celimine 40mg tablet - Uses, Price, Side Effects & Substitutes
What is celimine 40mg tablet used for?
Citopam 20 Tablet (Citalopram) is used to treat NEURO CNS. It contains Citalopram (40mg), which Selective serotonin reuptake inhibitor (SSRI); increases serotonin levels in the. Always consult your doctor before use. Take as prescribed.
- Generic Name: Citalopram
- Manufacturer: Ryon Pharma
- Form: Allopathy
- Pregnancy Category: C
- Prescription Required: Yes
๐ celimine 40mg tablet Uses & Benefits
Major depressive disorder; generalized anxiety disorder; obsessive-compulsive disorder; panic disorder; social anxiety disorder; post-traumatic stress disorder; premenstrual dysphoric disorder.
Off-label uses: Premature ejaculation; hot flashes; diabetic neuropathy; fibromyalgia; chronic pain; migraine prophylaxis.
๐ Drug Information
| Generic Name(s) | Citalopram |
| Brand Name | Citopam 20 Tablet |
| Manufacturer | Ryon Pharma |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Selective Seretonin Reuptake inhibitors (SSRIs) |
| Route of Administration | Oral |
| Storage | Store at 20-25ยฐC (68-77ยฐF); protect from light and moisture. |
| Shelf Life | As per manufacturer |
๐ฌ Pharmacology (PK/PD)
Pharmacokinetics
How It Works
Selective serotonin reuptake inhibitor (SSRI); increases serotonin levels in the synaptic cleft by blocking its reuptake into presynaptic neurons.
Mechanism Steps
๐ก How to Take celimine 40mg tablet
Follow your doctor's prescription exactly.
โ ๏ธ Side Effects of celimine 40mg tablet
โ Common Side Effects
- Nausea
- Dry mouth
- Somnolence
- Insomnia
- Sweating
- Fatigue
- Dizziness
- Diarrhea
- Constipation
- Sexual dysfunction (delayed ejaculation, anorgasmia, decreased libido)
๐จ Serious Side Effects
- Serotonin syndrome
- QT prolongation
- Torsades de pointes
- Seizures
- Suicidal thoughts/behavior
- Hyponatremia
- Bleeding abnormalities
- Angle-closure glaucoma
โ ๏ธ Rare Side Effects
- Hepatotoxicity
- Pancreatitis
- Agranulocytosis
- Leukopenia
- Thrombocytopenia
- Allergic reactions (angioedema, urticaria)
- Galactorrhea
- Priapism
Consult your doctor if you experience any unusual symptoms.
๐ฌ Drug Interactions
| โ ๏ธ Drug | Severity | Effect |
|---|---|---|
| MAOIs | Major | Risk of serotonin syndrome (hyperthermia, rigidity, myoclonus, autonomic instability) |
| Linezolid | Major | Increased risk of serotonin syndrome |
| Methylene Blue | Major | Increased risk of serotonin syndrome |
| Pimozide | Major | QT prolongation risk |
| Triptans | Major | Additive serotonergic effects; risk of serotonin syndrome |
| Tramadol | Major | Additive serotonergic effects; risk of serotonin syndrome |
| St. John's Wort | Major | Additive serotonergic effects; risk of serotonin syndrome |
| Cimetidine | Moderate | Increased citalopram levels |
| Omeprazole | Moderate | Increased citalopram levels (CYP2C19 inhibition) |
| Ketoconazole | Moderate | Increased citalopram levels (CYP3A4 inhibition) |
| Lithium | Moderate | Increased serotonergic effects; risk of serotonin syndrome |
| Warfarin | Moderate | Increased bleeding risk |
| NSAIDs | Moderate | Increased bleeding risk |
| Aspirin | Moderate | Increased bleeding risk |
| Carbamazepine | Minor | Decreased citalopram levels (CYP3A4 induction) |
๐จ Major Interactions
- MAOIs
- Linezolid
- Methylene Blue
- Pimozide
- Other serotonergic drugs (e.g., triptans, tramadol, St. John's Wort)
โก Moderate Interactions
- Cimetidine
- CYP2C19 inhibitors (e.g., omeprazole)
- CYP3A4 inhibitors (e.g., ketoconazole)
- Lithium
- Warfarin
- NSAIDs
- Aspirin
โน๏ธ Minor Interactions
- CYP2D6 substrates
- CYP3A4 inducers (e.g., carbamazepine)
๐ฝ๏ธ Food Interactions
No significant food interactions; may be taken with or without food.
๐ท Alcohol Interaction
Avoid alcohol; may increase CNS depression and impair judgment.
๐ก๏ธ Safety & Warnings
๐ซ Contraindications
Hypersensitivity to citalopram or any component; concurrent use with MAOIs or within 14 days of MAOI discontinuation; concurrent use with pimozide; known QT prolongation or congenital long QT syndrome; uncorrected hypokalemia or hypomagnesemia.
๐ Monitoring Parameters
Mental status (suicidal ideation, mood changes); ECG for QT interval; electrolytes (potassium, magnesium); liver function tests; renal function; signs of serotonin syndrome; bleeding risk.
๐คฑ Lactation Safety
Citalopram is excreted in breast milk; use with caution, monitor infant for drowsiness, poor feeding
๐ Overdose Management
Activated charcoal if recent ingestion; supportive care; monitor ECG for QT prolongation; consider benzodiazepines for seizures; serotonin syndrome management (cyproheptadine, supportive care).
โฐ Missed Dose
Take as soon as remembered unless close to next dose; do not double dose.
๐จโโ๏ธ Reviewed by Expert
๐ Substitutes for celimine 40mg tablet
View AllAlternative brands with exact same active ingredient (Citalopram (40mg)):
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cytop 40mg tabletWockhardt Ltd โน58.13 33.3% CHEAPER
-
c pram 40mg tabletTorrent Pharmaceuticals Ltd โน65.75 24.6% CHEAPER
-
madam 40mg tabletPanacea Biotec Ltd โน66.28 24% CHEAPER
-
citalomine 40 tabletPsycormedies โน72.40 17% CHEAPER
-
citadep 40mg tabletCipla Ltd โน73.36 15.9% CHEAPER
-
Frepram 40mg TabletSunrise Remedies Pvt Ltd โน78.00 10.5% CHEAPER
-
feliz 40mg tabletTorrent Pharmaceuticals Ltd โน93.03 6.7% COSTLIER
-
citoshant 40mg tabletRyon Pharma โน96.56 10.7% COSTLIER
-
zetalo 40mg tabletAbbott โน98.44 12.9% COSTLIER
-
citara 40mg tabletIntas Pharmaceuticals Ltd โน99.00 13.5% COSTLIER
Medical Note: Always consult your doctor before switching medications.