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 22:36:46
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 prescription medicine for adults with major depressive disorder (MDD). It belongs to a class of medicines called selective serotonin reuptake inhibitors (SSRIs).
The label includes a boxed warning about suicidal thoughts and behaviors in pediatric and young adult patients taking antidepressants. Citalopram tablets are not approved for use in pediatric patients.
The medicine is taken once daily, with or without food. The usual starting dose is 20 mg once daily, and the dose may be increased after at least one week to a maximum of 40 mg once daily. Some patients have a lower maximum recommended dose of 20 mg once daily.
The label also warns about QT prolongation, serotonin syndrome, bleeding risk, mania or hypomania, seizures, angle-closure glaucoma, hyponatremia, and sexual dysfunction.
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 prescribed.
- Do not take more than 40 mg once daily; some people should not exceed 20 mg once daily.
- Do not stop citalopram suddenly; the label says to reduce the dose gradually when discontinuing.
- Tell a healthcare professional about all other medicines, especially MAOIs, pimozide, and other serotonergic drugs.
- Get help right away if symptoms of serotonin syndrome occur, such as agitation, hallucinations, fast heartbeat, fever, stiffness, or diarrhea.
- Report signs of abnormal heart rhythm such as dizziness, palpitations, or fainting.
- Be aware that citalopram may increase bleeding risk, especially with aspirin, NSAIDs, antiplatelet drugs, warfarin, or other anticoagulants.
- Watch for mood changes or suicidal thoughts, especially early in treatment or when the dose changes.
- Report symptoms such as unusual weakness, confusion, trouble concentrating, or unsteadiness, which may be signs of low sodium.
- The most common adverse reaction listed is ejaculation disorder, mainly ejaculation delay.
Helpful Patient Education
Citalopram tablets, USP are an SSRI medicine used for the treatment of major depressive disorder in adults. The label describes once-daily oral dosing, with or without food, and notes that the dose may need to be limited in certain groups, including older adults, people with hepatic impairment, and CYP2C19 poor metabolizers.
Product labeling also includes important safety information about suicidal thoughts and behaviors, QT prolongation, serotonin syndrome, bleeding risk, discontinuation symptoms, and sexual dysfunction. This product is supplied in film-coated tablet strengths of 10 mg, 20 mg, and 40 mg.
Medication Summary last generated: 2026-06-19 13:00:15
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.
Only logged in customers who have purchased this product may leave a review.
Reviews
There are no reviews yet.