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Many drugs besides citalopram may affect the heart rhythmQT prolongationincluding amiodaronepimozideprocainamidequinidinesotalolamong others.
This medicine should be taken about the same time every daymorning or evening and can be taken with or without foodThis medicine may take up to 4 weeks to reach full effectbut you may see symptoms of depression improving in as little as 1 week.
Before using this medicationtell your doctor or pharmacist your medical historyespecially ofpersonal or family history of bipolar/manic-depressive disorderpersonal or family history of suicide attemptsliver diseaseseizureslow sodium in the bloodintestinal ulcers/bleedingpeptic ulcer diseaseor bleeding problemspersonal or family history of glaucomaangle-closure type
Citalopram may impair your thinking or reactionsBe careful if you drive or do anything that requires you to be alert.
CardiovascularFrequenttachycardiapostural hypotensionhypotensionInfrequenthypertensionbradycardiaedemaextremitiesangina pectorisextrasystolescardiac failureflushingmyocardial infarctioncerebrovascular accidentmyocardial ischemiaRaretransient ischemic attackphlebitisatrial fibrillationcardiac arrestbundle branch block.
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