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Generic Citalopram ( Citalopram hydrobromide )
Citalopram
| Active ingredient | Citalopram hydrobromide |
|---|---|
| Mechanism of action | Selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels in the brain |
| Common dose | Typically 10-20 mg once daily, may be increased up to 40 mg |
| What is it used for? | Major depressive disorder, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder |
| Important information on taking | Take at the same time each day, with or without food; do not abruptly discontinue |
| Common side effects | Nausea, insomnia, dry mouth, increased sweating, sexual dysfunction |
| Serious risks | Increased suicidal thoughts in young adults, serotonin syndrome, cardiac conduction abnormalities |
| Interactions | May interact with MAO inhibitors, other serotonergic agents, CYP2C19 inhibitors/inducers |
| Contraindications | Hypersensitivity to citalopram, concomitant use with escitalopram or pimozide |
| Legal status | Prescription-only medication (Rx) in most countries |
An overview of Citalopram
How Citalopram works in the body: definition and pharmacological action
Citalopram is a selective serotonin reuptake inhibitor used primarily as an antidepressant. It works by blocking the serotonin transporter, thereby increasing serotonin levels in the synaptic cleft. The elevated serotonin enhances stimulation of postsynaptic receptors, which contributes to mood regulation over time. The medication is absorbed orally, reaches peak plasma concentration within a few hours, and is metabolized mainly by the liver. Elimination occurs through renal excretion and a modest half-life of about 35 hours, leading to steady-state levels after several weeks. The primary therapeutic effect results from sustained serotonergic activity that improves depressive symptoms.
Pharmacological properties of Citalopram
Citalopram is a selective serotonin reuptake inhibitor used to treat depression and related conditions. It works by blocking the reabsorption of serotonin in the brain, increasing the amount of this neurotransmitter available to neurons. This elevation of serotonin helps improve mood and reduce anxiety over time. The drug is absorbed orally and metabolized primarily by the liver enzyme cyp2c19, producing an active metabolite that contributes to its effect. It has a long elimination half-life, allowing once-daily dosing and steady blood levels. The medication selectively targets the serotonin transporter, which limits its action to the serotonergic system while sparing other neurotransmitters. Patients typically experience symptom relief after several weeks as brain chemistry adjusts to the increased serotonin. Overall Citalopram acts as a pharmacologic agent that modulates mood regulation through selective serotonin reuptake inhibition.
Therapeutic uses of Citalopram
| Major Depressive Disorder | Typical dose: 20 mg once daily; continue for at least 6-8 weeks, may be extended based on response. |
|---|---|
| Generalized Anxiety Disorder | Typical dose: 10-20 mg once daily; usually maintained for several months, with gradual taper if discontinuing. |
| Obsessive-Compulsive Disorder | Typical dose: 20 mg once daily; often treated for 10-12 weeks or longer before evaluating efficacy. |
The most common side effects
Side effects of Citalopram you should know about
Citalopram may cause nausea and dizziness in some patients. It can also lead to insomnia or excessive sleepiness depending on the individual. Fatigue and dry mouth are common complaints reported during treatment. Changes in weight may occur and some users experience sexual dysfunction. Headaches and mild tremor have been observed in a portion of patients. Gastrointestinal disturbances such as diarrhea or constipation can appear. These effects often diminish as the body adjusts to the medication.
What to know before starting Citalopram
Citalopram is a selective serotonin reuptake inhibitor commonly prescribed for depression and anxiety disorders. Common side effects include nausea, dry mouth, excessive sweating, and drowsiness. Some individuals may experience dizziness, blurred vision, or tremors, especially when standing up quickly. Weight changes, such as mild loss or gain, are occasionally reported but not universally observed. Rare but serious reactions can involve cardiac arrhythmias, particularly at higher doses or in patients with preexisting heart conditions. Sexual dysfunction, including decreased libido or difficulty achieving orgasm, has been documented in some users. Most side effects diminish over time as the body adjusts to the medication.
Common effects experienced with Citalopram
- Nausea
- Dry mouth
- Insomnia
- Dizziness
- Weight changes
Citalopram remains a widely prescribed ssri that can effectively reduce symptoms of depression and anxiety when used consistently and at the appropriate dose. Its once-daily formulation offers convenience, but the drug's full therapeutic benefit typically emerges after several weeks of steady use. Patients should be aware that side-effects such as nausea, dry mouth, or mild insomnia may appear early on and usually subside with time. Because Citalopram can interact with certain cardiac medications and trigger qt-prolongation at high doses, it is essential to disclose all current prescriptions and medical conditions to a healthcare provider. Regular follow-up appointments help monitor mood progress, adjust the dose if needed, and address any emerging concerns promptly. Finally, stopping the medication abruptly can lead to withdrawal symptoms, so any changes should be made only under professional guidance. By adhering to these practices, users can maximize the benefits of Citalopram while minimizing risks.
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