Pregnancy<\/strong><\/p>\n\n\n\nDo not take Citalopram Sandoz if you are pregnant or planning to become pregnant unless you and your doctor have discussed the risks and benefits of using it.
<\/p>\n\n\n\n
You should not stop treatment with Citalopram Sandoz suddenly during pregnancy. Contact your doctor if you want to take a break or stop treatment altogether.
<\/p>\n\n\n\n
Tell your midwife or doctor that you are taking Citalopram Sandoz.<\/p>\n\n\n\n
If medicines like Citalopram Sandoz are used during pregnancy, especially during the last three months, they may increase the risk of a serious condition in babies, called PPHN (persistent pulmonary hypertension in newborns), which causes the baby to breathe faster and turn bluish. These symptoms usually begin during the first 24 hours after the baby is born. If this affects your baby, contact your midwife and \/ or doctor immediately.
<\/p>\n\n\n\n
If you take Citalopram Sandoz during the last three months of pregnancy and until delivery, the following side effects or withdrawal symptoms may appear in your newborn: breathing problems, bluish discoloration of the skin and lips, irregular breathing with pause in breathing, temperature fluctuations, seizures, lethargy, difficulty sleeping, eating problems, vomiting, low blood sugar, stiff or limp muscles, abnormally enhanced reflexes, tremors, extreme nervousness or nervous tremors, irritability, constant crying and drowsiness.
<\/p>\n\n\n\n
If your child gets any of these symptoms, contact your midwife or doctor immediately who will advise you.
<\/p>\n\n\n\n
Breast-feeding<\/strong><\/p>\n\n\n\nCitalopram Sandoz passes into breast milk in small amounts. There is a risk that the child will be affected. If you are taking Citalopram Sandoz, talk to your doctor before breast-feeding.
<\/p>\n\n\n\n
Fertility<\/strong><\/p>\n\n\n\nCitalopram has been shown in animal studies to reduce sperm quality. Theoretically, this could affect fertility , but still has no effect on fertility in humans have been observed.<\/p>\n\n\n\n
Driving and using machines<\/h2>\n\n\n\n
Citalopram has an insignificant to moderate effect on the ability to drive and use machines. Avoid driving or using machines until you know how you react to this medicine. Citalopram does not usually affect your ability to perform normal, daily activities. However, if you feel dizzy or sleepy when you start taking this medicine, be careful when driving, using machines or performing work that requires you to be alert until these effects have subsided.<\/p>\n\n\n\n
Talk to your doctor about whether you can perform these activities if you feel unsure.
<\/p>\n\n\n\n
You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention. One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or side effects. Descriptions of these effects and side effects can be found in other sections. Read all the information in this leaflet for guidance. If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n
Citalopram Sandoz contains lactose<\/h2>\n\n\n\n
Citalopram Sandoz contains lactose . If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking CitalopramSandoz.
<\/p>\n\n\n\n
How to use Citalopram Sandoz<\/h2>\n\n\n\n
Be aware that it may take 2-4 weeks before you notice any improvement. Treatment should be continued until you have been asymptomatic for 4-6 months. When treatment with Citalopram Sandoz is to be discontinued, the dose should be gradually reduced over a period of at least 1-2 weeks.
<\/p>\n\n\n\n
Citalopram Sandoz should be taken once daily, either in the morning or in the evening. Take the tablet with a glass of water. The tablet can be taken with or without food.<\/p>\n\n\n\n
There are other strengths of this medicinal product for the dose you that are not possible with this strength.
<\/p>\n\n\n\n
Dosage<\/strong><\/p>\n\n\n\nAdults<\/strong><\/em><\/p>\n\n\n\nDepression:<\/em><\/p>\n\n\n\nThe recommended dose is 20 mg once daily. Your doctor may increase the dose to a maximum of 40 mg per day.
<\/p>\n\n\n\n
Panic Syndrome:<\/em><\/p>\n\n\n\nThe starting dose is 10 mg per day for the first week. Thereafter, the dose is increased one to 20-30 mg per day. Your doctor may increase the dose to a maximum of 40 mg per day. It can take 3 months before the full treatment effect is obtained.
<\/p>\n\n\n\n
Elderly patients (over 65 years):<\/strong><\/p>\n\n\n\nDepression and panic disorder:<\/em><\/p>\n\n\n\nThe starting dose should be reduced to half the recommended dose , ie. 10-20 mg per day. Elderly patients should not usually take more than 20 mg per day.
<\/p>\n\n\n\n
Use for children and adolescents under 18 years of age:<\/strong><\/p>\n\n\n\nCitalopram Sandoz should not normally be used in children and adolescents under 18 years of age (see “Warnings and Precautions”).
<\/p>\n\n\n\n
Hepatic impairment:<\/strong><\/p>\n\n\n\nThe usual starting dose is 10 mg once a day. Patients who have liver problems should not take more than 20 mg per day.
<\/p>\n\n\n\n
Renal impairment:<\/strong><\/p>\n\n\n\nIt may be necessary to adjust the dose one. Follow your doctor’s instructions.
<\/p>\n\n\n\n
Always take this medicine exactly as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n
Depending on the size of the dose, overdose of citalopram in the form of symptoms such as irregular heartbeat, seizures, altered heart rhythm (faster or slower heartbeat), nausea, vomiting, sweating, drowsiness, unconsciousness, involuntary tremors, altered blood pressure (may increase, serotonergic syndrome (see section 4), anxiety, dizziness, enlarged pupils, bluish skin, rapid breathing, cardiac arrest, and coma.<\/p>\n\n\n\n
If you forget to take Citalopram Sandoz<\/h2>\n\n\n\n
Do not take a double dose to make up for a forgotten dose.<\/p>\n\n\n\n
If you stop taking Citalopram Sandoz<\/h2>\n\n\n\n
A sudden interruption should be avoided.<\/p>\n\n\n\n
When you stop taking Citalopram Sandoz, your dose should be gradually reduced over a period of at least one to two weeks to reduce the risk of withdrawal reactions.<\/p>\n\n\n\n
If unbearable symptoms occur after dose reduction or at discontinuation of treatment, reconsideration of the previous dose may be considered . Your doctor may then continue with a more gradual dose reduction.
<\/p>\n\n\n\n
If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n
4. Possible side effects<\/h2>\n\n\n\n
Like all medicines, this medicine can cause side effects, although not everybody gets them.
<\/p>\n\n\n\n
The side effects usually disappear after a couple of weeks of treatment. Many of these side effects can also be symptoms of your illness and can therefore go away as soon as you start to feel better.
<\/p>\n\n\n\n
If you get any of the following side effects , stop taking Citalopram Sandoz and talk to a doctor or hospital emergency department immediately.<\/strong>
<\/p>\n\n\n\nCommon (may affect up to 1 in 10 people):<\/strong><\/p>\n\n\n\n- Severe heart rhythm disorders with a rapid and irregular heartbeat.<\/li><\/ul>\n\n\n\n
Uncommon (may affect up to 1 in 100 people):<\/strong><\/p>\n\n\n\n- Severe itchy skin (with raised blisters).<\/li><\/ul>\n\n\n\n
Rare (may affect up to 1 in 1,000 people):<\/strong><\/p>\n\n\n\n- Nausea, muscle weakness, confusion, fatigue and muscle twitching due to low sodium levels in the blood. In some patients, this can develop into a serious side effect. Talk to your doctor.<\/li>
- Hepatitis, jaundice.<\/li>
- Seizures you have had in the past may come more often.<\/li><\/ul>\n\n\n\n
Very rare (may affect up to 1 in 10,000 people):<\/strong><\/p>\n\n\n\n- Sudden allergic reaction (within minutes to hours) with e.g. skin rash, difficulty breathing, dizziness and fainting ( anaphylactic reaction ).<\/li>
- Rash ( hives ) and swelling. Swelling of the face, lips, and tongue can be life-threatening ( angioedema ).<\/li><\/ul>\n\n\n\n
Has been reported (occurs in unknown number of users):<\/strong><\/p>\n\n\n\n- Suicidal thoughts, suicidal behavior. Cases of suicidal ideation and behavior have been reported during treatment with citalopram or shortly after stopping treatment (see \u201cWarnings and Precautions\u201d). Contact your doctor or emergency room.<\/li>
- High fever, chills, and sudden muscle twitching, confusion, morbid agitation, and agitation.<\/li>
- Reduced platelet count, which leads to an increased risk of bleeding and bruising.<\/li>
- Unusual bleeding, including in the gastrointestinal tract (bloody vomiting and \/ or black stools due to bleeding in the stomach and intestines), as well as bleeding from the uterus.<\/li>
- Rapid and irregular heartbeat, fainting that can be a symptom of a life-threatening condition called torsades de pointes .<\/li>
- You may have seizures for the first time.<\/li><\/ul>\n\n\n\n
The following side effects have also been reported:<\/strong>
<\/p>\n\n\n\nVery common (may affect more than 1 user in 10):<\/strong><\/p>\n\n\n\n- Palpitations, tremors, increased sweating.<\/li>
- Drowsiness, drowsiness, weakness.<\/li>
- Difficulty sleeping.<\/li>
- Restlessness, nervousness.<\/li>
- Dizziness.<\/li>
- Impaired visual acuity (difficult to read lowercase letters).<\/li>
- Dry mouth, which can increase the risk of cavities. You should therefore brush your teeth more often than usual when taking Citalopram Sandoz.<\/li>
- Nausea, constipation.<\/li>
- Headache.<\/li><\/ul>\n\n\n\n
Common (may affect up to 1 in 10 people):<\/strong><\/p>\n\n\n\n- Decreased appetite, weight loss, increased appetite, taste disturbances.<\/li>
- Diarrhea, vomiting, stomach upset (acid regurgitation, heartburn), abdominal pain, flatulence, increased salivation.<\/li>
- High blood pressure. Talk to your doctor. High blood pressure should be treated. Very high blood pressure is a serious condition.<\/li>
- Dizziness and possible fainting (possibly only when getting up) due to low blood pressure .<\/li>
- Low blood pressure .<\/li>
- Fever.<\/li>
- Crawls, tingling or numbness in the skin.<\/li>
- Fatigue, difficulty sleeping, abnormal dreams.<\/li>
- Migraine, ringing in the ears ( tinnitus ).<\/li>
- Visual disturbances.<\/li>
- Runny nose, sinusitis, yawning.<\/li>
- Hard to pee.<\/li>
- Itching, rash.<\/li>
- Muscle and joint pain.<\/li>
- Problems with ejaculation, impotence ( erectile dysfunction ).<\/li>
- Menstrual cramps, difficulty getting an orgasm.<\/li>
- Decreased sex drive.<\/li>
- Anxiety, confusion, indifference.<\/li>
- Impaired ability to concentrate, attention deficit disorder, abnormal dreams, memory loss.<\/li>
- Strong urine excretion ( polyuria ).<\/li><\/ul>\n\n\n\n
Uncommon (may affect up to 1 in 100 people):<\/strong><\/p>\n\n\n\n- Hallucinations. Can be serious. Contact a doctor or emergency room.<\/li>
- Fainting.<\/li>
- Cramps.<\/li>
- Movement disorders and involuntary movements.<\/li>
- Enlarged pupils you.<\/li>
- Cough.<\/li>
- Difficult to urinate and may. do not empty the bladder. This can be or will be serious. Talk to your doctor.<\/li>
- Edema (fluid retention).<\/li>
- Hair loss.<\/li>
- Hives , itching, rash, the skin becomes more sensitive to light ( photosensitivity ).<\/li>
- Abnormally heavy menstrual bleeding.<\/li>
- Aggression (threat, possibly violent behavior), a feeling of unreality or alienation towards yourself.<\/li>
- Morbid elation (mania).<\/li>
- Excitement ( euphoria ).<\/li>
- Increased sex drive.<\/li>
- Anorexia .<\/li>
- Feeling sick.<\/li>
- Weight gain.<\/li>
- Slow heartbeat.<\/li><\/ul>\n\n\n\n
Rare (may affect up to 1 in 1,000 people):<\/strong><\/p>\n\n\n\n- Involuntary movements.<\/li>
- Bleeding.<\/li>
- Inability to sit still. “Restless legs” (ant crawls in the legs).<\/li><\/ul>\n\n\n\n
Very rare (may affect up to 1 in 10,000 people):<\/strong><\/p>\n\n\n\n- Excretion of breast milk.<\/li><\/ul>\n\n\n\n
Has been reported (occurs in an unknown number of users):<\/strong><\/p>\n\n\n\n- Weakness, decreased muscle strength, tremors and abnormal heart rhythm due to low potassium in the blood ( hypokalaemia ). In some patients, this can develop into a serious condition. Talk to your doctor.<\/li>
- Nosebleed.<\/li>
- Blood stains under the skin.<\/li>
- Irregular and heavy menstrual bleeding.<\/li>
- Remaining painful erection. Contact a doctor or emergency room as soon as possible.<\/li>
- Panic attack.<\/li>
- Tooth grinding.<\/li>
- An increased risk of fracture has been observed in patients taking this type of medicine.<\/li><\/ul>\n\n\n\n
Citalopram Sandoz can also cause side effects that you do not usually notice yourself. There may be changes in some laboratory tests e.g. liver values, which normalize as soon as treatment is stopped.
<\/p>\n\n\n\n
Reporting of side effects<\/em><\/p>\n\n\n\nIf you get any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly to the Medical Products Agency, www.lakemedelsverket.se. By reporting side effects, you can help increase drug safety information. <\/p>\n\n\n\n
5. How to store Citalopram Sandoz<\/h2>\n\n\n\n
Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n
No special storage instructions.
<\/p>\n\n\n\n
Do not use this medicine after the expiry date which is stated on the carton \/ jar \/ blister after EXP. or EXP. The expiration date is the last day of the specified month.
<\/p>\n\n\n\n
The medicine should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.<\/p>\n\n\n\n
6. Contents of the packaging and other information<\/h2>\n\n\n\nContent declaration<\/h2>\n\n\n\n
The active substance is citalopram. One film-coated tablet contains 10 mg, 20 mg, 30 mg and 40 mg citalopram respectively (as citalopram hydrobromide).
<\/p>\n\n\n\n
Other ingredients are:<\/p>\n\n\n\n
Tablet core: Microcrystalline cellulose, glycerol 85%, magnesium stearate, maize starch, lactose monohydrate , crospovidone and sodium starch glycolate (type A).<\/p>\n\n\n\n
Film coating: Macrogol 6000, hypromellose, talc, titanium dioxide (E171).<\/p>\n\n\n\n
What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n
Citalopram Sandoz 10 mg film-coated tablet<\/strong><\/p>\n\n\n\nWhite, round, film-coated tablet without a score line<\/p>\n\n\n\n
Blister packs of 10, 14, 20, 28, 30, 50, 56, 60, 98 and 100 film-coated tablets<\/p>\n\n\n\n
HDPE tablet jar with 100, 105, and 250 film-coated tablets<\/p>\n\n\n\n
The pack size of 250 film-coated tablets in HDPE tablet jar is for dose dispensing and hospital use only.
<\/p>\n\n\n\n
Citalopram Sandoz 20 mg film-coated tablet<\/strong><\/p>\n\n\n\nWhite, oblong, biconvex film-coated tablet with scored and labeled C20<\/p>\n\n\n\n
Blister packs of 7, 10, 12, 14, 20, 28, 30, 40, 49, 49 x 1, 50, 50 x 1, 56, 98, 100, 100 x 1 and 250 film-coated tablets<\/p>\n\n\n\n
HDPE tablet jar with 100, 105, and 250 film-coated tablets<\/p>\n\n\n\n
The pack size of 250 film-coated tablets in HDPE tablet jar is for dose dispensing and hospital use only.<\/p>\n\n\n\n
The tablets can be divided into two equal doses .
<\/p>\n\n\n\n
Citalopram Sandoz 30 mg film-coated tablet<\/strong><\/p>\n\n\n\nWhite, oblong, biconvex, film-coated tablet with scored and labeled C30<\/p>\n\n\n\n
Blister packs of 7, 10, 14, 20, 28, 30, 40, 49, 49 x 1, 50, 56, 98, 100, 100 x 1 film-coated tablets<\/p>\n\n\n\n
HDPE tablet jar with 100 and 105 film-coated tablets<\/p>\n\n\n\n
The tablets can be divided into two equal doses .
<\/p>\n\n\n\n
Citalopram Sandoz 40 mg film-coated tablet<\/strong><\/p>\n\n\n\nWhite, oblong, biconvex, film-coated tablet with scored and labeled C40<\/p>\n\n\n\n
Blister packs of 7, 10, 14, 20, 28, 30, 40, 49, 49 x 1, 50, 56, 98, 100 and 100 x 1 film-coated tablets<\/p>\n\n\n\n
HDPE tablet jar with 100, 105 and 250 film-coated tablets<\/p>\n\n\n\n
250 HDPE tablet-coated film-coated tablets are for dose dispensing and hospital use only.<\/p>\n\n\n\n
The tablets can be divided into two equal doses.
<\/p>\n\n\n\n
Not all pack sizes may be marketed.<\/p>\n\n\n\n
Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n
Marketing Authorisation Holder:<\/strong><\/p>\n\n\n\nSandoz A \/ S, Edvard Thomsens Vej 14, 2300 Copenhagen S, Denmark
<\/p>\n\n\n\n
Manufacturer<\/strong><\/p>\n\n\n\nSalutas Pharma GmbH, Otto-von-Guericke-Allee 1, D-39179 Barleben, Germany<\/p>\n\n\n\n
or<\/p>\n\n\n\n
LEK SA, Ul. Domaniewska 50 C, 02-672 Warsaw, Poland<\/p>\n\n\n\n
or<\/p>\n\n\n\n
Lek Pharmaceuticals dd, Verovskova 57, 1526 Ljubljana, Slovenia<\/p>\n\n\n\n
or<\/p>\n\n\n\n
Tillomed Laboratories Ltd, 3 Howard Road, Eaton Socon, St Neots, Cambridgeshire PE19 3ET, UK<\/p>\n\n\n\n
or<\/p>\n\n\n\n
Rowa Pharmaceuticals Ltd. Newtown, Bantry, Co. Cork, Ireland
<\/p>\n","protected":false},"excerpt":{"rendered":"
Citalopram Sandoz belongs to a group of antidepressant medicines called selective serotonin reuptake inhibitors ( SSRIs ).<\/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":[7101,7103,7104,7095,7096,2212,2211,7094,7102],"class_list":["post-6833","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-citalopram-sandoz","tag-citalopram-sandoz-side-effects","tag-citalopram-sandoz-tablet","tag-citalopram-side-effects","tag-citalopram-tablet","tag-medicine","tag-tablets","tag-what-is-citalopram","tag-what-is-citalopram-sandoz"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6833","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=6833"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6833\/revisions"}],"predecessor-version":[{"id":11404,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6833\/revisions\/11404"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=6833"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=6833"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=6833"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}