Concurrent use of citalopram and medications known to cause electrolyte imbalance may increase the risk of developing qt prolongation.

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As has been found to occur with many other drugscitalopram is excreted in human breast milkThere have been two reports of infants experiencing excessive somnolencedecreased feedingand weight loss in association with breastfeeding from a citalopram-treated motherin one casethe infant was reported to recover completely upon discontinuation of citalopram by himcolin gel. its mother and in the second caseno follow-up information was availableThe decision whether to continue or discontinue either nursing or Celexa therapy should take into account the risks of citalopram exposure for the infant and the benefits of Celexa treatment for the mother.

TABLE 3Treatment-Emergent Adverse EventsIncidence in Placebo-Controlled Clinical Trials

You can take citalopram at any time of dayas long as you stick to the same time every dayIf you have trouble sleepingit’s best to take it in the morning.

Sexual side effects should pass after the first couple of weeksIf they don’tand this a problem for yougo back to your doctor to see if there’s another antidepressant you can try.

There have been rare postmarketing reports of serotonin syndrome with use of an SSRI and a triptanIf concomitant treatment of Celexa with a triptan is clinically warrantedcareful observation of the patient is advisedparticularly during treatment initiation and dose increasessee WARNINGSSerotonin Syndrome

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the usual effective dose of citalopram in adults is 20 to 40 mg day, with a maximum dose of 60 mg per day.

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