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Revision as of 16:54, 3 October 2005

Citalopram chemical structure
Citalopram

IUPAC chemical name
CAS number
59729-33-8
ATC code
N06AB04
Chemical formula C20H22BrFN2O
Molecular weight 405.35
Bioavailability ?
Metabolism ?
Elimination half-life ?
Excretion ?
Pregnancy category ?
Legal status ?
Routes of administration Oral

Citalopram or nitalapram is an antidepressant drug used to treat the depression associated with mood disorders. It is also used on occasion in the treatment of body dysmorphic disorder and anxiety.

Citalopram is one of a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It is sold under the brand names Celexa™ (US), Cipramil™ (Europe and Australia) and Talohexane (Australia).

Citalopram was originally created by the pharmaceutical company Lundbeck although the patent for it expired in 2003, allowing other companies to legally produce generic versions.

Lundbeck has recently released a new SSRI drug called escitalopram oxalate (also known as Cipralex or Lexapro) derived from the citalopram molecule.

In the United States, the drug is marketed under the name Celexa™ by Forest Laboratories, Inc.

Reported side effects

Over 10% of patients

  • Feeling sick or tired
  • Drowsiness
  • Dry mouth
  • Sweating
  • Trembling
  • Headache
  • Dizziness
  • Difficulty sleeping
  • Feeling agitated or nervous
  • Constipation or diarrhoea
  • Blurred vision
  • Missed heartbeats
  • Feeling of weakness
  • Difficulty ejaculating

Over 1% of patients

  • Itchiness
  • Rashes
  • Migraine
  • Strange dreams
  • Changes in taste
  • Decreased libido or impotence
  • Failure to orgasm
  • Painful menstruation
  • Tingling in fingers or toes
  • Loss of memory or concentration
  • Changes in appetite (increase or lack of)
  • Mood changes
  • Anxiety
  • Confusion
  • Yawning
  • Indigestion
  • Vomiting
  • Stomach ache
  • Flatulence
  • Increased saliva
  • Change in weight
  • Dizziness on standing up
  • Fast heartbeat
  • Changes in blood pressure
  • Runny nose
  • Sinusitis
  • Changes in passing urine

Rare (under 1% of patients)

  • Muscle pain
  • Convulsions
  • Increased libido
  • Coughing
  • Abnormal movement of the face or body
  • Ringing in the ears
  • Mood changes
  • Slowing of the heartbeat
  • Photosensitivity
  • Allergic reactions
  • Fainting
  • Attemptive suicide
  • Abrupt change in musical preference

Other side effects

Occasionally, panic attacks, thoughts of suicide or self-harm may occur or increase in the first few weeks, before the antidepressant effect starts.

Other occasional effects include leaking of milk from the breasts, changes in heart rhythm, swelling of the skin, joint pain or severe allergic reactions.

External links

Pharmacological information and treatment study information:

Lunbeck's official websites for citalopram under the trade name Cipramil:

Forest's official websites for citalopram under the trade name Celexa:

Antidepressants (N06A)
Specific reuptake inhibitors and/or receptor modulators
SSRIsTooltip Selective serotonin reuptake inhibitors
SNRIsTooltip Serotonin–norepinephrine reuptake inhibitors
NRIsTooltip Norepinephrine reuptake inhibitors
NDRIsTooltip Norepinephrine–dopamine reuptake inhibitors
NaSSAsTooltip Noradrenergic and specific serotonergic antidepressants
SARIsTooltip Serotonin antagonist and reuptake inhibitors
SMSTooltip Serotonin modulator and stimulators
Others
Tricyclic and tetracyclic antidepressants
TCAsTooltip Tricyclic antidepressants
TeCAsTooltip Tetracyclic antidepressants
Others
Monoamine oxidase inhibitors
Non-selective
MAOATooltip Monoamine oxidase A-selective
MAOBTooltip Monoamine oxidase B-selective
Adjunctive therapies
Miscellaneous
Categories: