Celexa is the brand name for citalopram, an SSRI commonly prescribed for depression and some anxiety disorders. It helps balance serotonin in the brain to improve mood, sleep, and motivation. People often start to feel better within two to four weeks, but full benefits can take six to eight weeks. Doctors usually begin with a low dose and adjust based on how you respond and any side effects.
Typical doses range from ten mg to forty mg daily. For older adults or people with certain medical issues, doctors often limit the dose because higher amounts can affect the heart. Never change your dose without talking to your prescriber. If you miss a dose, take it as soon as you remember unless it is almost time for the next one. Do not double up.
Side effects are usually mild at first. Expect possible nausea, dry mouth, sleep changes, sweating, or mild sexual side effects. If you feel dizzy, shaky, or notice a racing heartbeat, tell your doctor. A rare but serious risk is QT prolongation, a heart rhythm problem linked to higher doses and interactions with certain drugs. Your provider may order an ECG if you have heart disease or take other medications that affect the QT interval.
Also watch for worsening mood or suicidal thoughts, especially when starting or changing dose. If that happens, contact your prescriber or local emergency services right away. Do not stop Celexa suddenly because withdrawal symptoms like electric shocks, irritability, or sleep trouble can occur. Your doctor will usually taper the dose down slowly.
Celexa interacts with several medicines, including MAO inhibitors, some antipsychotics, blood thinners like warfarin, and certain migraine drugs. Combining serotonergic drugs can cause serotonin syndrome with symptoms such as high fever, muscle stiffness, and confusion. Always give your pharmacist a full list of medications and supplements.
If you are pregnant or breastfeeding, discuss risks and benefits with your doctor. Some studies link SSRIs to small risks in pregnancy, but untreated depression also has harms. Many people safely use citalopram under medical supervision.
Practical tips: take Celexa at the same time each day, with or without food. Keep a symptom diary for the first two months to track mood, sleep, and side effects. Review medicines with your pharmacist before starting any new drug. If cost is a concern, generic citalopram is widely available and effective.
Questions about Celexa or need help finding reliable info? Check RedBoxRX Pharmaceutical Guide for easy to read articles and links to trusted resources, or talk to your healthcare team. Smart use and open communication with your provider make Celexa safer and more effective.
Avoid alcohol while adjusting Celexa; it can increase drowsiness and worsen mood. If you are pregnant or breastfeeding, discuss risks and benefits with your doctor. If you plan to stop or switch antidepressants, ask your doctor for a clear taper plan and a monitoring timeline. Keep follow ups with your care team.
Jun, 13 2025