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Precautions

Do NOT use Celexa if:

• you're allergic to the ingredient in Celexa
• you are taking escitalopram
• you take or took a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort in the last 14 days
• you take a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, or sibutramine.

Contact your medical professional or physician without delay if some of these connect with you.

Some medical conditions may communicate with Celexa. Tell a medical expert or pharmacist when you have any health conditions, particularly when any with the following sign up for you:

• if you happen to be pregnant, intending to get pregnant, or are breast-feeding
• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or other substances
• if you or perhaps a family member carries a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• when you have a good seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems
• if you are dehydrated, have low blood sodium levels, or drink alcohol
• if you may be having electroconvulsive therapy (ECT).

Some medicines may communicate with Celexa. Tell your health care provider if you take another medicines, especially any with the following:

• Fenfluramine derivatives (eg, dexfenfluramine), linezolid, lithium, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT₁ receptor agonists (eg, sumatriptan), sibutramine, St. John's wort, or trazodone because severe unwanted side effects, such as a reaction that will include fever, rigid muscles, blood pressure level changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) for the reason that chance of bleeding, including stomach bleeding, could be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that risk of low blood sodium levels might be increased
• Tramadol since the probability of seizures could possibly be increased
• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart disease, including irregular heartbeat, may occur
• Carbamazepine or cyproheptadine since they may decrease Celexa's effectiveness
• Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) as the chance of their side effects may be increased by Celexa.

This might not be a total listing of all interactions that will occur. Ask your medical provider if Celexa may interact with other medicines which you take. Check along with your health care provider before starting, stop, or alter the dose of the medicine.

Important safety information:

• Celexa could potentially cause drowsiness or dizziness. These effects could be worse if you take it with alcohol or certain medicines. Use Celexa with caution. Do not drive or perform other possible unsafe tasks and soon you recognize how you react to it.
• Do not are drinking alcoholic beverages while you happen to be using Celexa.
• Check together with your doctor before you use medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you might be using Celexa; it may well enhance their effects. Ask the pharmacist in case you have questions about which medicines might cause drowsiness.
• One to 30 days may pass before your symptoms improve. Do NOT take more than the recommended dose, change your dose, or use Celexa for longer than prescribed without checking together with your doctor.
• Children, teenagers, and adults having Celexa could be at increased risk for suicidal thoughts or actions. Watch all patients who take Celexa closely. Contact a doctor at the same time if new, worsened, or sudden symptoms for example depressed mood; anxious, restless, or irritable behavior; panic and anxiety attacks; or any unusual alteration of mood or behavior occur. Contact the doctor without delay if any indications of suicidal thoughts or actions occur.
• Celexa plus a medicine called escitalopram have the same ingredient. Do not take Celexa if you're also taking escitalopram.
• If your medical professional lets you know to halt taking Celexa, you will need to await a few months before beginning to adopt certain other medicines (eg, MAOIs, nefazodone). Ask your physician if you should start to take your medicines after you might have stopped taking Celexa.
• Celexa may rarely result in a prolonged, painful erection. This could happen even once you are not making love. If this is not treated immediately, it could lead to permanent sexual problems including impotence. Contact your medical professional right away in such a circumstance.
• Serotonin syndrome can be a possibly fatal syndrome that could be due to Celexa. Your risk may be greater with Celexa with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; sweating in excess; and nausea, vomiting, or diarrhea. Contact your doctor at the same time in case you have some of these symptoms.
• Neuroleptic malignant syndrome (NMS) is really a possibly fatal syndrome that could be a result of Celexa. Symptoms can sometimes include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your medical professional at once in case you have these symptoms.
• Use Celexa with caution in the elderly; they could be more understanding of its effects, especially low blood sodium levels.
• Caution is advised when working with Celexa in kids; they may be more sensitive to its effects, especially increased probability of suicidal thoughts or actions.
• Celexa must be used with warning in kids; safety and effectiveness in youngsters weren't confirmed.
• Celexa may cause weight changes. Children and teenagers might require regular weight and growth checks since they take Celexa.
• Pregnancy and breast-feeding: Celexa could cause problems for the fetus if it is employed over the last a few months of being pregnant. If you conceive, get hold of your doctor. You will need to discuss the rewards and perils associated with using Celexa while you might be pregnant. Celexa can be found in breast milk. Do not breastfeed while taking Celexa.