Overview
It raises serotonin activity in the brain. It usually takes 2 to 6 weeks to feel better.
Higher doses can affect heart rhythm, so there's a maximum dose, especially for people over 60.
What it's used for
- Depression
- Off-label: anxiety and panic disorder
How to take it
- Take it once a day, morning or evening, with or without food.
- Don't stop suddenly. Your provider will lower the dose slowly.
Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.
Side effects
Common side effects
- Nausea
- Dry mouth
- Sleepiness or trouble sleeping
- Sweating
- Sexual side effects
Warnings
- Children, teens, and young adults can have more suicidal thoughts when starting. Watch closely.
- Tell your provider about heart rhythm problems or low potassium or magnesium.
Other medicines, foods, and alcohol
- Never take within 14 days of an MAOI.
- Other serotonin medicines raise the risk of serotonin syndrome.
- Other medicines that affect heart rhythm add to that risk.
- Omeprazole and cimetidine can raise its level.
- Aspirin, NSAIDs, and blood thinners raise bleeding risk.
Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.
Pregnancy and breastfeeding
Talk with your provider about benefits and risks. Don't stop on your own.
Missed doses, overdose, and storage
If you miss a dose
Take it as soon as you remember, unless it's almost time for your next dose. Then skip the missed dose. Don't take two doses at once.
If someone takes too much
Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.
Storing it
Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.
Conditions it's used for
Sources
- DailyMed: FDA drug label for Citalopram (U.S. National Library of Medicine)
- MedlinePlus: Drugs, herbs, and supplements
- FDA: Drugs@FDA
Last updated 2026-11-13.