If these drugs are used together, monitor patients for suboptimal efficacy of citalopram; consider increasing the dose of citalopram if necessary.

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The good effects of citalopram mayafter a whileimprove your sex life as your mood lifts and you become interested in life and relationships again.

Citalopram causes dose-dependent QTc prolongationan ECG abnormality that has been associated with Torsade de PointesTdPventricular tachycardiaand sudden deathall of which have been observed in postmarketing reports for citalopram.

Celexa and placebo groups were compared with respect to1mean change from baseline in various serum chemistryhematologyand urinalysis variablesand2the incidence of patients meeting criteria for potentially clinically significant changes from baseline in these variablesThese analyses revealed no clinically important changes in laboratory test parameters associated with Celexa treatment.

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Patients with major depressive disorderMDDboth adult and pediatricmay experience worsening of their depression and/or the emergence of suicidal ideation and behaviorsuicidalityor unusual changes in behaviorwhether or not they are taking antidepressant medicationsand this risk may persist until significant remission occursSuicide is a known risk of depression and certain other psychiatric disordersand these disorders themselves are the strongest predictors of suicideThere has been a long-standing concernhoweverthat antidepressants may have a role in inducing worsening of depression and the emergence of suicidality in certain patients during the early phases of treatment.

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citalopram is contraindicated in patients with a citalopram hypersensitivity or hypersensitivity to any of the formulation components.

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