Citalopram hydrobromide

Questions | Reviews ***

Effects of the drug

I was just wondering how the drug citalopram hydrobromide effects the metabolism and if causes you an increase or decrease in the weight of the person taking it.
by Meagan in Edmonton, AB, Canada, 10/24/2006

side effect

Food does not taste the same,  flavor is dull and my mouth and tongue feel like it is a bit numb to taste, it almost feels like when you eat hot pizza and burn the roof of your mouth. 
by Donna in Herkimer, NY, 03/07/2009

what i8s the differance between citalopram and citalopram hydrobromide

can a person taking citalopram take citalopramhydrobromide with no problems
by andy in tucson az, 12/15/2008


I have been taking citaopram for 5 weeks and started taking 20mgs from monday. Since the increase in dose, I have suffered constant vertigo and tinnutis 24 hours a day. I am now going to decrease the dose to 10mgs. Can someone tell me if tinnutis is r...
by rah fit in england, 09/29/2006

Citalopram hydrobromide
Citalopram hydrobromide (Celexa)
Citalopram hydrobromide
(sigh- TAL-oh-pram)
Pregnancy Category: C Celexa (Rx)

Classification: Antidepressant, selective serotonin-reuptake inhibitor

See Also: See also Antidepressants.

Action/Kinetics: Acts to inhibit reuptake of serotonin into CNS neurons resulting in increased levels of serotonin in synapses. Has minimal effects on reuptake of norepinephrine and dopamine. Peak plasma levels: 120-150 nmol/L after 2-4 hr. t 1/2, terminal: 35 hr. Half-life is increased in geriatric clients. Steady state plasma levels: About 1 week. Metabolized in the liver and excreted in the urine (35%) and feces (65%).

Uses: Treatment of depression in those with DSM-IV category of major depressive disorder.

Contraindications: Use with MAO inhibitors or with alcohol. Lactation.

Special Concerns: Use with caution in severe renal impairment, a history of seizure disorders, or in diseases or conditions that produce altered metabolism or hemodynamic responses. Safety and efficacy have not been determined in children. Do not confuse citalopram with Celebrex (celecoxib used as a NSAID) or Cerebyx (fosphenytoin sodium injection used to treat seizures).

Side Effects: CNS: Activation of mania/hypomania, dizziness, insomnia, agitation, somnolence, insomnia, anorexia, paresthesia, migraine, hyperkinesia, vertigo, hypertonia, extrapyramidal disorder, neuralgia, dystonia, abnormal gait, hypesthesia, ataxia, aggravated depression, suicide attempt, confusion, aggressive reaction, drug dependence, depersonalization, hallucinations, euphoria, psychotic depression, delusions, paranoid reaction, emotional lability, panic reaction, psychosis. GI: N&V, dry mouth, diarrhea, dyspepsia, abdominal pain, increased salivation, flatulence, gastritis, gastroenteritis, stomatitis, eructation, hemorrhoids, dysphagia, teeth grinding, gingivitis, esophagitis. CV: Tachycardia, postural hypotension, hypertension, bradycardia, edema of extremities, angina pectoris, extrasystoles, cardiac failure, MI, CVA flushing, myocardial ischemia. Musculoskeletal: Arthralgia, myalgia, arthritis, muscle weakness, skeletal pain, leg cramps, involuntary muscle contraction. Hematologic: Purpura, anemia, leukocytosis, lymphadenopathy. Metabolic/nutritional: Decreased or increased weight, thirst. GU: Ejaculation disorder, impotence, dysmenorrhea, decreased or increased libido, amenorrhea, galactorrhea, breast pain, breast enlargement, vaginal hemorrhage, polyuria, frequent micturition, urinary incontinence, urinary retention, dysuria. Respiratory: Coughing, epistaxis, bronchitis, dyspnea, pneumonia. Dermatologic: Rash, pruritus, photosensitivity reaction, urticaria, acne, skin discoloration, eczema, dermatitis, dry skin, psoriasis. Ophthalmic: Abnormal accommodation, conjunctivitis, eye pain. Body as a whole: Asthenia, fatigue, fever. Miscellaneous: Hyponatremia, increased sweating, yawning, hot flushes, rigors, alcohol intolerance, syncope, flu-like symptoms, taste perversion, tinnitus.

Laboratory Test Alterations: Hepatic enzymes, alkaline phosphatase. Abnormal glucose tolerance.

Overdose Management: Symptoms: Dizziness, sweating, N&V, tremor, somnolence, sinus tachycardia. Rarely, amnesia, confusion, coma, convulsions, hyperventilation, cyanosis, rhabdomyolysis, ECG changes (including QTc prolongation, nodal rhythm, ventricular arrhythmias). Treatment: Establish and maintain an airway. Gastric lavage with use of activated charcoal. Monitor cardiac and vital signs. General symptomatic and supportive care.

Drug Interactions: See also Drug Interactions for Selective Serotonin Reuptake Inhibitors. Azole antifungals / Citalopram plasma levels Beta blockers / Effect of beta blocker; reduce initial beta blocker dose Carbamazepine / Citalopram plasma levels; serum carbamazepine levels Imipramine / Drug metabolite (desimpramine) by 50% Lithium / Possible serotonergic effects of citalopram Macrolide antibiotics (e.g., erythromycin)/ Citalopram plasma levels MAO inhibitors / Possible serious and sometimes fatal reactions, including hyperthermia, rigidity, myoclonus, autonomic instability, mental status changes (extreme agitation, delirium, coma)

How Supplied: Tablets: 20 mg, 40 mg

?Tablets Depression.
Adults, initial: 20 mg once daily in the a.m. or p.m. with or without food. Increase the dose in increments of 20 mg at intervals of no less than 1 week. Doses greater than 40 mg/day are not recommended. For the elderly or those with hepatic impairment, 20 mg/day is recommended; titrate to 40 mg/day only for nonresponders. Initial treatment is continued for 6 or 8 weeks. Maintenance: Up to 24 weeks following 6 or 8 weeks of initial treatment.

Citalopram hydrobromide Ratings

Overall Rating:



(based on 4 reviews)



Ease of Use:


Overall Satisfaction:




Citalopram hydrobromide

Effectiveness: ***

Ease of Use: ****

Overall Satisfaction: ***


Skip, Tulsa, OK - 08/29/2010

In the beginning I had a bowel movement a couple of times a day. I did have trouble swallowing a bit for about an hour after taking the medication, but it was not too bad. After taking this for a while you will be able to tell if this works for you or you need a higher dose.

Citalopram hydrobromide

Effectiveness: ****

Ease of Use: *****

Overall Satisfaction: *****


carolyn mckechnie, Kent, WA - 02/28/2009

Since taking Citalopram I have been able to relax. I used to be the epitome of a Type A personality. I thought so much about others and devoted my time to everyone and everything but myself. I eventually realized I was becoming compulsive and tense and every little thing would set me off. I finally spoke to my doctor about this and he prescribed Citalopram. Now I feel calm and am full of energy. My attitude towards life is much more relaxed.