Nchi: Uingereza
Lugha: Kiingereza
Chanzo: MHRA (Medicines & Healthcare Products Regulatory Agency)
Citalopram hydrobromide
Sandoz Ltd
N06AB04
Citalopram hydrobromide
10mg
Oral tablet
Oral
No Controlled Drug Status
Valid as a prescribable product
BNF: 04030300; GTIN: 5015915904041
Citalopram belongs to a group of antidepressants known as selective serotonin reuptake inhibitors (SSRIs). Citalopram is used for the treatment of: • Depressive illnesses (major depressive episodes) • Panic disorder with or without agoraphobia (e.g. strong fear of leaving the house, entering shops, or fear of public places). DO NOT TAKE CITALOPRAM • If you are allergic to citalopram or any of the other ingredients of this medicine (listed in section 6). • If you are taking MAO (monoamine oxidase) inhibitors: - e.g. the antidepressant moclobemide or - you are treated with the non-selective MAO-inhibitor linezolid (an antibiotic medicine) unless you are under close observation and monitoring of blood pressure. - The irreversible MAO-inhibitor selegiline (medicine for Parkinson’s disease) may be used in combination with citalopram in daily doses not exceeding 10 mg selegiline per day (see “Other medicines and Citalopram”). - If you have taken irreversible MAO-inhibitors within the last two weeks or if you have taken a reversible MAO-inhibitor (RIMA) within the time prescribed in the relevant patient information leaflet of the RIMA (see “Other medicines and Citalopram”). - If you stop taking Citalopram and want to start using MAO-inhibitors, you have to wait for at least 7 days (see “Other medicines and Citalopram”). • If you are born with or have had an episode of abnormal heart rhythm (seen at ECG; an examination to evaluate how the heart is functioning) • If you take medicines for heart rhythm problems or that may affect the heart’s rhythm. _Also refer to the section “Other medicines and _ _Citalopram” below._ WARNINGS AND PRECAUTIONS Talk to your doctor before taking Citalopram. THOUGHTS OF SUICIDE AND WORSENING OF YOUR DEPRESSION OR ANXIETY DISORDER If you are depressed and/or have anxiety disorders you can sometimes have thoughts of harming or killing yourself. These may be increased when first starting antidepressants, since these medicines all take time to work, usually about t Soma hati kamili
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Citalopram 10mg Tablets 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each film-coated tablet contains 10mg of citalopram (as hydrobromide). Excipient with known effect: Each_ _film-coated tablet contains 10.93 mg of lactose (as monohydrate)_ _ For the full list of excipients, see section 6.1. 3 PHARMACEUTICAL FORM Film-coated tablet. White, round film-coated tablet without a score line 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Treatment of major depressive episodes. Treatment of panic disorder with or without agoraphobia 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Citalopram should be administered as a single oral dose, either in the morning or in the evening. The tablets can be taken with or without food, but with fluid. ADULTS: Treatment of major depressive episodes Citalopram should be administered as a single oral dose of 20 mg daily. Dependent on individual patient response, the dose may be increased to a maximum of 40 mg daily. 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 to give adequate protection against the possibility of a relapse. Treatment of panic disorder A single oral dose of 10 mg is recommended for the first week before increasing the dose to 20 mg daily. Dependent on individual patient response, the dose may be increased to a maximum of 40 mg daily. THIS IS TO AVOID PARADOX REACTIONS (I.E. PANIC, ANXIETY) (SEE SECTION 4.4). The first therapeutic effects usually appear after 2 – 4 weeks. Full therapeutic response may take up to 3 months to develop. It may be necessary to continue treatment for several months. Documentation from clinical efficacy studies exceeding 6 months is insufficient. ELDERLY: For elderly patients the dose should be decreased to half of the recommended dose, e.g. 10-20 mg daily. The recommended maximum dose for elderly patients is 20 mg daily. PAEDIATRIC POPULA Soma hati kamili