• Major depressive disorder
  • Generalized anxiety disorder

Dose: 10mg OD. May increase to 20mg/day after 1 week. Max 20mg/day

  • Tablet:
    • 10mg
    • 20mg
  • Taken morning or evening without regard to food
  • Taper to discontinue

Selective Serotonin Reuptake Inhibitor (SSRI)

S-enantiomer of racemic citalopram. It inhibits the reuptake of serotonin, with little or no effect on norepinephrine or dopamine reuptake

  • Headache
  • Nausea
  • Ejaculatory dysfunction
  • Somnolence
  • Insomnia
  • Xerostomia
  • Diarrhea
  • Fatigue
  • Decreased libido
  • Anorgasmia
  • Diaphoresis
  • Dizziness
  • Constipation
  • Flu syndrome
  • Impotence
  • Anorexia
  • Vomiting
  • Hypersensitivity to class/components
  • Hypersensitivity to citalopram
  • MAO inhibitor use within 14 days
  • Abrupt withdrawal

WARNING:

There is an increased the risk of suicidal thinking and behavior in children, adolescents and young adults (<24 years)

  • Cisapride
  • Dronedarone
  • Goserelin
  • Isocarboxazid
  • Lefamulin
  • Leuprolide
  • Phenelzine
  • Pimozide
  • Procarbazine
  • Selegiline
  • Thioridazine
  • Tranylcypromine
  • Ziprasidone

                          Drug Status

Availability Prescription only
Pregnancy Category C; weigh risk vs benefits
Breastfeeding Weigh risk vs benefits
Schedule Controlled
BRAND NAME STRENGTH FORMULATION PACK SIZE MANUFACTURER DISTRIBUTOR
Cipralex 10mg Tablet 28’s H. Lundbeck Phillips Therapeutics
Clomentin 10mg Tablet 28’s Delorbis Pharma Europa Healthcare
Escigress 10mg Tablet 10’s La Renon Wessex Pharma
Feliz S 10mg Tablet 30’s Torrent Pharma C/O Medox Medox Pharma
Nexito 10mg Tablet 30’s Sun Pharma Sun Pharma
Nexito 20mg Tablet 30’s Sun Pharma Sun Pharma