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SSRIs are known to increase the risk of bleeding due to their effect on platelet function. This risk may be significant in patients with other risk factors for bleeding disorders. Healthcare professionals should continue to consider the benefits and risks of antidepressant therapy particularly in the later stages of pregnancy, and the risks of untreated depression, during pregnancy. Anticoagulant medication in women at high risk of thrombotic events should not be stopped, however, prescribers should be aware of the risk identified. Cardiac disease; concurrent electroconvulsive therapy; diabetes mellitus; epilepsy discontinue if convulsions develop ; history of bleeding disorders especially gastro-intestinal bleeding ; history of mania; susceptibility to angle-closure glaucoma.

Navigating middle school is tough: How parents can help. Preventable liver disease is rising: What you eat — and avoid — counts. When — and how — should you be screened for colon cancer? Can going off your medication cause antidepressant withdrawal symptoms antidepressant discontinuation syndrome? As many of us know, these medications can be a godsend when depression has robbed life of its joy and made it hard to muster the energy and concentration to complete everyday tasks.

Celexa is a medication sometimes prescribed to people who need medical treatment for symptoms of depression. Celexa contains the active ingredient citalopram and, like escitalopram Lexapro, fluoxetine Prozac, fluvoxamine Luvox, paroxetine Paxil, Pexeva, and sertraline Zoloft, is a type of drug known as a selective serotonin reuptake inhibitor SSRI medication. Celexa is sometimes prescribed to people who need treatment for depression. Celexa medication is often started at Celexa 20 mg once daily, with or without food, with adjustments made based on the patient's specific health needs.

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There is a small increased risk of congenital heart defects when taken during early pregnancy. For tablets manufacturer advises initial dose of 10 mg daily for the first two weeks in mild to moderate impairment—dose may be increased to max. For oral drops manufacturer advises initial dose of 8 mg daily for the first two weeks in mild to moderate impairment—dose may be increased to max.

M See Prescribing in renal impairment. Gastro-intestinal disturbances, headache, anxiety, dizziness, paraesthesia, electric shock sensation in the head, neck, and spine, tinnitus, sleep disturbances, fatigue, influenza-like symptoms, and sweating are the most common features of abrupt withdrawal of an SSRI or marked reduction of the dose; palpitation and visual disturbances can occur less commonly.

The dose should be tapered over at least a few weeks to avoid these effects. For some patients, it may be necessary to withdraw treatment over a longer period; consider obtaining specialist advice if symptoms persist. Withdrawal effects may occur within 5 days of stopping treatment with antidepressant drugs; they are usually mild and self-limiting, but in some cases may be severe. The risk of withdrawal symptoms is increased if the antidepressant is stopped suddenly after regular administration for 8 weeks or more.

The dose should preferably be reduced gradually over about 4 weeks, or longer if withdrawal symptoms emerge 6 months in patients who have been on long-term maintenance treatment. Drug action Drug action For all selective serotonin re-uptake inhibitors Selectively inhibit the re-uptake of serotonin 5-hydroxytryptamine, 5-HT. And the whole online ordering works like a charm! Larry Culbertson, Apr 17th, PlanetDrugsDirect makes it possible for me to get the meds, and they work just the same as the ones I previously got the in the US.

Marjorie Ostrowski, Apr 17th, The investigation was initiated because some of these people have experienced slowed or difficult breathing. The drug should be used with caution in those with liver or kidney failure, due to metabolism in the liver to the active molecule desme and elimination by the kidneys. The most common adverse effects of include nausea, dizziness, dry mouth, indigestion, abdominal pain, vertigo, vomiting, constipation, drowsiness, and headache.

has the same dose-dependent adverse effects as including respiratory depression. Long-term use of high doses of causes physical dependence and withdrawal syndrome. Recognised risk factors for overdose include depression, addiction, and seizures.

The FDA first approved citalopram in Citalopram is FDA-approved to treat depression. Like other SSRIs, citalopram lowers the level of serotonin that neurons reabsorb, which results in more free serotonin in the brain.

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