How does citalopram work?
Citalopram blocks the reabsorption of serotonin, allowing more of it to remain available in the brain. This helps regulate mood, reduce anxiety, and improve overall mental health.
What is citalopram used to treat?
Citalopram is commonly prescribed for:
- Depression (major depressive disorder)
- Generalised anxiety disorder (GAD)
- Panic disorder
- Obsessive-compulsive disorder (OCD) (sometimes prescribed off-label)
Who can take citalopram?
Citalopram is suitable for most adults and some children over 12 years old under specialist supervision.
Who might not be able to take citalopram?
Citalopram may not be suitable if you:
- Have heart problems (as it can affect heart rhythm)
- Have epilepsy or a history of seizures
- Have liver or kidney disease
- Are taking other medications that affect serotonin (risk of serotonin syndrome)
Can I take citalopram if I’m pregnant or breastfeeding?
Citalopram isn’t usually recommended during pregnancy or breastfeeding unless the benefits outweigh the risks. Speak to your doctor before taking it.
What if I miss a dose?
If you forget a dose, take it as soon as you remember. If it’s close to your next dose, skip the missed one—do not take two doses at once.
How effective is citalopram?
Citalopram is effective in treating depression and anxiety, but it doesn’t work immediately. Most people begin to notice improvements within 2 to 4 weeks, with full effects taking up to 6 to 8 weeks.
What should I do if I take too much?
Taking too much citalopram can be dangerous and may cause:
If you think you’ve taken too much, seek emergency medical help immediately.
What dose of citalopram is usually taken?
- Depression & anxiety disorders: 20mg once daily, which may increase to 40mg if needed
- Older adults or those with liver problems: Lower doses (10mg to 20mg daily) may be recommended
Your doctor will start you on a low dose and adjust it if needed.
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What are the side effects of citalopram?
Common side effects include:
- Nausea
- Drowsiness or insomnia
- Dry mouth
- Sweating
- Dizziness
Serious side effects, such as suicidal thoughts, serotonin syndrome, or severe mood changes, require urgent medical attention.
How should I take citalopram?
Citalopram is taken as a tablet or liquid, usually once daily, swallowed whole with water.
When should citalopram be taken?
Citalopram is usually taken in the morning or evening, depending on how it affects your energy levels and sleep.
What are the brand names for citalopram?
Citalopram is available as a generic medicine, but some branded versions include:
- Cipramil
Final thoughts
Citalopram is an effective antidepressant for depression and anxiety but should be taken exactly as prescribed. It may take time to work, so patience is key. If you experience side effects or have concerns, speak to your doctor or pharmacist.
