Nchi: Uingereza
Lugha: Kiingereza
Chanzo: MHRA (Medicines & Healthcare Products Regulatory Agency)
Citalopram hydrobromide
Sandoz Ltd
N06AB04
Citalopram hydrobromide
20mg
Oral tablet
Oral
No Controlled Drug Status
Valid as a prescribable product
BNF: 04030300; GTIN: 5015915904058
CITALOPRAM 20 MG AND 40 MG TABLETS PACKAGE LEAFLET: INFORMATION FOR THE USER SZ00000LT000 CITALOPRAM READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU START TAKING THIS MEDICINE BECAUSE IT CONTAINS IMPORTANT INFORMATION FOR YOU. • Keep this leaflet. You may need to read it again. • If you have any further questions, ask your doctor or pharmacist. • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4. WHAT IS IN THIS LEAFLET: 1. What Citalopram is and what it is used for 2. What you need to know before you take Citalopram 3. How to take Citalopram 4. Possible side effects 5. How to store Citalopram 6. Content of the pack and other information Citalopram belongs to the group of so-called SSRIs (selective serotonin re-uptake inhibitors) and is used to treat depressive illnesses (episodes of major depression). People who are depressed have lower levels of the substance serotonin in their brain than others. Citalopram may help by increasing the level of serotonin. DO NOT TAKE CITALOPRAM • If you are allergic (hypersensitive) to citalopram or any of the other ingredients of this medicine (listed section 6). • If you are taking MAO (monoamine oxidase) inhibitors (medicines used for treatment of depression or Parkinson’s disease). The MAO-inhibitor selegiline may be used in combination with citalopram, albeit not more than 10 mg per day. • If you have recently taken MAO-inhibitors. Depending on the type of MAO-inhibitor you used to use, you may have to wait for up to 14 days after stopping the MAO-inhibitor before starting with Citalopram (see also “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. • If you are taking linezolid (an antibiotic medicine) • If you are born Soma hati kamili
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Citalopram Sandoz 20mg film-coated tablets 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each film-coated tablet contains 24.99 mg citalopramhydrobromide, equivalent to 20 mg citalopram Excipients with known effect: Each_ _film-coated tablet contains 23 mg lactose monohydrate For the full list of excipients, see section 6.1 3 PHARMACEUTICAL FORM Film-coated tablet White oblong biconvex film-coated tablet with a one sided notch and the embossment C20 The tablets 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 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. 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 a period of at least one to two weeks. Adults The recommended starting dose is 20 mg citalopram 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. Older people (>65 years of age) For older people the dose should be decreased to half of the recommended dose, e.g 10-20 mg per day. Depending on the individual response of the patient, the dose can be increased to a maximum of 20 mg/day. Children and adolescents under the age of 18 Citalopram should not be used in the treatment of children and adolescents under the age of 18 years (see section 4.4). Reduced renal function Dosage adjustment is not required if the patient has mild to moderate renal impairment. No information is available on treatment of patients with severe renal impairment (creatinine clearance less than 20 ml/min). Reduced hepatic function: An initial do Soma hati kamili