Composition:
Each tablet contains:
Citalopram Hydrobromide ............ Equivalent to 20 mg citalopram

Properties:
Citalopram is a selective serotonin reuptake inhibitor (SSRI) which plays an essential role in treatment of depression and other psychological disorders.
Citalopram is readily absorbed from gastro-intestinal tract, and maximum plasma concentrations are reached 2 to 4 hours after oral administration, and its protein binding is low.
Citalopram is metabolized by demethylation, deamination and oxidation to inactive metabolites. It is excreted in the urine and feaces.

Indications:
► Mood Disorders: various degrees of depression, unipolar or dipolar mania, major or minor disorders
‎► Neurotic disorders :as anxiety, phobia, and obsessive compulsive disorders (OCD)
► Disturbed behavior & conduct disorders.
► Eating disorders :anorexia nervosa, bulimia nervosa.

Contra-indications:
► Hypersensitivity to the drug.
► Concomitant use in patients taken monoamine oxidase inhibitors ( MAOI's )
► Sever liver dysfunction.
► Uncontrolled cases of diabetes or epilepsy and history of suicidal attempts.

Drug interactions:
Caution should be taken when the drug is taken in combination with somatriptan, warfarin, carbamazepine, omeprazole, cimetedine, metoprolol beta blocker ,erythromycin and tricyclic antidepressants.

Precautions:
The drug should be used with patients with liver functions impairement, diabetes, epilespy and suicidal tendencies.

Use during pregnancy & lactation:
The drug is contraindicated during pregnancy and lactation.

Dosage and administration:
20 to 60 mg daily (the dose should be gradually increased from 20 mg according to the response of each dose)

Side effects:
► Gastro-intestinal disturbances as nausea, vomiting, dyspepsia and diarrhea.
► Anorexia and weight loss can be occurs.
► Neurological side effects as insomnia, fatigue or tremors.
► Sexual dysfunction may occurs.

Packing:
Box of 7 or 14 tablets.