Description
Citalopram 40 mg Tablets is available by prescription only. Go ahead and place your purchase. After making payment, we will ensure that a valid prescription is received from your prescriber.
Drug Label Highlights
Source: This information is taken from the official DailyMed drug label page when available. It is provided for educational purposes and is not a substitute for pharmacist counseling, prescriber instructions, or the full official labeling.
These highlights do not include all the information needed to use CITALOPRAM TABLETS safely and effectively. See full prescribing information for CITALOPRAM TABLETS.
CITALOPRAM tablets, for oral use
Initial U.S. Approval: 1998
Warning: Suicidal Thoughts And Behaviors
See full prescribing information for complete boxed warning.
Recent Major Changes
Warnings and Precautions (5.3, 5.4) 08/2023
Indications And Usage
Citalopram tablets are a selective serotonin reuptake inhibitor (SSRI) indicated for the treatment of major depressive disorder (MDD) in adults (1).
Dosage And Administration
Dosage Forms And Strengths
Tablets: 10 mg; 20 mg, scored; and 40 mg, scored (3)
Contraindications
Warnings And Precautions
- (5.3, 5.4) 08/2023 INDICATIONS AND USAGE Citalopram tablets are a selective serotonin reuptake inhibitor (SSRI) indicated for the treatment of major depressive disorder (MDD) in adults (1). DOSAGE AND ADMINISTRATION
- Administer once daily with or without food (2).
- Initial dosage is 20 mg once daily; after one week may increase to maximum dosage of 40 mg once daily (2.1).
- Patients greater than 60 years of age, patients with hepatic impairment, and CYP2C19 poor metabolizers: maximum recommended dosage is 20 mg once daily (2.2).
- When discontinuing citalopram tablets, reduce dosage gradually (2.4, 5.6). DOSAGE FORMS AND STRENGTHS Tablets: 10 mg; 20 mg, scored; and 40 mg, scored (3) CONTRAINDICATIONS
- Concomitant use of monoamine oxidase inhibitors (MAOIs) or use within 14 days of discontinuing a MAOI (4).
- Concomitant use of pimozide (4).
- Known hypersensitivity to citalopram or any of the inactive ingredients of citalopram tablets (4). WARNINGS AND PRECAUTIONS
- (5.3, 5.4) 08/2023 INDICATIONS AND USAGE Citalopram tablets are a selective serotonin reuptake inhibitor (SSRI) indicated for the treatment of major depressive disorder (MDD) in adults (1). DOSAGE AND ADMINISTRATION
- Administer once daily with or without food (2).
- Initial dosage is 20 mg once daily; after one week may increase to maximum dosage of 40 mg once daily (2.1).
- Patients greater than 60 years of age, patients with hepatic impairment, and CYP2C19 poor metabolizers: maximum recommended dosage is 20 mg once daily (2.2).
- When discontinuing citalopram tablets, reduce dosage gradually (2.4, 5.6). DOSAGE FORMS AND STRENGTHS Tablets: 10 mg; 20 mg, scored; and 40 mg, scored (3) CONTRAINDICATIONS
- Concomitant use of monoamine oxidase inhibitors (MAOIs) or use within 14 days of discontinuing a MAOI (4).
- Concomitant use of pimozide (4).
- Known hypersensitivity to citalopram or any of the inactive ingredients of citalopram tablets (4). WARNINGS AND PRECAUTIONS
Adverse Reactions
Most common adverse reaction (incidence ≥ 5% and twice placebo) is ejaculation disorder (primarily ejaculation delay) (6.1).
To report SUSPECTED ADVERSE REACTIONS, contact Mylan at 1-877-446-3679 (1-877-4-INFO-RX) or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Drug Interactions
CYP2C19 Inhibitors: Citalopram tablets 20 mg daily is the maximum recommended dosage for patients taking concomitant CYP2C19 inhibitors (5.2, 7).
Use In Specific Populations
See 17 for PATIENT COUNSELING INFORMATION and Medication Guide.
Revised: 6/2024
DailyMed highlights last updated: 2026-06-24 22:36:45
Medication Guide
Medication Summary
Medication Summary: This section summarizes DailyMed drug label information to make the label easier to understand. It is not a substitute for the official label, pharmacist counseling, prescriber instructions, or medical advice.
Overview
Citalopram tablets are a selective serotonin reuptake inhibitor (SSRI) used to treat major depressive disorder (MDD) in adults. They are taken by mouth once daily, with or without food. The label says the initial dosage is 20 mg once daily, and after at least one week it may be increased to a maximum of 40 mg once daily.
The label warns that antidepressants can increase the risk of suicidal thoughts and behaviors in pediatric and young adult patients, and citalopram tablets are not approved for use in pediatric patients. Patients should be monitored for worsening depression, unusual behavior changes, or suicidal thoughts, especially when treatment starts or the dose changes.
Citalopram tablets also carry warnings about QT prolongation and torsade de pointes, serotonin syndrome, bleeding risk, mania or hypomania, seizures, angle-closure glaucoma, hyponatremia, and sexual dysfunction. The label also says to reduce the dose gradually when stopping treatment whenever possible.
Available strengths are 10 mg, 20 mg, and 40 mg tablets. The 40 mg tablets are scored, film-coated, and white.
Storage Information
STORAGE AND HANDLING Citalopram Tablets, USP are available containing citalopram hydrobromide, USP equivalent to 10 mg, 20 mg or 40 mg citalopram. Storage and Handling Store at 20° to 25°C (68° to 77°F). Dispense in a tight, light-resistant container as defined in the USP using a child-resistant closure. store citalopram tablets? •Store citalopram tablets at room temperature between 20°C to 25°C (68°F to 77°F).
Key Counseling Points
- Take citalopram once daily, with or without food, exactly as directed on the prescription label.
- Do not take more than the prescribed dose; doses above 40 mg once daily are not recommended.
- If treatment is being stopped, the label says the dose should be reduced gradually rather than stopped abruptly whenever possible.
- Tell a healthcare professional about all medicines being used, especially MAOIs, pimozide, and other serotonergic drugs.
- Seek medical help right away for symptoms that could suggest serotonin syndrome, such as agitation, hallucinations, fast heartbeat, sweating, fever, tremor, or diarrhea.
- Report symptoms that could suggest heart rhythm problems, such as dizziness, palpitations, or fainting.
- Watch for unusual worsening of depression, suicidal thoughts, or behavior changes, especially early in treatment or when the dose changes.
- Tell a healthcare professional about any history of bipolar disorder, mania, hypomania, seizures, narrow-angle glaucoma, or bleeding problems.
- Tell a healthcare professional if taking aspirin, NSAIDs, antiplatelet drugs, warfarin, or other anticoagulants because bleeding risk may be increased.
- Sexual side effects may occur; discuss concerns with a healthcare professional.
Helpful Patient Education
Citalopram tablets, USP are an SSRI medicine used for the treatment of major depressive disorder (MDD) in adults. This product is available in 10 mg, 20 mg, and 40 mg strengths, and the label states it is taken once daily with or without food.
DailyMed label information also includes important safety warnings about suicidal thoughts and behaviors in younger patients, QT prolongation, serotonin syndrome, bleeding risk, and other possible adverse effects. This page provides educational information based on the official prescribing label for citalopram tablets.
Medication Summary last generated: 2026-06-19 13:00:10
Citalopram 40 mg Tablets --- Generic For Celexa --- Mylan may require patient-specific counseling based on your prescription, directions, allergies, medical history, and other medications.
This Medication Guide section is provided for general educational purposes only. It does not replace the official medication guide, patient information leaflet, counseling from your pharmacist, or medical advice from your prescriber.
Please read all information provided with your prescription. Contact Pill Pals Pharmacy or your prescriber with questions before using this medication.
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