Celexa Review

By Dr. Emily Kensington

Celexa (Citalopram) is a prescription medication used to treat depression.

It belongs to a class of antidepressants called selective serotonin reuptake inhibitors (SSRI) that work by increasing the amount of the brain chemical serotonin that helps to maintain balanced mood.


Finding the best dosage often depends on various individual factors such as age, medical condition, other meds one may be taking, and other factors.

It is available in 20 mg tablets, 40 mg tablets, and a 10 ml/mg peppermint flavored solution. A common starting dose is often 20 mg once daily.

The maintenance dose does not typically exceed over 40 mg daily. It is typically taken once daily in the morning or evening. It can be taken with or without food.

Side Effects

Common side effects may include drowsiness, insomnia or sleep disturbances, upset stomach, weight changes, and dry mouth.

More serious side effects may include fever, sweating, irregular heart rate, tremors or shakiness, nausea, vomiting, diarrhea, loss of appetite, headache, hallucinations, confusion, seizure, fainting, and breathing difficulties.

These side effects can also be an indication of serotonin syndrome, which is a serious and potentially life-threatening condition.

Possible indications of an allergic reaction may include skin rash, hives, difficulty breathing or swallowing, or any unusual swelling in body parts such as the face, lips, tongue, throat, hands, feet, ankles, etc. Contact your prescribing doctor immediately if you experience any adverse side effects.

Celexa Warnings

Some studies indicate that SSRI's may increase the risk of suicide in children and young adults. Read the full warning about antidepressants and suicide.

In addition, there is a link between taking SSRIs during pregnancy and an increased risk of birth defects and other health risks to developing fetuses and newborns. Read this warning about antidepressants and pregnancy. As a result, if you become pregnant while taking this medication or are thinking about becoming pregnant, discuss it with your doctor.

Also, drinking is not recommended while taking this medication. For a explanation of the potential dangers and health risks of mixing alcohol with this medication, see antidepressants and alcohol.


Suddenly discontinuing this medication or missing a few doses may result in withdrawal.In order to avoid withdrawal, your doctor will need to gradually reduce your dosage. Do not discontinue this medication without first consulting your doctor.


It is important to keep in mind that medications all have side effects and they all affect every individual differently. Often, there is a bit of trial and error involved in finding a good balance for each individual.

As a result, it is important to maintain regular contact with your prescribing doctor by attending your medication monitoring sessions. This enables them to monitor you progress and enables you to ask questions and address any concerns.

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