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Families and caregivers of patients being treated with antidepressants for major depressive disorder or other indicationsboth psychiatric and nonpsychiatricshould be alerted about the need to monitor patients for the emergence of agitationirritabilityunusual changes in behaviorand the other symptoms described aboveas well as the emergence of suicidalityand to report such symptoms immediately to health care providersSuch monitoring should include daily observation by families and caregiversPrescriptions for Celexa should be written for the smallest quantity of tablets consistent with good patient managementin order to reduce the risk of overdose.

The pupillary dilation that occurs following use of many antidepressant drugs including Celexa may trigger an angle closure attack in a patient with anatomically narrow angles who does not have a patent iridectomy.

Report any new or worsening symptoms to your doctorsuch asmood or behavior changesanxietypanic attackstrouble sleepingor if you feel impulsiveirritableagitatedhostileaggressiverestlesshyperactivementally or physicallymore depressedor have thoughts about suicide or hurting yourself.

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Metabolic and Nutritional DisordersFrequentdecreased weightincreased weightInfrequentincreased hepatic enzymesthirstdry eyesincreased alkaline phosphataseabnormal glucose toleranceRarebilirubinemiahypokalemiaobesityhypoglycemiahepatitisdehydration.

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the antidepressant action of citalopram tablets, usp in hospitalized depressed patients has not been adequately studied.

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