Valsts: Amerikas Savienotās Valstis
Valoda: angļu
Klimata pārmaiņas: NLM (National Library of Medicine)
CITALOPRAM HYDROBROMIDE (UNII: I1E9D14F36) (CITALOPRAM - UNII:0DHU5B8D6V)
Glenmark Therapeutics Inc., USA
ORAL
PRESCRIPTION DRUG
Citalopram tablets are indicated for the treatment of major depressive disorder (MDD) in adults [see Clinical Studies (14)] . Citalopram tablets are contraindicated in patients: Pregnancy Exposure Registry There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to antidepressants during pregnancy. Healthcare providers are encouraged to register patients by calling the National Pregnancy Registry for Antidepressants at 1-844-405-6185 or visiting online at https://womensmentalhealth.org/research/pregnancyregistry/antidepressants. Risk Summary Based on data from published observational studies, exposure to SSRIs, particularly in the month before delivery, has been associated with a less than 2-fold increase in the risk of postpartum hemorrhage [see Warnings and Precautions ( 5.4) and Clinical Considerations] . Available data from published epidemiologic studies and postmarketing reports with citalopram use in pregnancy have not established an increased risk of major birth defects
Citalopram Tablets, USP are supplied as follows: Strength Color/Shape Engraved Descriptors Package Configuration NDC Number 10 mg Beige, oval Bottle of 100 NDC # 72657-109-01 Bottle of 500 NDC # 72657-109-05 20 mg Pink, oval Bottle of 100 NDC # 72657-110-01 Bottle of 500 NDC # 72657-110-05 40 mg White, oval Bottle of 100 NDC # 72657-112-01 Bottle of 500 NDC # 72657-112-05 Storage and Handling Citalopram Tablets, USP should be stored at 20ºC to 25°C (68°F to 77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Protect from light and moisture.
Abbreviated New Drug Application
Glenmark Therapeutics Inc., USA ---------- MEDICATION GUIDE Dispense with Medication Guide available at www.glenmarkpharma-us.com/medguides MEDICATION GUIDE Citalopram (sye tal' oh pram) Tablets, for oral use What is the most important information I should know about citalopram tablets? Citalopram tablets may cause serious side effects, including: • Increased risk of suicidal thoughts and actions. Citalopram tablets and other antidepressant medicines may increase suicidal thoughts and actions in some children, adolescents, and young adults especially within the first few months of treatment or when the dose is changed. Citalopram tablets are not for use in children. o Depression and other mental illnesses are the most important causes of suicidal thoughts and actions. How can I watch for and try to prevent suicidal thoughts and actions in myself or a family member? o Pay close attention to any changes, especially sudden changes in mood, behavior, thoughts, or feelings, or if you develop suicidal thoughts or actions. This is very important when an antidepressant medicine is started or when the dose is changed. o Call your healthcare provider right away to report new or sudden changes in mood, behavior, thoughts, or feelings. o Keep all follow-up visits with your healthcare provider as scheduled. Call your healthcare provider between visits as needed, especially if you have concerns about symptoms. Call your healthcare provider or get emergency medical help right away if you or your family member have any of the following symptoms, especially if they are new, worse, or worry you: What are citalopram tablets? Citalopram tablets are a prescription medicine used to treat a certain type of depression called Major Depressive Disorder (MDD) in adults. It is not known if citalopram tablets are safe and effective for use in children. Who should not take citalopram tablets? Do not take citalopram tablets if you: • take a Monoamine Oxidase Inhibitor (MAOI) • have stopped taking an MAOI in the last 14 days • are being Izlasiet visu dokumentu
CITALOPRAM HYDROBROMIDE- CITALOPRAM HYDROBROMIDE TABLET, FILM COATED GLENMARK THERAPEUTICS INC., USA ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION 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) 8/2023 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; and 40 mg (_3_) CONTRAINDICATIONS • • • WARNINGS AND PRECAUTIONS • • • • • • INCREASED RISK OF SUICIDAL THOUGHTS AND BEHAVIOR IN PEDIATRIC AND YOUNG ADULT PATIENTS TAKING ANTIDEPRESSANTS. CLOSELY MONITOR ALL ANTIDEPRESSANT-TREATED PATIENTS FOR CLINICAL WORSENING AND EMERGENCE OF SUICIDAL THOUGHTS AND BEHAVIORS (_5.1_). CITALOPRAM IS NOT APPROVED FOR USE IN PEDIATRIC PATIENTS (_8.4_). 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)_. Concomitant use of monoamine oxidase inhibitors (MAOIs) or use within14 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_). _QT-Prolongation and Torsade de Pointes_: Dose-dependent QTc prolongation, Torsade de pointes, ventricular tachycardia, and sudden death have occurred. Avoid use of citalopram in pa Izlasiet visu dokumentu