Recita 10 Mg/ 40 Mg 10 mg/ 40 mg TABLET
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of depression, panic disorders, and OCD.
Dosage (summary)
Depression: 20 mg/day, max 40 mg. Panic disorder: 10 mg/day, increase to 20 mg. OCD: 20 mg/day, max 40 mg.
Onset of Action / Duration
Onset: 2-4 weeks
Special Populations
- Elderly: 10-20 mg/day
- Hepatic impairment: halve dose
- Renal impairment: mild/moderate no adjustment
Pregnancy & Breastfeeding
Safety in pregnancy/lactation not established; excreted in breast milk.
Key Drug Interactions
- MAOIs: contraindicated
- Serotonergic drugs: risk of serotonin syndrome
- Alcohol: increased effects
- Warfarin: increased anticoagulant effect
- Cimetidine: increased plasma levels
Contraindications
- Hypersensitivity to citalopram
- Concurrent MAOI use
- Severe renal impairment
- Congenital long QT syndrome
- Children under 18
Common side effects
- Nausea
- Dry mouth
- Sleep disturbances
- Somnolence
- QT prolongation
Counselling Points
- Take with or without food
- Do not abruptly discontinue
- Monitor for mood changes
- Avoid alcohol
Serious warnings
- Risk of suicidal ideation in patients with depression
- QT prolongation risk
- Monitor for serotonin syndrome
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