should continue to consider the benefits and risks of antidepressant therapy particularly in the later stages of pregnancy, and the risks of untreated depression, during pregnancy. Anticoagulant medication in women at high risk of thrombotic events should not be stopped, however, prescribers should be aware of the risk identified. Cardiac disease; concurrent electroconvulsive therapy; diabetes mellitus; epilepsy discontinue if convulsions develop ; history of bleeding disorders especially gastro-intestinal bleeding ; history of mania; susceptibility to angle-closure glaucoma.

You've come to the right place! Citalopram is a type of antidepressant known as a selective serotonin reuptake inhibitor SSRI. Citalopram is used to treat depression, usually for people with moderate to severe depression, where psychological therapy and lifestyle changes have not been enough for the depression to go away. For most people the effectiveness of antidepressants can be improved when they are used together with psychological therapies, like CBT cognitive behavioural therapy, and lifestyle changes. We don't know for 20 mg citalopram, but researchers think that SSRIs could work by increasing the activity of serotonin which is thought to improve mood, emotion and sleep.

It is alleged that they promoted the use of the anti-depressant drug Seroxat amongst teenagers despite having privately questioned its safety. It is now known for causing self harm and suicidal tendencies in children under 18 and several court actions are pending against them. I started cutting down 5 months ago, first to 10mg then to 5mg. Five months to wean myself off a relatively some people are on 80mg low dose seemed slow enough to me. I'm not sure I could have done it any slower, and if I had, whether it would have made any difference.