According to the prescribing information for citalopram, people taking citalopram should let their doctor or health care provider know right away if they are experiencing irritability; anxiety; agitation; panic attacks; insomnia trouble sleeping ; hostility; aggressiveness; impulsivity; restlessness; hypomania or mania abnormally increased energy and mood ; other unusual changes in behavior; worsening of depression; and thoughts about suicide, which may be detailed and include a plan.
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since cyp3a4 and 2c19 are the primary enzymes involved in the metabolism of citalopram, it is expected that potent inhibitors of 3a4 e.
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see the end of this medication guide for a complete list of ingredients in citalopram.
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