Patient/Family Teaching

• Instruct patient to take citalopram as directed

• May cause drowsiness, dizziness, impaired concentration, and blurred vision. Caution patient to avoid driving and other activities requiring alertness until response to the drug is known

• Advise patient to avoid alcohol or other CNS depressant drugs during therapy and to consult health care professional before taking other medications with citalopram

• Caution patient to change positions slowly to minimize dizziness

• Advise patient to use sunscreen and wear protective clothing to prevent photosensitivity reactions

• Inform patient that frequent mouth rinses, good oral hygiene, and sugarless gum or candy may minimize dry mouth. If dry mouth persists for more than 2 wk, consult health care professional regarding use of saliva substitute.

• Instruct female patients to inform health care professional if pregnancy is planned or suspected, or if they plan to breastfeed an infant. If used during pregnancy should be tapered during third trimester to avoid neontal serotinin syndrome

• Caution patients that citalopram should not be used for at least 14 days after discontinuing MAO inhibitors, and at least 14 days should be allowed after stopping citalopram before starting an MAO inhibitor

• Emphasize the importance of follow-up exams to monitor progress. Encourage patient participation in psychotherapy to improve coping skills

• Refer patient/family to local support group

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