Country: United Kingdom
Language: English
Source: MHRA (Medicines & Healthcare Products Regulatory Agency)
Citalopram hydrobromide
Tillomed Laboratories Ltd
N06AB04
Citalopram hydrobromide
40mg
Oral tablet
Oral
No Controlled Drug Status
Valid as a prescribable product
BNF: 04030300; GTIN: 5024655001774
1. NAME OF THE MEDICINAL PRODUCT CITALOPRAM 40mg Tablets 2 QUALITATIVE AND QUANTITATIVE COMPOSITION 1 film-coated_ _tablet contains 49.98 mg citalopram hydrobromide, equivalent to 40 mg citalopram. For the full list of excipients, see section 6.1 3 PHARMACEUTICAL FORM Film-coated tablets Round, white film-coated tablets with a break-line and diameter of 10 mm. The tablet can be divided into equal doses. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Treatment of major depressive episodes. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology Following treatment initiation, an antidepressant effect should not be expected for at least two weeks. Treatment should continue until the patient has been free of symptoms for 4-6 months. Citalopram should be withdrawn slowly; it is advised that the dose is gradually reduced over 1-2 week periods. _Paediatric population _ Citalopram should not be used in the treatment of children and adolescents under the age of 18 years (see section 4.4). _Adults _ The recommended starting dose is 20 mg per day. If necessary, the dose can be increased to a maximum of 40 mg per day, depending on the individual response of the patient. _Elderly patients (>65 years of age) _ For elderly patients the dose should be decreased to half of the recommended dose, e.g. 10- 20 mg daily. Depending on the individual response of the patient, the dose can be increased. The recommended maximum dose for the elderly is 20 mg daily. _Reduced renal function _ Dosage adjustment is not required if the patient has mild to moderate renal impairment. Caution is advised in patients with severe renal impairment (creatinine clearance less than 30ml/min, see section 5.2). _Reduced hepatic function _ An initial dose of 10 mg daily for the first two weeks of treatment is recommended in patients with mild or moderate hepatic impairment. Depending on individual patient response, the dose may be increased to a maximum of 20 mg daily. Caution and extra careful dose titration is advised in patients with severely reduced hep Read the complete document