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Celexa® Tablets for Depression
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Celexa is a prescription SSRI for adults with major depressive disorder. This page explains how it works, dosing basics, and how to access US delivery from Canada, including options for Celexa® without insurance.
What Celexa Is and How It Works
This medicine is the brand name for citalopram, a selective serotonin reuptake inhibitor. It helps increase serotonin levels in the brain by reducing reabsorption at nerve endings. That effect may support mood over time when used as prescribed. YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
It is taken once daily and is typically well tolerated. The treatment can be used alone or alongside therapy and other clinician-directed supports. Follow your prescriber’s guidance and the official label for safe use.
Who It’s For
It is indicated for the treatment of major depressive disorder in adults. Some people with coexisting Depression and Anxiety may be evaluated for this therapy based on clinical judgment. Citalopram tablets are not approved for pediatric use.
Do not use this medicine with an MAOI, within 14 days of stopping an MAOI, or if taking pimozide. Avoid it if you have known congenital long QT syndrome or an uncontrolled electrolyte abnormality. People with seizure disorders, bleeding risks, significant liver impairment, or bipolar disorder require careful assessment by a clinician.
Dosage and Usage
Most adults take it once daily, with or without food, at the same time each day. Swallow tablets with water. If stomach upset occurs, taking it with a light meal may help. Do not split or crush unless your prescriber or the tablet score specifically allows it.
Starting and target doses vary by patient factors, other medicines, and response. Older adults, those with hepatic impairment, and those using interacting drugs may need lower maximums. Never change your dose or stop suddenly without medical guidance. Review the current FDA or Health Canada label for full instructions.
Strengths and Forms
This therapy is available as film‑coated tablets in commonly published strengths of 10 mg, 20 mg, and 40 mg. Availability can vary by manufacturer and by lot. Some patients start low and may adjust under a prescriber’s care.
Many people use Citalopram 20 mg tablets as a maintenance option when appropriate. Your prescriber decides the dose that fits your situation.
Missed Dose and Timing
If you miss a dose, take it when you remember the same day. If it is close to the time for your next dose, skip the missed one. Do not double up. Try setting reminders to support a steady daily routine.
Storage and Travel Basics
Store tablets at room temperature in a dry place away from moisture. Keep the bottle tightly closed and out of reach of children and pets. Avoid storing in a bathroom cabinet where humidity fluctuates. Use a pill organizer only if it secures the tablets and you can keep it dry.
For travel, carry the original labeled container and a copy of your prescription. Keep medicine in your hand luggage during flights. If crossing borders, allow extra time for screening. Bring your prescriber’s contact information in case questions arise.
Benefits
This SSRI is taken once daily and can be used long term if clinically appropriate. It may help improve mood, reduce depressive symptoms, and support daily functioning when used as directed. The treatment is available as a widely used generic, which can improve access for many people.
Side Effects and Safety
- Nausea or upset stomach
- Dry mouth
- Drowsiness or fatigue
- Insomnia
- Increased sweating
- Tremor
- Diarrhea or constipation
- Sexual side effects
- Dizziness or headache
Serious effects can include serotonin syndrome, abnormal heart rhythm (QT prolongation), severe allergic reactions, low sodium, angle‑closure glaucoma, or increased bleeding risk. Seek urgent care for chest palpitations, fainting, severe agitation, high fever with muscle stiffness, eye pain with visual changes, or signs of severe allergy.
Call your healthcare professional immediately if mood worsens, or if you notice new or worsening thoughts of self‑harm, especially after starting or changing the dose.
Drug Interactions and Cautions
High‑level interactions include:
- MAOIs, linezolid, or IV methylene blue
- Other serotonergic drugs such as triptans, tramadol, St. John’s wort, or other SSRIs/SNRIs
- NSAIDs, aspirin, warfarin, and other anticoagulants (bleeding risk)
- Drugs that affect heart rhythm or electrolytes
- CYP2C19 inhibitors (for example, cimetidine) that can raise levels
Avoid alcohol if it worsens drowsiness or judgment. Review all prescriptions, OTC medicines, and supplements with your prescriber or pharmacist before starting this therapy. See the official label for the complete interaction list.
What to Expect Over Time
Some people feel early side effects that often ease with continued use. Mood changes tend to build gradually with consistent daily dosing. Your clinician may monitor your progress and adjust the plan if needed. Keep taking the medicine as prescribed and attend follow‑ups to review benefits, tolerability, and ongoing needs.
Compare With Alternatives
Several antidepressants are considered when choosing a therapy. Bupropion (NDRI) may be suitable for certain patients, especially when minimizing sexual side effects is a priority. SNRIs can be considered for people with pain features or who have not responded to an SSRI.
Two options we also carry include Wellbutrin® XL and Effexor® XR. Discuss these choices with your prescriber to see which class aligns with your history and goals. For broader background on options, see our overview, Guide To Antidepressants.
Pricing and Access
We offer Canadian pricing with clear checkout and support. If you are comparing Celexa cost, review total landed fees at checkout before you place your order. In many cases, the Citalopram price is lower than comparable brand‑name options. Delivery Ships from Canada to US with tracking.
Want current coupon updates? See Promotions for any available offers. For mental health support topics, visit our category pages for Mental Health resources.
Availability and Substitutions
Supply can vary by strength and manufacturer. If the brand is not in stock, your prescriber may recommend a generic equivalent. You can Buy citalopram online here with a valid prescription when available. Your pharmacist will dispense the exact product indicated on your prescription unless your prescriber authorizes a substitution.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults diagnosed with major depressive disorder who can follow regular monitoring. It may not suit those with a significant arrhythmia history, uncontrolled seizures, active mania, or recent MAOI use. Share your full medication list and medical history with your clinician before starting.
To save, consider 60‑ or 90‑day fills if appropriate, which can reduce per‑fill fees. Compare brand and generic options before checkout. Set refill reminders so you do not run out. If you Pay out of pocket, plan purchases around routine visits so you can consolidate refills. For anxiety education that may support your plan, see our article on Generalized Anxiety Disorder and review SSRI safety notes in Fluoxetine Side Effects.
Questions to Ask Your Clinician
- Is this SSRI appropriate based on my health history?
- Which dose should I start with, and how will we monitor?
- What side effects should I watch for in the first weeks?
- Could my other medicines increase bleeding or serotonin risk?
- When should we reassess and consider alternatives?
- What is the plan if I miss several doses?
Authoritative Sources
Health Canada Product Monograph
Start your order at YouDrugstore for licensed pharmacy dispensing, with prompt US shipping from Canada and temperature-controlled handling when required. This information is educational and not a substitute for medical advice. Always follow your prescriber’s guidance and the official label.
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How long does citalopram take to work?
Many people notice gradual changes over several weeks with steady daily use, while some feel earlier effects such as improved sleep or appetite. Individual response varies based on dose, duration, other medicines, and health status. Keep taking it as prescribed and attend follow‑ups so your clinician can evaluate benefits and tolerability. Do not change the dose on your own.
Can I drink alcohol while taking this SSRI?
Alcohol can worsen drowsiness, dizziness, and judgment while on an SSRI, and it may aggravate mood symptoms. If you choose to drink, discuss safe limits with your clinician. Avoid alcohol if it interferes with sleep or increases side effects. Never mix with other sedating medicines without medical guidance.
What if I experience sexual side effects?
Sexual side effects such as decreased desire or delayed orgasm can occur with SSRIs. Some people see improvement over time with continued use. If these effects persist or bother you, talk with your prescriber. Options may include dose adjustments, timing changes, or considering another class such as bupropion or an SNRI if appropriate.
Is generic citalopram equivalent to the brand?
Approved generics must meet the same quality and bioequivalence standards as the brand within allowed ranges. Most people do well on the generic. If you notice a meaningful change after a manufacturer switch, speak with your pharmacist or clinician. They can review options, including staying with a consistent supplier when feasible.
Can I stop this medicine once I feel better?
Stopping suddenly can lead to withdrawal‑like symptoms such as dizziness, nausea, or sleep issues. Work with your clinician on a plan if discontinuation is appropriate. They may suggest a gradual taper to reduce the risk of symptoms. Never stop on your own, especially if you have been taking it for many months.
Does it interact with pain relievers or cold medicines?
Some OTC products, such as NSAIDs and certain cough or cold remedies, can increase bleeding or serotonin risks when combined with an SSRI. Check labels and ask your pharmacist before using new OTC products. Provide a complete list of all medicines and supplements to your healthcare professional.
What monitoring might be needed?
Your clinician may check symptom changes, side effects, and adherence during early visits. They may review heart rhythm risk factors, electrolytes, and interactions based on your history. Report new or worsening mood symptoms promptly. Follow the label and attend scheduled follow‑ups to tailor therapy safely.

