Citalopram – What You Need to Know

If you’ve been prescribed citalopram, you probably have questions about why your doctor chose it and how to take it safely. Citalopram is an SSRI (selective serotonin reuptake inhibitor) that helps lift mood by increasing the amount of serotonin available in the brain. Most people use it for depression, but it also works for anxiety and certain panic disorders.

Typical starting doses range from 10 mg to 20 mg once a day, usually taken in the morning or evening with food. Your doctor may raise the dose gradually if you need more relief, but they rarely go above 40 mg because higher amounts increase the risk of heart rhythm problems.

How Citalopram Works

The drug blocks a protein that normally pulls serotonin back into nerve cells. By keeping serotonin in the space between nerves longer, mood‑boosting signals become stronger. This process can take a couple of weeks to feel full effects, so patience is key. If you notice any improvement after 1‑2 weeks, keep taking it and give it more time.

Key Tips for Safe Use

First, never stop citalopram abruptly. Cutting it off can cause headaches, dizziness, or flu‑like symptoms. Instead, work with your doctor to taper the dose slowly if you need to quit.

Second, watch out for interactions. Over‑the‑counter cold medicines, certain herbal supplements like St. John’s wort, and other antidepressants can raise serotonin too much, leading to a dangerous condition called serotonin syndrome. Symptoms include rapid heartbeat, high fever, and muscle stiffness – call a doctor right away if they appear.

Third, keep an eye on side effects. Common ones are nausea, dry mouth, mild tremor, or trouble sleeping. Most fade after a few days, but if you get persistent insomnia, intense anxiety, or thoughts of self‑harm, contact your prescriber immediately.

Finally, consider how you get the medication. Buying from a reputable online pharmacy that requires a prescription can save time and money, but make sure the site follows Canadian regulations and shows clear licensing info. Look for secure payment options and customer reviews that mention reliable shipping.

Remember to schedule regular check‑ins with your doctor, especially during the first few months. Blood pressure checks or ECGs may be recommended if you’re on higher doses because citalopram can affect heart rhythm in some people.

Overall, citalopram is a well‑studied medication that helps many folks feel steadier and more upbeat. By following dosing instructions, watching for interactions, and staying in touch with your healthcare team, you give yourself the best chance of a smooth recovery.