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High levels of serotonin in the bodyagitationhallucinationsfeverfast heart rateoveractive reflexesnauseavomitingdiarrhealoss of coordinationfaintingor.

This list is not complete and many other drugs can interact with citalopramThis includes prescription and over-the-counter medicinesvitaminsand herbal productsGive a list of all your medicines to any healthcare provider who treats you.

Drugs That Interfere With HemostasisNSAIDsAspirinWarfarinetcSerotonin release by platelets plays an important role in hemostasisEpidemiological studies of the case-control and cohort design that have demonstrated an association between use of psychotropic drugs that interfere with serotonin reuptake and the occurrence of upper gastrointestinal bleeding have also shown that concurrent use of an NSAID or aspirin may potentiate the risk of bleedingAltered anticoagulant effectsincluding increased bleedinghave been reported when SSRIs and SNRIs are coadministered with warfarinPatients receiving warfarin therapy should be carefully monitored when Celexa is initiated or discontinued.

Neonates exposed to Celexa and other SSRIs or serotonin and norepinephrine reuptake inhibitorsSNRIslate in the third trimesterhave developed complications requiring prolonged hospitalizationrespiratory supportand tube feedingSuch complications can arise immediately upon deliveryReported clinical findings have included respiratory distresscyanosisapneaseizurestemperature instabilityfeeding difficultyvomitinghypoglycemiahypotoniahypertoniahyperreflexiatremorjitterinessirritabilityand constant cryingThese features are consistent with either a direct toxic effect of SSRIs and SNRIs orpossiblya drug discontinuation syndromeIt should be noted thatin some casesthe clinical picture is consistent with serotonin syndromesee WARNINGSSerotonin Syndrome

Like all medicinescitalopram can cause side effects in some peoplebut many people have no side effects or only minor onesSome of the common side effects of citalopram will gradually improve as your body gets used to itSome people who take citalopram for panic attacks find their anxiety gets worse during the first few weeks of treatmentThis usually wears off after a few weeks but speak to your doctor if it bothers youa lower dose may help reduce your symptoms.

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