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4RX Store > Medication List > Anti Depressants drugs > Order Celexa online

Anti Depressants Medication (Celexa)

 
Generic name:
Celexa
Brand name:
Citalopram
Description:
Celexa is an antidepressant based on Citalopram. It is a highly selective serotonin reuptake inhibitor that causes fewer and less pronounced adverse effects than the less selective drugs from the class. The medication is very effective in various types of depression, obsessive-compulsive disorder, panic disorder, and agoraphobia. The medication is taken once a day without regard to meals. More information can be found in the detailed guide.
Indications:
Major depressive disorder, Depression of different cause, Panic disorder, Agoraphobia, Obsessive-compulsive disorder
Benefits:
Helps to eliminate the symptoms of depression quickly and is taken only once a day
Manufacture:
Unichem Laboratories Limited
Unichem Laboratories Limited
Synonyms:
Citadep, Ferpram, Olpram, Cipram, Nitalapram
 
   
Celexa (Generic Citalopram)
 
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  Generic Medication guide:

What is Celexa? When is it used?

Celexa is a commercial name registered by Allergan, an Irish pharmaceutical company. This name is used for the medicinal substance Citalopram that is a selective serotonin reuptake inhibitor (SSRI) considered the most selective after Escitalopram. The active agent of the medicament renders an antidepressant effect and therefore you can buy Celexa or its analogs for the therapy of:

- Major depressive disorder;
- Depression of different cause and severity;
- Panic disorder;
- Agoraphobia;
- Obsessive-compulsive disorder.

Short drug info
Trade names Celexa, Cipramil, others
Pregnancy category US: C (Risk not determined)
Routes of administration Oral
Legal status

AU: S4 (Prescription only)

UK: POM (Prescription only)

US: Rx-only

Bioavailability 80% peak at 4 hours
Metabolism Liver
Metabolism Hepatic
Metabolites Desmethylcitalopram (DCT) and didesmethylcitalopram (DDCT)
Elimination half-life 35 hours
Routes of excretion Mostly as unmetabolized citalopram, partly DCT and traces of DDCT in urine

How does the medicinal product act? What peculiarities its action has?

The effect of the compound is due to the inhibition of the neuronal reuptake of serotonin in the central nervous system of very selective degree which makes it almost impossible to develop tolerance to the reuptake inhibition and minimizes the likelihood of adverse reactions. The medication also has a minimal effect on the reuptake of noradrenaline and dopamine.
The antidepressive effect is developed within two to four weeks of the therapy. In the oral intake of the substance, the maximum concentration of it in the body is achieved in 2-4 hours. Around 80% of the taken dosage is active within the body and this percentage isn’t influenced by the food intake.
The medication is metabolized in the liver with the formation of metabolites that penetrate into the breast milk which should be considered if you plan to buy generic Celexa and use it while breastfeeding.

The advantages of the medication include:

- Very little inhibition of P450 IID6 cytochrome that spares the medication from the negative interaction with drugs that are metabolized by this enzyme;
- Lack of the changing of the hematologic picture (blood compound), liver and kidney function;
- It doesn’t cause the increase of the body mass.

Can you buy generic Celexa instead and how is it different from the original Celexa?

Citalopram is an active substance of Celexa that is no longer protected by the copyright. The drug is available on the market since 1998 and currently, the exclusive patent had already expired. It means that virtually all drug makers can use the formula to make their own medications. So you can buy Citalopram with any name on the box of pills and get the same effect for a different amount of money. Naturally, the less known drug names mean the lower price because it’s the only way their manufacturers can compete with pharmaceutical giants. If you look for the effect rather than the known name on the package, you can without any doubts opt for a generic version of the medication and spare quite some money.

When is the use of Celexa prohibited?

The medication must not be used in:
- Sensitivity to its components manifested in allergy or other severe side effects;
- Manic states;
- Epilepsy and latent paroxysmal activity;
- In children aged below 15;
- During pregnancy and breastfeeding;
- The use of certain medications (for instance, MAO inhibitors);
- High risk of digestive tract bleeding;
- Alcohol or drug poisoning.

The formulation must be cautiously used in the diseases of the liver or kidney and in individuals of elderly age, in the presence of bradycardia, hypokalemia, hypomagnesemia, recent myocardial infarction, and decompensated heart failure.
Discuss with your doctor your health history if you are not sure whether this medication is suitable for you or not before you buy generic Citalopram from our online pharmacy.

The possibility of Celexa use with other medications

- It is prohibited to combine the use of this drug with MAO inhibitors use and even two weeks after their use discontinuation and vice versa if MAO inhibitors are prescribed after Celexa;
- The use of Citalopram with Pimozide is prohibited;
- The drug must be cautiously used along with anticoagulants, medicines that affect thrombocytes (NSAIDs, aspirin, etc.), and other medications such as atypical antipsychotics, tricyclic antidepressants, and so on that can raise the risk of bleeding.
- Caution must be exerted in the concurrent use of the drug with other drugs that elongate QT interval or are able to cause hypokalemia/hypomagnesemia.
- The medication can lower the seizure threshold so it is advised to carefully combine it with other medicines that can render the same effect, for instance, other antidepressants, neuroleptics, Tramadol, and others.
- It is advised to combine Celexa or its generic with inhibitors of CYP2C19 (Omeprazole, Fluvoxamine, Lansoprazole, etc.) cautiously. Since the inhibitors of the enzyme can contribute to the elevation of Citalopram concentration, during the concurrent use, the reduction of Celexa dosage may be needed.
Regardless of the type of medicines, you use when you order Celexa with the plan to begin the therapy, inform your doctor about them and ask if they are compatible with this antidepressant or not to be certain.

Potential negative effects the medication can cause

Due to the medication’s high selectivity of action, Citalopram is a much more easily and well-tolerated medication than other SSRI. It makes Celexa and its analogs the drug of choice for individuals whose therapy requires the higher degree of safety and tolerability. However, some side effects in separate individuals still can occur (listed by descending frequency):

- Fatigue
- Nausea
- Dry mouth
- Vomiting
- Dizziness
- Sleeplessness
- Sluggishness
- Agitation.

In case of individual intolerance of the medication, you can also develop an allergy.
Besides the listed adverse effects, it is proven that the intake of the daily dosages exceeding 40 mg can provoke the changes in the electrical activity of the heart, which disrupts the rhythm, including the deadly pirouette tachycardia. The risk is especially relevant for people with already existing heart pathologies, individuals who have low potassium and magnesium levels in the blood.

Besides, multiple studies have shown that the use of more than 40 mg a day is unreasonable so the risk is unjustified and it’s better to stick to the average lower dosages when you order generic Celexa.

Side effects incidence in placebo-controlled clinical trials (percentage of patients)

Body System/Adverse Reaction
Celexa (Number of patients = 1063) %
Placebo Number of patients = 446) %
Dry Mouth
20%
14%
Sweating Increased
11%
9%
Tremor
8%
6%
Nausea
21%
14%
Diarrhea
8%
5%
Dyspepsia
5%
4%
Vomiting
4%
3%
Abdominal Pain
3%
2%
Fatigue
5%
3%
Fever
2%
<1%
Arthralgia
2%
1%
Myalgia
2%
1%
Somnolence
18%
10%
Insomnia
15%
14%
Anxiety
4%
3%
Anorexia
4%
2%
Agitation
3%
1%
Dysmenorrhea
3%
2%
Libido Decreased
2%
<1%
Yawning
2%
<1%
Upper Respiratory Tract Infection
5%
4%
Rhinitis
5%
3%
Sinusitis
3%
<1%
Ejaculation Disorder
6%
1%
Impotence
3%
<1%

Instruction for Celexa use

- Depression is treated with the initial daily dosage of 20 mg with the subsequent gradual rise of the dosage in case the effect is insufficient. Any dosage is taken once a day. The maximum possible dosage per day is 60 mg but 40 mg is an advised maximal safe dosage.
- Panic disorders are treated with the initial dosage of 10 mg daily in a single intake with the subsequent rise to 20 mg a day in one intake if the lowest dosage is insufficient. The maximum possible dosage per day is 60 mg but 40 mg is an advised maximal safe dosage. You and your doctor should note that the final result of the therapy can be seen not sooner than in three months of uninterrupted therapy.
The pills can be taken with or without food as it doesn’t influence their effect.
The therapy must not be ever sharply discontinued as it can lead to the aggravation of the treated condition.
These are excerpts from the official instruction yet the best way to select the safest and optimal dosage when you order Citalopram is to consult a medical specialist.

Dosage for senior people, people with liver and/or kidney dysfunction

- People over 65 should use the same dosages as the younger patients but the maximum dosage must not be higher than 40 mg.
- Individuals with mild to moderate kidney failure do not need any dosage adjustment. Individuals with cc less than 30 ml per minute must take the drug cautiously and only under a healthcare provider’s supervision.
- Individuals suffering from severe liver dysfunction can need lower dosages and liver function tests at the doctor’s discretion.

Where can you buy Celexa?

In order to get the best treatment without going bankrupt, the best way is to order generic Citalopram from our online pharmacy. We offer both generic and branded medications at affordable prices so you can easily find the most suitable option.

Celexa shipping

4Rxstore ships worldwide without exceptions. You can find out more about our shipping terms in the respective section.

Free prescription
Our doctor prescribes online for free, and there is no doctor’s consultation fee.

Discrete packaging
All orders arrive in discrete unmarked parcels. We leave the shipment description blank.

For more answers see the FAQ section

 

 
 
   
Product Reviews:
   

 
Oct / 18 / 2017 Peter Simeon   Australia, Perth
  fast shipping, very pleased
   
 
 
Sep / 29 / 2017 Rachel Hess   USA, Newman
  Fast service and good quality!
   
 
 
Aug / 05 / 2017 Kristopher Abello   USA, Texas
  thanks the company for timely delivery
   
 
 
Dec / 29 / 2016 Mark Shannon   USA, Rapid City
  Fast delivery, good quality item
   
 


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