Common "Citalopram" queries answered by top doctors | iCliniq


Citalopram is an antidepressant drug and comes under the group of selective serotonin reuptake inhibitors. It is taken to treat depression. It works by balancing the levels of serotonin in the body. The common side effects of Citalopram are dry mouth, increased sweating, drowsiness, headache, and fast heart rate.

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Is it fine to resume my dose of Effexor XR and Mirtazapine?

Query: Hello doctor, I cannot tolerate the side effects of Citalopram 10 mg (headaches, shaking legs, fatigue, upset stomach and pain, shortness of breath, hip pain), so I was going to go back on Effexor XR 150 mg and 15 mg Mirtazapine that I was on three weeks ago before suddenly stopping, which is not a ...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hello, Welcome to I read your query and can understand your concern. It is better to take Citalopram (selective serotonin reuptake inhibitor) than Effexor XR (Venlafaxine extended release) and Mirtazapine (tetracyclic antidepressant). Citalopram has minimal side effects. You keep con...  Read Full »

I have persistent cough and fast breathing. Should I get angiography?

Query: Hi doctor, My mother is 62 years old. She is under regular medicine for BP. Since five years she is taking Olmy-D 20 mg and Cilapam plus at night. She is suffering from prolonged cough and fast breathing after long walk and climbing stairs. I am attaching her recent ECG, echo and x-ray reports. Plea...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to mom is hypertensive. On Olmy-D (Olmesartan), if her blood pressure is controlled then the treatment is fine. Cilapam (Escitalopram) is for anxiety (grossly). Is she having chest pain like symptom on exertion or at rest? If no then no need of GTN (Nitroglycerine). Chec...  Read Full »

Can I get internal bleeding when using Excedrin and Citalopram?

Query: Hello doctor, I am 31 years old, female and I am currently taking Citalopram 20 mg daily and take Excedrin periodically usually around the cycle when my head aches (HAS) start but in the last four weeks, I have only not taken Excedrin for 10 days. Some days I only take one tablet, but never more tha...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I understand your concern and agree with you on the fact that bothCitalopram and Excedrin increase the risk of bleeding. But the main problem is that taking Excedrin so frequently may lead to drug-induced daily headaches. From the other hand, Citalopram does not seem ...  Read Full »

Is it safe to take 10 mg of Citalopram twice daily instead of 20 mg once daily?

Query: Hello doctor, Is it fine and safe to take 10 mg of Citalopram twice daily instead of 20 mg of Citalopram once daily?  Read Full »

Dr. Suresh Kumar G D

Answer: Hello, Welcome to Citalopram tablets are recommended to be administered as a single daily dose either in the morning or evening. The usual dose is 20 mg daily but can go up further up to 40 mg daily. I presume you have been prescribed Citalopram to manage depression or anxiety or relate...  Read Full »

Can Celexa cause brain damage?

Query: Hi doctor, I took Celexa for more than 10 years. It was prescribed by my cardiologist and was maintained by my MD. I drank while on it and had several bad experiences. I asked to be taken off and my MD just told me to stop. This was another bad experience. This was about six years ago. I suffered wi...  Read Full »

Dr. Bharat Udey

Answer: Hi, Welcome to Regarding brain damage from long-term use of Celexa (Citalopram), as such you need not be worried about this as Celexa is one of the safest antidepressant. However, your habit of alcohol consumption might have resulted in brain damage. For mild depressive features, medic...  Read Full »

What are the causes of yellowish vaginal discharge?

Query: Hi doctor, I just noticed that I had some yellowish discharge from my vagina. I do not have any itching or burning while urinating and there is no odor from the discharge. I was checked for STDs about three or four weeks ago and everything came back negative. I had protected sex with a condom last w...  Read Full »

Dr. Sanjay Kumar Bhattacharyya

Answer: Hello, Welcome to Yes, oral sex could transmit STD (sexually transmitted disease) and they are herpes simplex, gonorrhea or even syphilis. Infections less frequently passed on include chlamydia, HIV and hepatitis A. But, I must tell you that the risks of getting an STD from unprotecte...  Read Full »

I am taking Citalopram. Does my EKG show QT prolongation?

Query: Hello doctor, I just did some EKGs on a portable device and they all said not abnormal. Would just like an expert to look them over to make sure they agree and it is correct? I just started Citalopram 10 mg for about five days and now on 20 mg daily for the past two days. Saw that it could cause a ...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to After carefully reviewing your uploaded ECG recordings, I would like to assure you that your QTc interval is not more 440 ms, which is not dangerous or life-threatening for a female patient. Coming to this point, you are not actually at an increased risk of cardiac a...  Read Full »

Does Wellbutrin affect testosterone levels?

Query: Hello doctor, I am a 36 year old male. I suddenly developed sexual dysfunction, I have reduced interest, arousal, plateau, and orgasm. The triggering event seems to be the discontinuation of 150 mg Bupropion because of adverse effects. I switched to 20 mg Citalopram, and over the course of six month...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I just read your query and from the history you gave and the levels of testosterone you mentioned, it is very high level of serum testosterone. There are usually some males who normally have high testosterone levels without any major underlying disease. I will discus...  Read Full »

Will taking Citalopram with alcohol has any potential risk?

Query: Hello doctor, My question is actually regarding my husband. He is currently taking Citalopram and Abilify for his depression. He works a manual labor job and is consuming a cup of coffee every morning, two energy drinks, and a five-hour energy during the course of the day. He then comes home and dr...  Read Full »

Dr. Uphar Gupta

Answer: Hello, Welcome to His lifestyle is detrimental to healthy living. One should never mix Citalopram with alcohol and that too in sleep apnea patient. The center of breathing in the brain in these patients is stressed as the patient is not getting oxygen properly and hence constantly ne...  Read Full »

Can Citalopram cause side effects like cold hands and feet?

Query: Hi doctor, I am a 35-year-old male. My weight is 190 lbs. Due to the nature of my job I get little to no exercise. My hands and feet are always so cold. I have to take regular showers for them to feel right. For about three days half of one of my big toes is going numb with a pins and needles feel...  Read Full »

Dr. Alexander Davis

Answer: Hi, Welcome to I am sorry to learn about your situation and the worries you are experiencing. Your description is consistent with two issues. 1) Cold hands and feet are often seen in patients with a state of chronic panic. Chronic panic is not a common medical term as we speak rather...  Read Full »

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