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Citalopram Side Effects

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Citalopram side effects can be quite variable. Citalopram is a medication used to treat depression. It falls into the class of medications known as serotonin reuptake inhibitors, or SSRIs. It works by modifying the activity of serotonin in the brain. Low serotonin levels are linked with mood changes and symptoms of depression. This class of medications seems to work best for people with severe depression, although even people with mild to moderate depression may get some benefit. Doctors also sometimes prescribe Citalopram to treat other conditions such as panic disorders, eating disorders, menopausal hot flashes, anxiety and alcoholism. As with most medications, the benefits and side effects vary from person to person.

Citalopram Side Effects

One area of concern when taking any medication is the risk of side effects. Citalopram can cause a variety of side effects, although not everyone will experience any or all of them. Here are some of the most common side effects people report when they take this medication:

  • dry mouth
  • fatigue and drowsiness
  • changes in appetite
  • anxiety or nervousness
  • gastrointestinal symptoms such as nausea, vomiting or diarrhea
  • muscle aches
  • reduced sex drive
  • shaking or tremor
  • excessive sweating
  • constipation
  • weight changes

Other less common Citalopram side effects include seizures, auditory or visual hallucinations, rapid or irregular heartbeat, shortness of breath, fever or disorientation. As with most medications, there's also the potential for an allergic reaction.

One particular concern about this medication is the effect is has on the heart. Citalopram can alter the electrical activity of the heart in such a way that it makes an abnormal heart rhythm more likely. This can be fatal. People taking it that already have heart problems or other medical conditions that cause low potassium or magnesium levels are at greater risk for this serious side effect.

How to Reduce the Risk of Citalopram Side Effects

Some of the side effects of Citalopram are dose dependent, so you're less likely to have them at a lower dose than a higher one. It's also important to let you doctor know if you're taking any other medications including herbs and supplements that can interact with Citalopram and increase the risk of side effects. Interactions can occur with a variety of different medications, including other anti-depressants. Your doctor should also be aware of any other medical conditions you have, especially heart disease, liver disease, kidney disease or seizures.

Other ways to reduce the risk of Citalopram side effects include taking only the dose prescribed by your doctor. Taking more than the prescribed amount increases the risk for side effects. Avoid drinking alcohol when you're on this medication since the combination can make you drowsy. If you have side effects that seem intolerable, don't stop the medication. Talk to your doctor first. Your doctor may be able to lower the dose.

The Bottom Line?

Like all medications, Citalopram has side effects, and not everyone experiences the same ones. Let your doctor know about any symptoms you have while taking this medication. 

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