In this blog, we will discuss celexa, its benefits, risks, withdrawal symptoms, intake guidance, recommended dosage and frequently asked questions about celexa.
What is celexa?
celexa is also known as citalopram (in the USA) or Cipramil (In the UK) is an antidepressant drug commonly used to treat anxiety, depression and panic disorders in adults.
Celexa is a mixture of two stereoisomers: R-celexa and S-celexa (unlike Escelexa which is only one enantiomer, s-celexa).
It is most commonly used to treat depression and has fewer side effects than older antidepressants.
It may improve your energy levels and your feeling of being well.
Celexa has been available in the UK since 1995.
Celexa is available in tablet form but more commonly found as oil liquid drops and medicine in the USA.
You can put the oil drops into water when you want to consume it.
Celexa is licensed for use in the UK and EU for panic disorder with or without agoraphobia.
In the UK, a typical dose costs less than 20 GBP per month.
Celexa has been shown to be 85% effective in treating those with generalized anxiety disorder even when other antidepressants and SSRI’s have been unsuccessful.
In the United States, celexa carries a boxed warning stating it may increase suicidal thinking and behaviour in those under age 24 but these warnings are not present on the UK packaging.
Celexa can also and has also been used to treat:
Body dysmorphic disorder
Premenstrual dysphoric disorder
You can read a brief guide the NHS has for celexa here.
Anxiety, depression and panic disorders are mental wellness problems that can affect anyone of us. In fact, 1 in 4 of us experiences mental wellness problems at some point or the other in our life.
Anxiety, depression or panic disorders could be caused by life events which occur such as bereavement, loss of a friend, an illness, loss of a job or other life events such as war, active combat experience etc
When we experience these traumatic events the brain cells in our brain called neurons release a number of chemicals which in turn go on to stimulate other neurons in our brain.
This neurons then lead to electrical impulses which result in many other parts of the brains being affected.
As you can see mental wellness issues such as anxiety, depression and panic disorders to have some scientific background and they aren’t simply emotional issues which can often be treated by “getting over things”.
One of the chemicals released in our brain is called Serotonin. Serotonin plays a major role here as you will see.
Once Serotonin is released it stimulates other neurons in the brain, it is then taken back up into the neuron cells and repeats the process again.
This will essentially leave you going through a trauma of emotions which result in anxiety, depression and panic disorders.
How does celexa work?
Celexa works by increasing the levels of a mood-enhancing chemical called serotonin in your brain.
Celexa is one of a number of selective serotonin reuptake inhibitor.
This means it increases the amount of circulating serotonin in your brain rather than allowing them to be taken up back into the neurons and release more chemicals which then repeat the process.
Celexa helps reduce the symptoms of depression, anxiety and panic disorders in some people but not everyone.
Should you take celexa?
Celexa isn’t for everyone. Celexa won’t work for everyone and hence certain people with certain medical conditions.
In either case, the use of celexa should be carefully managed.
Celexa should be prescribed to you by your doctor and you should always declare it as one of the medications you take to ensure any other future medication you are prescribed takes it into account.
You should not take celexa if
- If you are pregnant, trying for a baby or breast-feeding.
- If you have recently taken any other antidepressants as some older antidepressants can still react with celexa even though you haven’t taken them for a few weeks. You should inform your doctor of any antidepressants you have used. Some antidepressants can interact with celexa and cause your blood pressure to rise very high.
- If you are under 12 except if prescribed by your doctor
- If you are going through any treatment involving electroconvulsive therapy (ECT).
- If you have ever been allergic to any medicine.
- If you have taken an antidepressant known as a monoamine-oxidase inhibitor (MAOI) within the last two weeks.
- If you have high blood sugar levels (diabetes mellitus).
- If you have increased presure in your eye(s) (also known as glaucoma).
- If you have ever had a bleeding disorder.
- If you have ever had abnormally ‘high’ moods, called mania.
- If you are currently taking any other medicines which you have been prescribed for or medicines which you have bought over the counter including any supplements, complementary medicine or herbal treatments.
- If you have any liver or kidney disorders.
- If you have a heart condition or have been told you have an irregular heartbeat. This is because celexa can speed up or change your heartbeat
- If you have epilepsy.
Guidance on taking celexa:
“Try to take celexa at the same time each day.
It may take up to four weeks after starting this treatment before you feel the full benefit. Do not stop taking it, feeling it is not helping.
Tell your doctor if you feel that you are not getting any better, or if you experience any troublesome side-effects.”]
Before you take celexa you should make sure you have read the above statement but more also as important you should follow the guidelines below.
- Before taking celexa or any medicine you should always read the manufacturers label in full. This may contain warnings, guidelines on dosage or ingredients which you may be allergic to. It will also provide you with a list of possible side effects so you are aware of any potential side effects of celexa before they occur.
- You can take celexa before or after food. You can also take it with or without food.
- celexa can be taken by children or adults over the age of 12
- If you forget to take a dose then take it as soon as you remember but if you remember on the day after the dose was meant to have been taken then do not take the dose to avoid taking two doses at the same time. You should never take two doses of celexa at the same time for any reason including trying to make up for a missed dosage.
- You are taking celexa in its oral form then your doctor will inform you of how many drops you should take per dosage. You should drop the dosage into a glass of clear water or orange juice so you can count the drops with ease. You should then stir before drinking.
- If you have trouble sleeping then it is best to take celexa in the morning
- You should always take celexa exactly as the doctor has asked you to take it. It is usually prescribed once a day and you will usually have flexibility on what time of the day you take it but you must try and ensure you take your doses at the same time every day to avoid ever taking two doses within close proximity of each other. If you find that you have taken two dosages then you should go to the a&E immediately with the packet of the celexa. You may begin to experience the following after you have taken more than 1 dosage within a short period of time: being sick (vomiting), shaking, feeling sleepy, fast heart rate and seizures.
- celexa comes in different strengths. Your doctor will prescribe you the recommended strength which is suitable for you. You will be able to see the strength of the celexa which you are taking on the package of the drug.
- Your doctor may prescribe a low dosage of celexa for you if you are currently being treated for a panic disorder. This is because some people may develop anxiety during the first two weeks and your doctor will want to monitor how you are reacting before slowly increasing the amount of celexa you are taking.
- You should ensure you don’t miss any appointments with your doctor as it is very key they check how you are doing after prescribing you celexa. This could be because they want to reduce or increase the strength of your dosage.
- You should ensure you continue taking your celexa treatment even if you feel it isn’t working.celexa will usually start working after the first two weeks( or maybe the first week) of usage. The effect of celexa will slowly build up and you will begin to see its full effects within weeks 4 to 6.
- If you are diabetic then you may need to keep a calendar and check your blood sugar level more frequently as celexa may affect the level of sugar in your blood. If you notice any sharp rise or fall in your blood sugar you should seek immediate medical advice from your doctor.
- You should not buy any over the counter medicine or supplements to consume with celexa without informing your doctor. You should also not get any new prescriptions from any other doctor without informing them that you are currently on a celexa treatment and informing the doctor who prescribed your celexa. You should especially avoid any anti-inflammatory pain killers and avoid taking the herbal remedy known as st John worts. This is because over the counter medicine and some prescription medicine can affect your celexa treatment.
- If you consume alcohol your doctor will likely ask you not to consume any alcohol for the duration of your celexa treatment as it may increase the side effects of the drug.
- You should not stop taking celexa without seeking the advice of your doctor first. Stopping your treatment suddenly can cause you problems as your doctor will typically want to gradually reduce your celexa dosage when the time has come for you to stop taking celexa.
- A course of celexa treatment will usually last for several months to avoid your symptoms from returning.
- celexa may make your skin more sensitive to sunlight. You should use a high SPF suncream whenever you are out with substantial sunlight until you are sure on how your skin reacts to sunlight. You can seek further advice from your doctor about this.
- If you become suicidal or start thinking about self-harm then it is important that you don’t do these things to yourself but instead inform your doctor. It could be a side effect of the drug or simply associated with the condition which you are taking celexa for.
- celexa isn’t the only antidepressant on the market. There are various antidepressants on the market and each has its own effects and side effects. If after a few weeks, usually more than 3, you find that celexa isn’t working for you, you should tell your doctor and discuss this with them rather than suddenly stopping your treatment.
- There have been a few cases of people developing allergic reactions to celexa. These are very rare but if you find yourself with any allergic reactions you should report this to your doctor immediately. The reactions could include but are not limited to itching., difficulty with your breathing and swelling on the face.
- You should never take more than the prescribed dose of celexa. If you suspect that you or anyone else has done this then go straight to the accident and emergency(A&E) of your nearest hospital with the container or package of the CItalpram and explain what has happened.
- If your medicine is out of date then you shouldn’t keep it. Take it to your local pharmacy for disposal or discard it yourself.
- You should never give anyone celexa regardless of if they have been prescribed it or not. It has been prescribed for you and you alone. Even if the person displays the same symptoms as you you should not give them the medicine.
- If you become pregnant whilst taking celexa then you should inform your doctor. Do not stop taking the treatment on your own. celexa can lead to some risky with unborn babies but it may be worse if you stop taking the treatment and experience depression during or after your pregnancy. You may have to continue taking the treatment throughout your pregnancy and your doctor will be able to advise you on the pros and cons. It is usually advised not to use celexa during pregnancy unless the potential benefit outweighs the risk. There is a small increased risk of congenital heart defects when taken during early pregnancy.
- You can continue to use celexa during breastfeeding if your doctor says your baby is healthy and everything is fine.Citalpram has been known to pass into the breast milk in small doses as you breastfeed your baby. This has been linked to some small side effects with babies.If you notice your baby sleeps unusually or becomes tired and weak often then you should tell your doctor. It is important that you finish your celexa treatment so that get better.
How much celexa should you take?
The amount of celexa you should take will usually be determined by your doctor but a brief guide on dosage is below.
Celexa tablets come in different strengths ranging from 10mg to 40mg.
The usual dose of celexa is 20mg a day in adults but your doctor may start you at a much lower dosage to see how you react to it and then gradually increase the strength of the celexa which you are taking up to a maximum of 40mg per day.
If you’re over 65 or have liver problems, then the maximum recommended dose is 20mg per day.
The usual dose of celexa in children is 10mg a day, but this may be increased by your doctor to a maximum of 40mg a day.
With liquid drops of celexa, 4 oral drops(8mg) are equivalent to a 10mg tablet.
If you are suffering from depressive illness:
The dosage you are prescribed by your doctor will differ based on what you are suffering from but these are the guidelines is you are suffering from a depressive illness.
Tablets via the mouth
If you are taking Cilatopram in the tablet form then these are the usual guidelines.
For an adult it is 20 mg once daily, increased in steps of 20 mg daily if required, dose to be increased at intervals of 3–4 weeks; maximum 40 mg per day.
For the elderly it is 10–20 mg once daily; maximum 20 mg per day.
Oral drops via the mouth
For an adult it is 16 mg once daily, increased in steps of 16 mg daily if required, dose to be increased at intervals of 3–4 weeks; maximum 32 mg per day.
For the elderly it is 8–16 mg daily; maximum 16 mg per day.
If you are suffering from a panic disorder
If you are suffering from a panic disorder then your doctor will typically provide you with a prescription based on the severity of your panic disorder but these are the guidelines.
Tablets via the mouth
For an adult it is initially 10 mg daily, increased in steps of 10 mg daily if required, dose to be increased gradually; usual dose 20–30 mg daily; maximum 40 mg per day.
For the elderly it is initially 10 mg daily, increased in steps of 10 mg daily if required, dose to be increased gradually; maximum 20 mg per day.
Oral drops via the mouth
For an adult it is initially 8 mg once daily, increased in steps of 8 mg if required, dose to be increased gradually; usual dose 16–24 mg daily; maximum 32 mg per day.
For the elderly it is initially 8 mg once daily, increased in steps of 8 mg if required, dose to be increased gradually; maximum 16 mg per day.
How to store celexa?
You should always store celexa out of the reach of children.
Store in a cool, dry place, away from direct heat and light.
You can use celexa drops for 16 weeks after first opening the bottle. Do not use the drops after this time.
What are the most common side effects of celexa?
There are a few very common side effects of celexa. Common side effects of celexa will happen in 1 in every 100 people.
You should have read about them on the manufacturer’s leaflet which would have been in your celexa package of the drug and if you find that you are experiencing any of them then you should inform your doctor immediately.
As with most medicines, celexa will have unwanted side effects.
These side effects are not going to be affected by everyone but if you feel you are experiencing a side effect of celexa then you should inform your doctor immediately.
The side effects of celexa will usually get better as your body adjusts to the drug but if you feel they are worsening or you are concerned about them then you should inform your doctor.
Below are the most common side effects of celexa and what you can do about them:
If you are experiencing a dry mouth and you think this may be a side effect of celexa then try chewing some sugar free chewing gum or sucking sugar free sweets.
You may have several things which make you unease.
If any of the below is part of that and continue then you should inform your doctor.
Lack of appetite, loss of weight, aches and pains, Increased sweating, difficulty sleeping, tingling feelings, reduced sexual drive or ability, ringing in your ears, yawning, the sensation of having a ‘thumping’ heart (palpitations), runny nose, itching
Mood swings or changes
You may experience different mood changes or swings when using celexa, this is a common side effect of celexa.
Your mood changes could include feeling nervous, becoming forgetful, feeling agitated, anxious, restless or shaky.
These feelings are usually common once you start a treatment of celexa but if they last longer than the first few days or more than the first week of you starting your celexa treatment then you should inform your doctor.
Nausea, indigestion or vomiting
Feeling sick and experiencing feelings of nausea, vomiting being constipated or diarrhoea can be solved by eating simple foods and drink.
If these symptoms continue then you should inform your doctor immediately.
Sleepy weakness or tiredness
If you experience a feeling of weakness, tiredness or just sleepiness then you should not drive and avoid using heavy machinery.
You should also cut down on your alcohol usage and try taking your celexa in the morning.
If you are experiencing headaches then you should drink lots of water and ask your pharmacists to recommend a suitable painkiller.
Make sure you inform the pharmacist that you are taking celexa.
If you continue to experience a headache then you should inform your doctor.
If you are experiencing heavy sweating due to your use of celexa then you should use a fan, try wearing light and baggy clothes and use a strong antiperspirant deodorant.
If all of these don’t work then you may need to ask your doctor for a different antidepressant.
Severe side effects of celexa
There are some severe side effects of celexa which you should go to the A& E immediately if you start experiencing.
You should go to an A&E immediately in the cases below.
“Chest pain or pressure or shortness of breath
Severe dizziness or passing out
Painful erections that last longer than 4 hours – this may happen even when you’re not having sex
any bleeding that’s very bad or you can’t stop, such as cuts or nosebleeds that won’t stop within 10 minutes”
You should call and speak to a doctor immediately in the cases below.
If you start vomiting dark vomit or blood or maybe you start seeing blood in your pee, coughing up blood, produce red or black poo( which could indicate bleeding from your guts) then you should call and speak to a doctor immediately.
If you start bleeding from your gums, notice bruising on your gums or your gums get bigger for no apparent reason.
If you start experiencing self-harm or suicidal thoughts then you should call and speak to a doctor immediately.
If you start experiencing constant headaches, find yourself being confused for long periods of time, find yourself being weak for a long period of time or begin experiencing frequent muscle cramps then these can all be signs of low sodium levels in your blood (in severe cases low sodium can lead to seizures)
Serious allergic reactions
Celexa could also lead to serious allergic reactions. An allergic reaction is a medical emergency and you should call your doctor immediately.
You will see a full list of side effects on the manufacturer’s leaflet inside your celexa packet.
If you start experiencing any or all of the below then these are all warning signs of an allergic reaction.
You get a skin rash that may include itchy, red, swollen, blistered or peeling skin
you get tightness in the chest or throat
you have trouble breathing or talking
your mouth, face, lips, tongue or throat start swelling
You should book a medical appointment in the cases below.
If you notice changes in your periods, such as heavy bleeding, spotting or bleeding between periods
If you suddenly lose a lot of weight or gain a lot of weight without trying and for no apparent reason then you should book an appointment to see a doctor.
Withdrawal symptoms of celexa
If you stop your celexa treatment abruptly then you may suffer from sudden withdrawal symptoms.
It is important that you don’t stop taking celexa unless directed by your doctor who will usually look to reduce your dosage over a period of at least one or two weeks in order to reduce any potential withdrawal symptoms.
If you experience discomfort or any withdrawal symptoms after discontinuing celexa then speak to your doctor.
Below are some of the withdrawal symptoms people may experience from celexa.
Sensory disturbances (including paraesthesia)
Sleep disturbances (including insomnia and intense dreams)
Agitation or anxiety
These are the most common withdrawal symptoms of celexa and will usually be mild in the first few days after finishing the treatment.
Thes symptoms may also occur if you miss a dose but will usually revert back to normal within 2 weeks.
In some cases, the withdrawal symptoms of celexa may be severe. You should report all withdrawal symptoms to your doctor.
Side Note: I have tried and tested various products and services to help with my anxiety and depression. See my top recommendations here, as well as a full list of all products and services our team has tested for various mental health conditions and general wellness.
Some frequently asked questions about celexa
Is celexa and Xanax the same thing?
No, celexa and Xanax are not the same thing but they are both used to treat anxiety.
Xanax is mainly used to treat panic attacks.
Celexa is mainly used to treat depression but is used off-label to also treat anxiety
Celexa and Xanax belong to different drug classes.
Celexa is a selective serotonin reuptake inhibitor (SSRI) type antidepressant and Xanax is a benzodiazepine.
Xanax works by reducing the excitability of the neurons and hence reducing how often they communicate with each other which will hopefully then make you much calmer.
Xanax works as a sedative and tranquillizer while celexa looks to increase the serotonin in our brain in other to improve the usage of neurons.
You should only take Xanax or Citlopram when prescribed by your doctor.
You should never use Xanax and celexa at the same time as this may increase drowsiness, dizziness and other side effects.
Is celexa used for anxiety?
Yes, celexa is used to treat anxiety off-label. It is mainly used to treat depression.
Can celexa work immediately?
No Citlalpram will not work immediately.
It will usually take between 4 and 6 weeks before you start seeing it work.
You should not stop taking your celexa treatment without your doctor telling you to.
Does celexa cause weight gain?
Weight gain isn’t an intended consequence of celexa but research has shown that celexa can cause weight gain.
If you notice you have gained weight since you have been using celexa then you should speak to your doctor.
The research wasn’t able to prove why exactly celexa causes weight gain.
Can you get addicted to celexa?
celexa doesn’t usually cause addiction but people can often get addicted to celexa due to the good feelings it gives to your mood.
It won’t get you high but you may get addicted to it if you misuse it or suddenly stop using it and experience withdrawal symptoms.
Some signs of celexa addiction include changes in appetite, strange sleep patterns, slurred speech or diminished appearance
How long does it take for celexa to kick in?
celexa will usually take anything from 2to 6 weeks to kick in.
Is it better to take celexa in the morning or at night?
You may want to take celexa in the night if you experience drowsiness or sleepiness when you take celexa.
If this affects your quality of life then taking it at the night rather than morning may be a better alternative.
Can you drink alcohol on celexa?
Your doctor may advise you not to drink alcohol when taking celexa as it may increase the side effects of celexa or alcohol to a very intense level.
Drinking alcohol on celexa may increase your risk to heart issues or increase the risk of an overdose.
Symptoms of an overdose involving alcohol and celexa can include nausea, vomiting, extreme drowsiness and sweating
Drinking alcohol on celexa can lead to an irregular heartbeat which could lead to death, can lead to loss of motor skills, reduce the effectiveness of celexa and extreme drowsiness.
You should usually not mix any antidepressants with alcohol.
What we recommend for depression
If you are suffering from depression then ongoing professional counselling may be your ideal first point of call. Counselling will utilize theories such as Cognitive behavioural therapy which will help you live a more fulfilling life.