{"id":6824,"date":"2021-01-14T10:39:47","date_gmt":"2021-01-14T10:39:47","guid":{"rendered":"https:\/\/zeepedia.com\/?p=6824"},"modified":"2021-06-08T07:25:43","modified_gmt":"2021-06-08T07:25:43","slug":"citalopram-bluefish","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/citalopram-bluefish\/","title":{"rendered":"Citalopram Bluefish &#8211; Citalopram uses, dose and side effects"},"content":{"rendered":"\n<p>\n\n10 mg, 20 mg, 40 mg&nbsp;film-coated tablets&nbsp;<br>citalopram<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Citalopram Bluefish is and what it is used for<\/h2>\n\n\n\n<p>Citalopram&nbsp;Bluefish belongs to a group of antidepressant medicines called selective serotonin reuptake inhibitors (&nbsp;SSRIs&nbsp;).&nbsp;Everyone has a substance called&nbsp;serotonin&nbsp;in the brain.&nbsp;It is not entirely clear how&nbsp;citalopram&nbsp;works but it can help by correcting the serotonin system in the brain.<br><\/p>\n\n\n\n<p>Citalopram&nbsp;Bluefish is used to treat severe depression.<br><\/p>\n\n\n\n<p>Citalopram contained&nbsp;in&nbsp;Citalopram&nbsp;Bluefish may also be approved for the treatment of other conditions not mentioned in this leaflet.&nbsp;Ask your doctor, pharmacist or other healthcare professional if you have any further questions and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you use Citalopram Bluefish<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Citalopram Bluefish<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to&nbsp;citalopram&nbsp;or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you are being treated at the same time or have just finished treatment with a so-called&nbsp;MAO inhibitor&nbsp;(monoamine oxidase inhibitor, another type of antidepressant), such as&nbsp;selegiline&nbsp;or moclobemide.&nbsp;You should talk to your doctor before using&nbsp;Citalopram&nbsp;Bluefish.&nbsp;Citalopram&nbsp;Bluefish must not be used at the same time as an&nbsp;MAOI, or if you have completed treatment with a so-called&nbsp;irreversible&nbsp;MAOI&nbsp;within the last two weeks.&nbsp;After stopping treatment with a so-called&nbsp;reversible&nbsp;MAO inhibitor&nbsp;such as&nbsp;selegiline&nbsp;(used to treat&nbsp;Parkinson&#8217;s disease) you must wait to start treatment with&nbsp;citalopram&nbsp;for as long as indicated on the package leaflet of the&nbsp;reversible&nbsp;MAOI.&nbsp;After stopping treatment with&nbsp;Citalopram&nbsp;Bluefish, you must wait at least 7 days before starting treatment with&nbsp;MAOIs.<\/li><li>if you are taking linezolid (a medicine used to treat bacterial infections) unless you are being cared for by a doctor and your&nbsp;blood pressure&nbsp;is being closely monitored.<\/li><li>if you are taking pimozide (a medicine used to treat certain psychiatric conditions).<\/li><li>if you have congenital or had an abnormal heart rhythm (as seen on the&nbsp;ECG, a test to see how the heart works).<\/li><li>if you are taking medicines for heart rhythm problems or that may affect your heart rhythm (see section 2 \u201cOther medicines and&nbsp;Citalopram&nbsp;Bluefish\u201d).<\/li><\/ul>\n\n\n\n<p>If any of these apply to you, tell your doctor before taking&nbsp;Citalopram&nbsp;Bluefish.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before&nbsp;taking Citalopram&nbsp;Bluefish<br><\/p>\n\n\n\n<p><strong>If you start to feel worse and have thoughts of harming yourself<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>You who are depressed and\/or suffer from worry\/anxiety may sometimes have thoughts of harming yourself or committing suicide.&nbsp;These symptoms may worsen when you start using antidepressants, as it takes time for this type of medicine to take effect, usually about 2 weeks, sometimes longer.<\/li><li>These thoughts may be common:<ul><li>if you have previously had thoughts of harming yourself or committing suicide<\/li><li>if you are younger than 25 years.&nbsp;Studies have shown that young adults (younger than 25 years) with mental illness who are treated with antidepressant drugs have an increased risk of suicidal thoughts and thoughts of harming themselves.<\/li><\/ul><\/li><li>Contact a doctor as soon as possible or see the nearest hospital if you have thoughts of injuring yourself or committing suicide.<\/li><li>It may be helpful to tell a relative or close friend that you are depressed and\/or suffering from anxiety.&nbsp;Feel free to ask them to read this leaflet.&nbsp;You can also ask them to tell you if they think you are feeling worse or if they think your behavior is changing.<\/li><li>Be especially careful if you experience symptoms of&nbsp;akathisia&nbsp;that are an inner feeling of restlessness and anxiety, such as an inability to sit or stand still (&nbsp;psychomotor&nbsp;anxiety), often accompanied by experienced anguish.&nbsp;This is likely to occur within the first few weeks of treatment.&nbsp;Increasing the&nbsp;dose&nbsp;of&nbsp;CitalopramBluefish may aggravate these feelings (see section 4, \u201cPossible side effects\u201d).<\/li><\/ul>\n\n\n\n<p>Tell your doctor if any of the following conditions apply to you.&nbsp;They can affect what treatment you should receive.&nbsp;Tell your doctor:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are taking other medicines (see &#8220;Other medicines and&nbsp;CitalopramBluefish&#8221;).<\/li><li>if you have&nbsp;diabetes, your doctor may need to adjust the&nbsp;dosage of&nbsp;one of the&nbsp;insulins&nbsp;or other medications used to lower your blood sugar.<\/li><li>if you have&nbsp;epilepsy&nbsp;or have had a seizure before or suffer from seizures during treatment with&nbsp;Citalopram&nbsp;Bluefish.&nbsp;Your doctor may decide to stop treatment with&nbsp;Citalopram&nbsp;Bluefish if&nbsp;you have&nbsp;a seizure.<\/li><li>if you are receiving electroconvulsive therapy (ECT).<\/li><li>if you suffer from periods of mania\/hypomania (overactivity in terms of behavior or thoughts).&nbsp;Your doctor may decide to stop treatment with&nbsp;Citalopram&nbsp;Bluefish if you are entering a manic phase.<\/li><li>if you have had bleeding disorders or bleed easily or if you are taking medicines that may increase the tendency to bleed (see section &#8220;Other medicines and&nbsp;Citalopram&nbsp;Bluefish&#8221;).<\/li><li>if you are susceptible to certain heart diseases (prolongation of the so-called&nbsp;QT interval&nbsp;in the&nbsp;ECG&nbsp;) or if you have a suspected congenital long&nbsp;QT&nbsp;syndrome or if you have low levels of&nbsp;potassium&nbsp;or&nbsp;magnesium&nbsp;in your blood.<\/li><li>if you suffer from other psychiatric conditions (&nbsp;psychosis&nbsp;).<\/li><li>if you suffer from liver or kidney problems.&nbsp;Your doctor may need to reduce the&nbsp;dose&nbsp;of&nbsp;Citalopram&nbsp;Bluefish.<\/li><li>if you have or have had heart problems or have recently had a heart attack.<\/li><li>if you have a slow heartbeat at rest and\/or if you know you may be salt deficient due to prolonged severe diarrhea and vomiting or the use of&nbsp;diuretics&nbsp;(&nbsp;diuretics&nbsp;).<\/li><li>if you experience rapid or irregular heartbeat, fainting, collapse, or dizziness when standing up.&nbsp;This may indicate an abnormal function of the heart rhythm.<\/li><\/ul>\n\n\n\n<p>Tell your doctor immediately if any of the following symptoms develop during treatment with&nbsp;Citalopram&nbsp;Bluefish, as you may then have something called serotonin syndrome.&nbsp;The symptoms are as follows: you feel restless, shaky, have sudden muscle movements, and fever.&nbsp;If this happens, your doctor will immediately stop taking&nbsp;Citalopram&nbsp;Bluefish.<br><\/p>\n\n\n\n<p>Citalopram&nbsp;Bluefish can in rare cases, mainly in elderly patients, cause decreased sodium levels in the blood and a disturbed&nbsp;secretion&nbsp;of a&nbsp;hormone&nbsp;in the brain that regulates the water balance in the body (syndrome of insufficient antidiuretic hormone secretion, SIADH).&nbsp;Tell your doctor if you start to feel nauseous and sick with weak muscles or confused while you are being treated with&nbsp;Citalopram&nbsp;Bluefish.<br><\/p>\n\n\n\n<p>Medicines such as&nbsp;Citalopram&nbsp;Bluefish (&nbsp;SSRIs&nbsp;\/ SNRIs) may cause symptoms of sexual&nbsp;dysfunction&nbsp;(see section 4).&nbsp;In some cases, these symptoms persist after discontinuation of treatment.<br><\/p>\n\n\n\n<p><strong>Withdrawal symptoms are seen with discontinuation of treatment<\/strong><\/p>\n\n\n\n<p>Withdrawal symptoms are common when treatment is stopped, especially if treatment with&nbsp;Citalopram&nbsp;Bluefish is stopped abruptly.&nbsp;The risk of withdrawal symptoms may be due to several factors including the duration of treatment and the&nbsp;dosage&nbsp;and how quickly someone is stepped down.&nbsp;Dizziness, disturbed sensation (including sensation and feeling of electric shock), sleep disturbances (including insomnia and intense dreams), anxiety or worrying, nausea and\/or vomiting, tremors, confusion, sweating, headache, diarrhea, palpitations and irritability, irritability visual disturbances have been reported.&nbsp;In general, the symptoms are mild to moderate but can be severe in some patients.&nbsp;They usually occur within the first few days after stopping treatment, but there have been very few reports of such symptoms in patients who have accidentally skipped a&nbsp;dose.&nbsp;In general, the symptoms are limited to a certain time and disappear on their own within two weeks, although they may be prolonged in some people (2-3 months or more).&nbsp;Therefore, when treatment is stopped,&nbsp;Citalopram&nbsp;Bluefish should be phased out over a period of several weeks or months according to your needs.<br><\/p>\n\n\n\n<p>If unbearable symptoms occur after a reduction of&nbsp;dose&nbsp;one when treatment is to be discontinued, reconsideration of the previously prescribed&nbsp;dose&nbsp;must be considered.&nbsp;Thereafter, your doctor may continue to reduce the&nbsp;dose&nbsp;one, but at a slower rate.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Citalopram&nbsp;should not normally be used in the treatment of children and adolescents under 18 years of age.&nbsp;The risk of&nbsp;side effects&nbsp;such as suicide attempts, suicidal thoughts, and hostility (mainly aggression, defiance, and anger) is greater in patients under 18 years of age when treated with drugs of this type.&nbsp;Despite this,&nbsp;citalopram can be prescribed by a doctor to patients under 18 years of age if the doctor deems it appropriate.&nbsp;If you are under 18 years of age and you want to discuss why you have been given this medicine, consult your doctor.&nbsp;If any of the above symptoms occur in patients under 18 years of age or worsen with the use of&nbsp;citalopram, tell your doctor.&nbsp;There are no data on the long-term effects of citalopram on growth, maturation and&nbsp;cognitive function,&nbsp;and behavioral development within this age group.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Citalopram Bluefish<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines.<br><\/p>\n\n\n\n<p>If you are taking or have recently taken any of the medicines listed below and you have not already discussed them with your doctor, contact your doctor again and ask what to do.&nbsp;Dose&nbsp;one may need to be changed or you may need to get another medicine.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>monoamine oxidase inhibitors&nbsp;, linezolid and pimozide (see \u201cDo not use&nbsp;Citalopram&nbsp;Bluefish\u201d).<\/li><li>medicines called triptans, such as sumatriptan (used to treat&nbsp;migraines&nbsp;)<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tramadol-retard-krka\/\">tramadol<\/a> (medicin som anv\u00e4nds f\u00f6r att behandla sv\u00e5r sm\u00e4rta)<\/li><li>antikoagulanter, dipyridamol och tiklopidin (blodf\u00f6rtunnande mediciner)<\/li><li>acetylsalicylsyra, icke steroida antiiflammatoriska l\u00e4kemedel (NSAID) s\u00e5som i&nbsp;ibuprofen&nbsp;(mediciner som anv\u00e4nds f\u00f6r att behandla sv\u00e5r sm\u00e4rta)<\/li><li>neuroleptika&nbsp;(fenotiaziner [t.ex. tiorudazin], tioxanter, butyrofenoner [t.ex. haloperidol]), atypiska antipsykotika, t.ex.&nbsp;risperidon&nbsp;(mediciner som anv\u00e4nds f\u00f6r att behandla vissa psykiatriska tillst\u00e5nd).<\/li><li>tricykliska antidepressiva&nbsp;(mediciner som anv\u00e4nds f\u00f6r att behandla depression)<\/li><li>naturl\u00e4kemedel som inneh\u00e5ller&nbsp;johannes\u00f6rt&nbsp;(Hypericum perforatum)<\/li><li>cimetidin, omeprazol, esomeprazol, lansoprazol (mediciner som anv\u00e4nds f\u00f6r att minska magsyraproduktionen)<\/li><li>flukonazol&nbsp;(anv\u00e4nds f\u00f6r behandling av svampinfektioner)<\/li><li>tryptofan, oxitriptan (l\u00e4kemedel med serotonerga effekter)<\/li><li>litium (medicin som anv\u00e4nds f\u00f6r att behandla mani)<\/li><li>imipramin, desipramin, klomipramin, nortriptylin (mediciner som anv\u00e4nds f\u00f6r att behandla depression)<\/li><li>fluvoxamin (medicin som anv\u00e4nds f\u00f6r att behandla depression och tv\u00e5ngssyndrom)<\/li><li>meflokin (medicin som anv\u00e4nds f\u00f6r att behandla&nbsp;malaria)<\/li><li>bupropion (medicin som anv\u00e4nds f\u00f6r att behandla depression och som st\u00f6d vid r\u00f6kavv\u00e4njning)<\/li><li>flekainid,&nbsp;propafenon&nbsp;(mediciner som anv\u00e4nds f\u00f6r att behandla oregelbunden hj\u00e4rtrytm)<\/li><li>metoprolol&nbsp;(mediciner som anv\u00e4nds f\u00f6r att behandla hj\u00e4rtbesv\u00e4r)<\/li><li>l\u00e4kemedel som kan f\u00f6r\u00e4ndra&nbsp;EKG&nbsp;(ge oregelbunden hj\u00e4rtrytm) eller kan orsaka l\u00e5ga niv\u00e5er av&nbsp;kalium&nbsp;eller&nbsp;magnesium&nbsp;i blodet. Fr\u00e5ga din l\u00e4kare eller apotekspersonalen om den medicin\/de mediciner du tar\/anv\u00e4nder samtidigt med&nbsp;Citalopram&nbsp;Bluefish ing\u00e5r i denna grupp.<\/li><\/ul>\n\n\n\n<p>Ta inte&nbsp;Citalopram&nbsp;Bluefish om du tar l\u00e4kemedel f\u00f6r problem med hj\u00e4rtrytmen eller l\u00e4kemedel som kan p\u00e5verka hj\u00e4rtrytmen, t.ex.&nbsp;antiarytmika&nbsp;av&nbsp;klass IA&nbsp;och III (l\u00e4kemedel mot oregelbunden hj\u00e4rtaktivitet), antipsykotika (t.ex. fentiazinderivat, pimozid,&nbsp;haloperidol),&nbsp;tricykliska antidepressiva&nbsp;(l\u00e4kemedel mot depression), vissa antimikrobiella l\u00e4kemedel (t.ex. sparfloxacin, moxifloxacin, erytromycin IV, pentamidin, l\u00e4kemedel mot&nbsp;malaria&nbsp;s\u00e4rskilt halofantrin), vissa&nbsp;antihistaminer (astemizol, mizolastin). Om du har ytterligare fr\u00e5gor om detta b\u00f6r du tala med din l\u00e4kare.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Citalopram Bluefish med mat, dryck och alkohol<\/h2>\n\n\n\n<p>Det rekommenderas att inte dricka alkohol under behandling med&nbsp;CitalopramBluefish.<\/p>\n\n\n\n<p>Citalopram&nbsp;Bluefish kan tas med eller utan f\u00f6da.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Graviditet, amning och fertilitet<\/h2>\n\n\n\n<p>Om du \u00e4r gravid eller ammar, tror att du kan vara gravid eller planerar att skaffa barn, r\u00e5dfr\u00e5ga l\u00e4kare eller apotekspersonal innan du anv\u00e4nder detta l\u00e4kemedel.<br><\/p>\n\n\n\n<p>Graviditet<\/p>\n\n\n\n<p>Data tyder p\u00e5 att anv\u00e4ndning av&nbsp;citalopram&nbsp;under graviditet inte leder till problem f\u00f6r fostret. D\u00e4rf\u00f6r kan&nbsp;citalopram&nbsp;anv\u00e4ndas om du \u00e4r gravid eller planerar att bli gravid med h\u00e4nsyn till f\u00f6ljande;<\/p>\n\n\n\n<p>Du b\u00f6r inte avbryta behandlingen med&nbsp;Citalopram&nbsp;Bluefish pl\u00f6tsligt. Om du tar&nbsp;Citalopram&nbsp;Bluefish under graviditetens tre sista m\u00e5nader ska du informera din l\u00e4kare eftersom ditt barn kan ha vissa symtom n\u00e4r det \u00e4r f\u00f6tt. Dessa symtom kommer vanligen under de f\u00f6rsta 24 timmarna efter att barnet har f\u00f6tts. De best\u00e5r av of\u00f6rm\u00e5ga att sova och \u00e4ta ordentligt, problem med andningen, bl\u00e5aktig hud eller att barnet \u00e4r f\u00f6r varmt eller f\u00f6r kallt, m\u00e5r illa, gr\u00e5ter mycket, har stela eller slappa muskler, sl\u00f6het, darrningar, nervositet eller kramper. Om ditt barn har n\u00e5gra av dessa symtom n\u00e4r det \u00e4r f\u00f6tt ska du genast kontakta din l\u00e4kare som kan ge dig r\u00e5d.<\/p>\n\n\n\n<p>Tala om f\u00f6r din barnmorska eller l\u00e4kare att du anv\u00e4nder&nbsp;Citalopram&nbsp;Bluefish. N\u00e4r l\u00e4kemedel s\u00e5som&nbsp;Citalopram&nbsp;Bluefish anv\u00e4nds under graviditet, s\u00e4rskilt under de tre sista m\u00e5naderna, kan de \u00f6ka risken f\u00f6r ett allvarligt tillst\u00e5nd kallat&nbsp;persistentpulmonell&nbsp;hypertension&nbsp;hos den nyf\u00f6dde (PPHN). Detta tillst\u00e5nd g\u00f6r att barnet andas snabbare och ser bl\u00e5f\u00e4rgat ut. Symtomen uppkommer vanligtvis inom 24 timmar fr\u00e5n det att barnet \u00e4r f\u00f6tt. Om detta drabbar ditt barn, kontakta barnmorska eller l\u00e4kare omedelbart.<br><\/p>\n\n\n\n<p>Amning<\/p>\n\n\n\n<p>Citalopram&nbsp;passerar \u00f6ver i br\u00f6stmj\u00f6lk i sm\u00e5 m\u00e4ngder. Det finns risk f\u00f6r att barnet p\u00e5verkas. Om du tar&nbsp;Citalopram&nbsp;Bluefish ska du tala med din l\u00e4kare innan du b\u00f6rjar amma.<br><\/p>\n\n\n\n<p>Fertility<\/p>\n\n\n\n<p>I djurstudier har det visat sig att&nbsp;citalopram&nbsp;minskar kvaliteten p\u00e5 sperma. I teorin skulle detta kunna p\u00e5verka&nbsp;fertiliteten, men n\u00e5gon s\u00e5dan neds\u00e4ttande effekt av&nbsp;citalopram&nbsp;p\u00e5&nbsp;fertilitet&nbsp;har \u00e4nnu ej p\u00e5visats hos m\u00e4nniska.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">K\u00f6rf\u00f6rm\u00e5ga och anv\u00e4ndning av maskiner<\/h2>\n\n\n\n<p>Citalopram&nbsp;Bluefish har mindre eller m\u00e5ttliga effekter p\u00e5 f\u00f6rm\u00e5gan att k\u00f6ra bil och anv\u00e4nda maskiner. L\u00e4kemedel som p\u00e5verkar det&nbsp;centrala nervsystemet&nbsp;kan emellertid neds\u00e4tta f\u00f6rm\u00e5gan att bed\u00f6ma och att reagera p\u00e5 of\u00f6rutsedda situationer. K\u00f6r inte eller anv\u00e4nd maskiner f\u00f6rr\u00e4n du vet hur&nbsp;Citalopram&nbsp;Bluefish p\u00e5verkar dig. Diskutera med l\u00e4kare eller apotekspersonal om du \u00e4r os\u00e4ker.<\/p>\n\n\n\n<p>Du \u00e4r sj\u00e4lv ansvarig f\u00f6r att bed\u00f6ma om du \u00e4r i kondition att framf\u00f6ra motorfordon eller utf\u00f6ra arbeten som kr\u00e4ver sk\u00e4rpt uppm\u00e4rksamhet. En av faktorerna som kan p\u00e5verka din f\u00f6rm\u00e5ga i dessa avseenden \u00e4r anv\u00e4ndning av l\u00e4kemedel p\u00e5 grund av deras effekter och\/eller&nbsp;biverkningar.<\/p>\n\n\n\n<p>Beskrivning av dessa effekter och&nbsp;biverkningar finns i andra avsnitt. L\u00e4s d\u00e4rf\u00f6r all information<\/p>\n\n\n\n<p>i denna bipacksedel f\u00f6r v\u00e4gledning. Diskutera med din l\u00e4kare eller apotekspersonal om du \u00e4r<\/p>\n\n\n\n<p>os\u00e4ker.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Citalopram Bluefish inneh\u00e5ller laktos<\/h2>\n\n\n\n<p>Citalopram&nbsp;Bluefish inneh\u00e5ller&nbsp;laktos. Om du inte t\u00e5l vissa sockerarter, b\u00f6r du kontakta din l\u00e4kare innan du tar denna medicin.<br><\/p>\n\n\n\n<p><strong>Citalopram&nbsp;<\/strong><strong>Bluefish inneh\u00e5ller&nbsp;natrium<\/strong><\/p>\n\n\n\n<p>Citalopram&nbsp;Bluefish inneh\u00e5ller mindre \u00e4n 1 mmol (23 mg)&nbsp;natrium&nbsp;per 10 mg, 20 mg och 40 mg, d.v.s. \u00e4r n\u00e4st intill \u201cnatriumfritt\u201d.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. Hur du anv\u00e4nder Citalopram Bluefish<\/h2>\n\n\n\n<p>Anv\u00e4nd alltid detta l\u00e4kemedel enligt l\u00e4karens anvisningar. R\u00e5dfr\u00e5ga l\u00e4kare eller apotekspersonal om du \u00e4r os\u00e4ker.<br><\/p>\n\n\n\n<p><strong>Dosering<\/strong><\/p>\n\n\n\n<p>Rekommenderad&nbsp;dos&nbsp;\u00e4r:<\/p>\n\n\n\n<p>Vuxna<\/p>\n\n\n\n<p><em>Depression<\/em><\/p>\n\n\n\n<p>Vanlig&nbsp;dos&nbsp;\u00e4r 20 mg per dag. Din l\u00e4kare kan \u00f6ka&nbsp;dosen till h\u00f6gst 40 mg per dag.<br><\/p>\n\n\n\n<p><em><strong>\u00c4ldre patienter (\u00f6ver 65 \u00e5r):<\/strong><\/em><\/p>\n\n\n\n<p>Startdosen b\u00f6r s\u00e4nkas till h\u00e4lften av den rekommenderade&nbsp;dosen, dvs 10-20 mg per dag. \u00c4ldre patienter b\u00f6r vanligtvis inte ta mer \u00e4n 20 mg per dag.<br><\/p>\n\n\n\n<p><em><strong>Patienter med s\u00e4rskilda riskfaktorer<\/strong><\/em><\/p>\n\n\n\n<p>Patienter som har problem med levern b\u00f6r inte ta mer \u00e4n 20 mg per dag.<br><\/p>\n\n\n\n<p>Citalopram&nbsp;Bluefish b\u00f6r tas en g\u00e5ng dagligen, antingen p\u00e5 morgonen eller p\u00e5 kv\u00e4llen. Tabletterna kan tas med eller utan mat men b\u00f6r sv\u00e4ljas med lite vatten eller annan v\u00e4tska.<br><\/p>\n\n\n\n<p>Citalopram&nbsp;Bluefish b\u00f6rjar inte verka direkt, effekten kan i regel f\u00f6rv\u00e4ntas f\u00f6rst efter 2-4 veckor. Behandlingen b\u00f6r forts\u00e4tta tills du har varit symtomfri i 4-6 m\u00e5nader.<br><\/p>\n\n\n\n<p><strong>Att avbryta behandling<\/strong><\/p>\n\n\n\n<p>Citalopram&nbsp;Bluefish b\u00f6r trappas ner l\u00e5ngsamt f\u00f6r att minska risken f\u00f6r uts\u00e4ttningsreaktioner. Din l\u00e4kare kommer att gradvis trappa ner din&nbsp;dos&nbsp;\u00f6ver en period om minst 1-2 veckor (se \u201dVarningar och f\u00f6rsiktighet).<\/p>\n\n\n\n<p>The following symptoms may occur: drowsiness,&nbsp;coma, inability to move the body (&nbsp;dizziness&nbsp;), cramps, increased heart rate, increased sweating, nausea, vomiting, blue discoloration of the lips, tongue, skin, and mucous membranes (caused by lack of oxygen in the blood) and faster breathing.<\/p>\n\n\n\n<p>Serotonin syndrome may also occur (symptoms see &#8220;Warnings and precautions&#8221;).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Citalopram Bluefish<\/h2>\n\n\n\n<p>If you forget to take a&nbsp;dose, take it as soon as possible and take the next&nbsp;dose&nbsp;at the usual time.&nbsp;Do not take a double&nbsp;dose&nbsp;to make up for a forgotten&nbsp;dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Citalopram Bluefish<\/h2>\n\n\n\n<p>Do not stop taking&nbsp;Citalopram&nbsp;Bluefish until your doctor tells you to.&nbsp;CitalopramBluefish should be discontinued slowly and it is recommended that the&nbsp;dose be gradually reduced over a period of at least 1-2 weeks.&nbsp;It is important that you follow your doctor&#8217;s prescriptions.&nbsp;Discontinuation of treatment with&nbsp;Citalopram&nbsp;Bluefish, especially if it occurs suddenly, may result in withdrawal symptoms (see \u201cWarnings and Precautions\u201d).&nbsp;Talk to your doctor if such withdrawal symptoms occur after you stop&nbsp;taking Citalopram&nbsp;Bluefish.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<br><\/p>\n\n\n\n<p>The side effects&nbsp;observed with&nbsp;Citalopram&nbsp;Bluefish are generally mild and transient.&nbsp;They are most prominent during the first weeks of treatment and subside as the depressive state improves.<br><\/p>\n\n\n\n<p>If you experience any of the following&nbsp;side effects&nbsp;, stop taking&nbsp;Citalopram&nbsp;Bluefish and contact your doctor immediately:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>suicidal thoughts and suicidal behavior<\/li><li>movement disorders (extrapyramidal symptoms)<\/li><li>restlessness and inability to stand or sit still (&nbsp;akathisia&nbsp;)<\/li><li>severe allergic reactions (for symptoms: see below under the frequency &#8220;Has been reported&#8221;)<\/li><li>swelling of the skin and mucous membranes due to fluid retention and&nbsp;angioedema&nbsp;(for symptoms: see below under the frequency &#8220;Has been reported&#8221;)<\/li><li>rapid irregular heartbeat, fainting which may be a symptom of a life-threatening condition called&nbsp;torsades de pointes<\/li><\/ul>\n\n\n\n<p>The side effects&nbsp;that have been reported with&nbsp;citalopram&nbsp;are described below and are&nbsp;frequently&nbsp;reported.<\/p>\n\n\n\n<p>The following classification is used to indicate how often&nbsp;side effects&nbsp;have been reported:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th scope=\"col\"><strong>Very common<\/strong><\/th><th scope=\"col\"><em>may occur in more than 1 in 10 users<\/em><\/th><\/tr><\/thead><tbody><tr><td><strong>Usual<\/strong><\/td><td><em>may affect up to 1 in 10 users<\/em><\/td><\/tr><tr><td><strong>Less common<\/strong><\/td><td><em>may affect up to 1 in 100 users<\/em><\/td><\/tr><tr><td><strong>Rare<\/strong><\/td><td><em>can occur in up to 1 in 1000 users<\/em><\/td><\/tr><tr><td><strong>Has been reported<\/strong><\/td><td><em>occurs in an unknown number of users<\/em><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Very common<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>drowsiness, insomnia<\/li><li>headache<\/li><li>nausea,&nbsp;dry mouth, increased sweating<\/li><\/ul>\n\n\n\n<p><strong>Usual<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>tremors, dizziness<\/li><li>decreased appetite, weight loss,&nbsp;anorexia<\/li><li>agitation, anxiety, nervousness, confusion<\/li><li>anxiety, confusion, indifference<\/li><li>decreased sex drive (&nbsp;libido&nbsp;)<\/li><li>creeps, tingling, or numbness in the skin (&nbsp;paresthesia&nbsp;)<\/li><li>impaired concentration<\/li><li>ringing in the ears (&nbsp;tinnitus&nbsp;)<\/li><li>diarrhea, vomiting, stomach upset (acid regurgitation, heartburn), abdominal pain, flatulence, increased salivation<\/li><li>muscle pain (&nbsp;myalgia&nbsp;), joint pain (&nbsp;arthralgia&nbsp;)<\/li><li>itching, rash<\/li><li>fatigue, yawning<\/li><li>the inability for women to have an orgasm, menstrual pain, problems with ejaculation and&nbsp;erection<\/li><li>abnormal dreams, memory loss, indifference<\/li><\/ul>\n\n\n\n<p><strong>Less common<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>slow heartbeat<\/li><li>fast heartbeat<\/li><li>increased appetite or weight gain<\/li><li>aggression, a feeling of being cut off from oneself (depersonalization), hallucinations, mania (elation with rushing thoughts and actions),&nbsp;euphoria(optimistic, happy, prosperous), increased sexual desire<\/li><li>fainting or fainting<\/li><li>dilated&nbsp;pupils&nbsp;are<\/li><li>hives (&nbsp;urticaria&nbsp;)<\/li><li>rash<\/li><li>hair loss<\/li><li>small red, swollen and itchy skin areas (&nbsp;hives&nbsp;)<\/li><li>photosensitive skin<\/li><li>difficulty urinating<\/li><li>unusually heavy or long periods<\/li><li>edema&nbsp;(fluid retention)<\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>bleeding (eg vaginal bleeding, gastrointestinal bleeding, bleeding from the skin or mucous membranes)<\/li><li>seizures, involuntary movements<\/li><li>taste changes<\/li><li>inflammation&nbsp;of the liver<\/li><li>fever<\/li><li>lower-sodium levels than normal in the blood<\/li><\/ul>\n\n\n\n<p><strong>Has been reported (occurs in the unknown number of users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>decreased&nbsp;platelet count&nbsp;(&nbsp;thrombocytopenia&nbsp;)<\/li><li>abnormal rhythm or rate of heartbeat (&nbsp;arrhythmia&nbsp;)<\/li><li>swelling (&nbsp;angioedema&nbsp;) of the skin or mucous membranes of the body<\/li><li>a sudden, severe&nbsp;allergic reaction&nbsp;(&nbsp;anaphylactic reaction&nbsp;) is characterized by a sharp drop in&nbsp;blood pressure, itchy rash, swelling of the lips, tongue or throat, and difficulty breathing<\/li><li>allergy&nbsp;(hypersensitivity)<\/li><li>a condition called SIADH (syndrome of inappropriate secretion of&nbsp;antidiuretic hormone&nbsp;) especially in the elderly<\/li><li>low levels of&nbsp;potassium&nbsp;in the blood<\/li><li>panic attacks, gnashing of teeth (bruxism), restlessness<\/li><li>suicidal ideation or behavior<\/li><li>seizures (convulsions)<\/li><li>serotonin syndrome (symptoms such as high fever, tremors, muscle twitching, and anxiety)<\/li><li>extrapyramidal symptoms (eg involuntary movements, tremors, muscle stiffness, and muscle contractions)<\/li><li>the feeling of restlessness and not being able to sit still (&nbsp;akathisia&nbsp;)<\/li><li>movement disorders<\/li><li>visual disturbances<\/li><li>heart problems called&nbsp;QT&nbsp;prolongation (irregular heartbeat recognizable on&nbsp;ECG&nbsp;)<\/li><li>dizziness when getting up quickly is caused by low&nbsp;blood pressure&nbsp;(&nbsp;orthostatic hypotension&nbsp;)<\/li><li>nosebleeds<\/li><li>blood in the stool (bleeding in the gastrointestinal tract or rectal bleeding)<\/li><li>abnormal liver function values<\/li><li>bruises (&nbsp;Eskimos&nbsp;)<\/li><li>milk secretion from the breasts in men (&nbsp;galactorrhea&nbsp;)<\/li><li>painful prolonged&nbsp;erection&nbsp;(priapism)<\/li><li>irregular periods (&nbsp;metrorrhagia&nbsp;)<\/li><li>an increased risk of bone fractures has been seen in patients taking this type of drug<\/li><\/ul>\n\n\n\n<p>Cases of suicidal ideation and suicidal behavior have been reported during treatment with&nbsp;citalopram&nbsp;or immediately after stopping treatment.<br><\/p>\n\n\n\n<p><em>An increased risk of bone fractures has been seen in patients taking this type of drug.<\/em><br><\/p>\n\n\n\n<p><strong>Withdrawal symptoms are seen with discontinuation of treatment<\/strong><\/p>\n\n\n\n<p>See &#8220;Warnings and Cautions&#8221;<br><\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Citalopram Bluefish<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the blister and carton after EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>No special storage instructions.<br><\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is&nbsp;citalopram&nbsp;.<br><\/p>\n\n\n\n<p>Citalopram&nbsp;Bluefish 10 mg, 20 mg, and 40 mg film-coated tablets contain citalopram hydrobromide equivalent to 10 mg, 20 mg, and 40 mg&nbsp;citalopram,&nbsp;respectively,&nbsp;per tablet.<br><\/p>\n\n\n\n<p>Other ingredients are<br><\/p>\n\n\n\n<p><strong>Tablet core<\/strong><\/p>\n\n\n\n<p>Kopovidon<\/p>\n\n\n\n<p>croscarmellose sodium (E468)<\/p>\n\n\n\n<p>glycerol&nbsp;(E471)<\/p>\n\n\n\n<p>lactose monohydrate<\/p>\n\n\n\n<p>magnesium stearate (E470b)<\/p>\n\n\n\n<p>corn starch<\/p>\n\n\n\n<p>microcrystalline cellulose (E460)<br><\/p>\n\n\n\n<p><strong>Film coating<\/strong><\/p>\n\n\n\n<p>hypromellose (E464)<\/p>\n\n\n\n<p>microcrystalline cellulose (E460)<\/p>\n\n\n\n<p>polyoxyethylene stearate (E431)<\/p>\n\n\n\n<p>titanium dioxide (E171)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Citalopram&nbsp;Bluefish 10 mg and 20 mg film-coated tablets packaged in PVC \/ PVDC \/ aluminum blisters available in pack sizes of 14, 20, 28, 30, 50, or 100 tablets per carton.<br><\/p>\n\n\n\n<p>Citalopram&nbsp;Bluefish 40 mg film-coated tablets packaged in PVC \/ PVDC \/ aluminum blisters available in pack sizes of 20, 28, 30, 50, or 100 tablets per carton.<br><\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Bluefish Pharmaceuticals AB<\/p>\n\n\n\n<p>PO Box 49013<\/p>\n\n\n\n<p>100 28 Stockholm<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Bluefish Pharmaceuticals AB<\/p>\n\n\n\n<p>G\u00e4vlegatan 22<\/p>\n\n\n\n<p>113 30 Stockholm<\/p>\n\n\n\n<p><br><\/p>\n\n\n\n<p><strong>This medicinal product is authorized under the European Economic Area under the names<\/strong>&nbsp;:<br><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Member State<\/strong><\/td><td><strong>Name of the medicine<\/strong><\/td><\/tr><tr><td>Austria<\/td><td>Citalopram&nbsp;Bluefish 10 mg Film TabletCitalopram&nbsp;Bluefish 20 Mg Film TabletsCitalopram&nbsp;Bluefish 40 mg Film Tablet<\/td><\/tr><tr><td>Ireland<\/td><td>Citalopram&nbsp;Bluefish 10 mg Film-Coated TabletsCitalopram&nbsp;Bluefish 20 mg Film-Coated TabletsCitalopram&nbsp;Bluefish 40 mg Film-Coated Tablets<\/td><\/tr><tr><td>Iceland<\/td><td>Citalopram&nbsp;Bluefish 10 mg film-coated tablets Citalopram&nbsp;Bluefish 20 mg film-coated tablets citalopram&nbsp;Bluefish 40 mg film-coated tablets<\/td><\/tr><tr><td>France<\/td><td>Citalopram&nbsp;Bluefish 20 mg compressed tablets<\/td><\/tr><tr><td><\/td><td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Citalopram Bluefish belongs to a group of antidepressant medicines called selective serotonin reuptake inhibitors ( SSRIs ). Everyone has a substance called serotonin in the brain. It is not entirely clear how citalopram works but it can help by correcting the serotonin system in the brain.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2203,2200],"tags":[7114,7116,7117,7095,7096,2212,2211,7094,7115],"class_list":["post-6824","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-citalopram-bluefish","tag-citalopram-bluefish-side-effects","tag-citalopram-bluefish-tablet","tag-citalopram-side-effects","tag-citalopram-tablet","tag-medicine","tag-tablets","tag-what-is-citalopram","tag-what-is-citalopram-bluefish"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6824","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=6824"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6824\/revisions"}],"predecessor-version":[{"id":11410,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6824\/revisions\/11410"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=6824"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=6824"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=6824"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}