Warning: Suicidality and Antidepressant Drugs
Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders. Anyone considering the use of Celexa or any other antidepressant in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. Celexa is not approved for use in pediatric patients.
| What is the most important information I should know about Celexa ? |
|
• |
Do not stop taking Celexa without first talking to your doctor . It may take several weeks for you to start feeling better. |
|
• |
Use caution when driving, operating machinery, or performing other hazardous activities. Celexa may cause dizziness . If you experience dizziness, avoid these activities. |
|
• |
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking Celexa or affect your condition. |
|
• |
Celexa is in a class of drugs called selective serotonin reuptake inhibitors. Celexa affects chemicals in the brain that may become unbalanced and cause depression. |
|
• |
Celexa is used to treat depression . |
|
• |
Celexa may also be used for purposes other than those listed in this medication guide. |
| What should I discuss with my healthcare provider before taking Celexa? |
|
• |
You cannot take Celexa if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) during the last 2 weeks. A dangerous drug interaction can occur if Celexa is combined with any of these medications. |
|
• |
Before taking Celexa, tell your doctor if you |
|
· |
suffer from seizures, or |
|
· |
suffer from mania or have suicidal thoughts. |
|
• |
You may not be able to take Celexa, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. |
|
• |
Celexa should not be taken during treatment with esCelexa (Lexapro). Also, if you have had an allergic reaction to esCelexa (Lexapro), you may also have an allergic reaction to Celexa. Do not take Celexa without first talking to your doctor if you have had an allergic reaction to either medication in the past. |
|
• |
Celexa is in the FDA pregnancy category C. This means that it is not known whether Celexa will be harmful to an unborn baby. Do not take Celexa without first talking to your doctor if you are pregnant or could become pregnant during treatment. |
|
• |
Celexa passes into breast milk and may affect a nursing infant. Do not take Celexa without first talking to your doctor if you are breast-feeding a baby. |
| How should I take Celexa? |
|
• |
Take Celexa exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you. |
|
• |
Take each dose with a full glass (8 ounces) of water. |
|
• |
To ensure that you get the correct dose, measure the Celexa solution with a dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one. |
|
• |
Celexa may be taken with or without food. |
|
• |
Celexa is usually taken once a day. Follow your doctor's instructions. Take the dose at the same time each day. |
|
• |
Do not stop taking Celexa without first talking to your doctor. It may take several weeks for you to start feeling better. |
|
• |
Store Celexa at room temperature away from moisture and heat. |
| What happens if I miss a dose? |
|
• |
Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor. |
| What happens if I overdose? |
|
• |
Seek emergency medical attention. |
|
• |
Symptoms of a Celexa overdose include nausea, vomiting, tremor, drowsiness, dizziness, sweating, and a fast heartbeat. |
| What should I avoid while taking Celexa? |
|
• |
Use caution when driving, operating machinery, or performing other hazardous activities. Celexa may cause dizziness. If you experience dizziness, avoid these activities. |
|
• |
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking Celexa or affect your condition. |
| What are the possible side effects of Celexa? |
|
• |
If you experience any of the following serious side effects, stop taking Celexa and call your doctor immediately or seek emergency medical treatment: |
|
· |
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); |
|
· |
an irregular heartbeat or pulse; |
|
· |
low blood pressure (dizziness, weakness); |
|
· |
high blood pressure (severe headache, blurred vision); or |
|
• |
If you experience any of the following less serious side effects, continue taking Celexa and talk to your doctor: |
|
· |
headache, tremor, nervousness, or anxiety; |
|
· |
nausea, diarrhea, dry mouth, or changes in appetite or weight; |
|
· |
sleepiness or insomnia; or |
|
· |
decreased sex drive, impotence, or difficulty having an orgasm. |
|
• |
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. |
| What other drugs will affect Celexa? |
|
• |
You cannot take Celexa if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) during the last 2 weeks. A dangerous drug interaction can occur when Celexa is combined with any of these medications. |
|
• |
Before taking Celexa, tell your doctor if you are taking any of the following medicines: |
|
· |
another antidepressant such as fluoxetine (Prozac), fluvoxamine (Luvox), sertraline (Zoloft), paroxetine (Paxil), trazodone (Desyrel), or nefazodone (Serzone); |
|
· |
a tricyclic antidepressant such as amitriptyline (Elavil), imipramine (Tofranil), doxepin (Sinequan), nortriptyline (Pamelor), and others; |
|
· |
a seizure medication including carbamazepine (Tegretol) or felbamate (Felbatol); |
|
· |
a stomach medicine such as cimetidine (Tagamet, Tagamet HB), ranitidine (Zantac, Zantac 75), or omeprazole (Prilosec); |
|
· |
an antibiotic such as erythromycin (Eryc-Tab, E-Mycin, E.E.S., Erythrocin, P.C.E., others) or clarithromycin (Biaxin); |
|
· |
an antifungal medication such as fluconazole (Diflucan), itraconazole (Sporanox), or ketoconazole (Nizoral); |
|
· |
a migraine medication such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), or zolmitriptan (Zomig); |
|
· |
the asthma medication zafirlukast (Accolate); or |
|
· |
lithium (Eskalith, Lithobid, Lithonate, Lithotabs). |
|
• |
You may not be able to take Celexa, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. |
|
• |
Drugs other than those listed here may also interact with Celexa. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products. |
|
