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Over-the-counter Citalopram hydrobromide 10 mg can be purchased without a prescription and is most often used to treat symptoms of depression that may not require the direct supervision of a doctor. Citalopram hydrobromide is an antidepressant OTC medication available as generic celexa at online pharmacy OverTheCounterPharma.com.

Citalopram is used to treat depression and is also useful in treating people suffering from panic attacks. Citalopram 10 mg film-coated tablets are also indicated in the treatment of panic disorder with or without agoraphobia.

Dosage And Administration

The recommended dose is 20 mg daily. As with all antidepressant medicinal products, dosage should be reviewed and adjusted if necessary within 3 to 4 weeks of initiation of therapy and thereafter as judged clinically appropriate. If after some weeks on the recommended dose insufficient response is seen some patients may benefit from having their dose increased up to a maximum of 60 mg a day in 20 mg steps according to the patient's response. Patients with panic disorder should be started on 10 mg/day and the dose gradually increased in 10 mg steps according to the patient's response up to the recommended dose. The recommended dose is 20-30 mg daily. Dosage adjustments should be made carefully on an individual patient basis, to maintain the patients at the lowest effective dose.

Precautions

Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome. If you experience severe drowsiness, confusion or convulsions (fits) or any unusual bleeding or bruising or blackened stools, contact your doctor.

The most commonly observed adverse reactions

The most commonly observed adverse events associated with the use of citalopram and not seen at an equal incidence among placebo-treated patients were: nausea, somnolence, dry mouth, increased sweating and tremor. Withdrawal reactions have been reported in association with selective serotonin reuptake inhibitors (SSRIs), including Citalopram. Common symptoms include dizziness, paraesthesia, headache, anxiety and nausea. Abrupt discontinuation of treatment with Citalopram should be avoided. The majority of symptoms experienced on withdrawal of SSRIs are non-serious and self-limiting.