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    Citalopram HBR

    precautions

    What should I know regarding pregnancy, nursing and administering Citalopram HBR to children or the elderly?

    If you are:

    Pregnant:

    Only When Necessary: RISK OF PERSISTENT PULM HTN AFTER 20 WKS; NEONATE BEHAVIOR SYNDR 3RD TRIMESTER

    Nursing:

    Precaution: A FEW CASES OF SOMNOLENCE, DECREASED FEEDING, WEIGHT LOSS REPORTED IN INFANTS

    An adult over 60:

    management or monitoring precaution: Hepatic-Maximum recommended dose of 20mg/day for elderly >60 years or hepatic impairment. Cardiovascular-Dose dependant QT prolongation is established; elderly are at increased risk with decreased drug clearance. Correct hypokalemia, hypomagnesemia before initiating treatment. Not recommended after recent acute MI or during uncompensated heart failure. Endocrine-Increased risk for hyponatremia due to SIADH. Neuro/Psych-Increased risk of falls in the elderly with higher doses.

    Giving citalopram HBR to a child under 12:

    Severe Precaution: Possible increased suicidal ideation and attempt with underlying major depression. Monitor weight and growth rate.

    Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

    CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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