Citalopram: Uses, Dosage, Safety Information, and Patient Guide

What Is This Medication?

Citalopram is a prescription antidepressant commonly used to treat major depressive disorder and other mood-related conditions. It is also prescribed for certain anxiety disorders, including panic disorder, and in some cases may be used for obsessive–compulsive symptoms when recommended by a healthcare professional.

Classification and How Citalopram Works

Citalopram belongs to the class of selective serotonin reuptake inhibitors (SSRIs).
SSRIs function by increasing serotonin levels in the brain through inhibiting its reuptake. Higher serotonin availability helps:

• Improve mood

• Reduce anxiety

• Stabilize emotional balance

For this reason, citalopram is widely used in treating depressive disorders—especially moderate to severe cases—as well as several anxiety-related conditions.

Storage Instructions

• Store citalopram in a cool, dry, and dark environment.

• Keep it away from moisture and heat sources.

• Ensure it is out of reach of children.

How to Take Citalopram

• Take citalopram exactly as prescribed by your doctor.

• Do not increase or decrease your dosage without medical guidance—high amounts may be dangerous.

• It may take several weeks to notice improvement, so continue treatment as directed.

• Do not discontinue the medication unless your doctor instructs you to.

• Avoid alcohol while taking citalopram, as it can intensify side effects.

Dosage

A common starting dose is 20 mg once daily.
Depending on response and individual needs, the dose may be increased to 40 mg once daily.
Doses above 40 mg per day are not recommended due to increased risks.

Always follow your doctor’s specific instructions.

Overdose

Seek emergency medical attention if an overdose is suspected.

Missed Dose

If you forget a dose:

• Take it as soon as you remember, unless it is close to the next scheduled dose.

• Skip the missed dose if necessary.

• Do not double up on doses.

Warnings and Precautions

• Citalopram may impair thinking, alertness, and reaction time. Avoid driving or hazardous activities until you know how the medication affects you.

• Do not combine citalopram with alcohol.

• Check with your doctor or pharmacist before using any other medications or supplements alongside citalopram.

• Report any unusual changes in mood, thoughts, or behavior, especially early in treatment.

• Long-term sexual side effects may occur in some individuals.

Do not stop the medication abruptly—tapering should be supervised by a healthcare professional.