Contraindication/Precautions

Contraindicated in:

• Hypersensitivity

• Concurrent MAO inhibitor or pimozide therapy

• History of mania

• History of suicide attempt/ideation ( risk during early therapy and during dose adjustment)

• History of seizure disorder

• Illnesses or conditions that are likely to result in altered metabolism or hemodynamic responses

• Severe renal or hepatic impairment

• OB: Use during third trimester may result in neonatal serotonin syndrome requiring prolonged hospitalization, respiratory and nutritional support

• Lactation: Citalopram is present in breast milk and may result in lethargy with feeding in infants; weigh risk/benefits

• Pedi: May risk of suicide attempt/ideation especially during early treatment or dose adjustment in children/adolescents (unlabeled for pediatric use)

• Geri: doses recommended

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