However, research has also shown that when depression is left untreated during pregnancy, there could be an increased chance for pregnancy complications. This makes it hard to know if it is the medication, untreated depression, or other factors that are increasing the chance for these problems. For studies that have suggested an increased chance, the overall chance for this finding was low likely less than 1 in Will it cause withdrawal symptoms in my baby after birth?
These symptoms are sometimes referred to as withdrawal. In most cases, these symptoms are mild and go away within weeks with no treatment or with only supportive care. One small study followed eleven babies exposed to citalopram during pregnancy.
At one year of age there was no difference in their development compared to children who were not exposed to citalopram. Most studies also find that SSRIs do not appear to increase the chance of autism spectrum disorder ASD after considering the effects of maternal depression or other factors. You have taken too much citalopram and have symptoms such as: being sick vomiting shaking feeling sleepy fast heart rate fits or seizures.
Common side effects Common side effects happen in more than 1 in people. Keep taking the medicine, but talk to your doctor or pharmacist if these side effects bother you or do not go away: dry mouth sweating a lot being unable to sleep feeling sleepy feeling tired or weak Serious side effects Serious side effects are rare and happen in less than 1 in 1, people. Information: You can report any suspected side effect using the Yellow Card safety scheme. Visit Yellow Card for further information.
What to do about: dry mouth — chew sugar-free gum or sugar-free sweets sweating a lot — try wearing loose clothing, use a strong anti-perspirant and keep cool using a fan if possible. If this does not help, you may need to try a different type of antidepressant.
Do not drive or use tools or machinery if you're feeling sleepy. If this does not help, talk to your doctor. Cut down the amount of alcohol you drink as it can make you feel worse. Citalopram and pregnancy It's important for you and your baby that you stay well during your pregnancy.
Citalopram and breastfeeding If your doctor or health visitor says your baby is healthy, citalopram can be used during breastfeeding. Non-urgent advice: Tell your doctor if you're:. Tell your doctor if you're taking these medicines before you start citalopram : any medicines that affect your heartbeat — citalopram can speed up or change your heartbeat any other medicines for depression — some rarely used antidepressants can interact with citalopram to cause very high blood pressure even when they have been stopped for a few weeks Mixing citalopram with herbal remedies and supplements Do not take St John's wort, the herbal remedy for depression, while you're being treated with citalopram as this will increase your risk of side effects.
Important: Medicine safety Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements.
How does citalopram work? When will I feel better? It usually takes between 4 and 6 weeks before you feel the full benefits.
Give the medicine at least 6 weeks to work. How will it make me feel? How long will I take it for? Is it safe to take it for a long time? For most people, citalopram is safe to take for a long time. How do I come off citalopram? These include: dizziness feeling sick numbness or tingling in the hands or feet trouble sleeping feeling agitated or anxious headaches shaking Important Do not stop taking citalopram suddenly or without talking to your doctor first.
Is citalopram better than other antidepressants? Citalopram is not any better or worse than other antidepressants. Talk to your doctor if you are not feeling any better after 6 weeks. Will I gain or lose weight? Later on, you may gain a little weight as your appetite returns. Can I drive or ride a bike? Will it affect my fertility? Will it affect my contraception?
Will it affect my sex life? Some of the possible negative effects include: men getting painful erections and problems getting an erection and ejaculating women having some vaginal bleeding and might not reach orgasm the same way as before a lower sex drive Sexual side effects usually pass after the first couple of weeks. Can I drink alcohol with it? Is there any food or drink I need to avoid? There are no food or drinks you need to avoid while taking citalopram. Are there other treatments that will help?
Other potential treatments include: talking therapy such as cognitive behavioural therapy exercise programmes help to get a good night's sleep Choosing a treatment that's most suitable for you depends on how long you have had depression, your symptoms, whether you have had any previous bouts of depression, whether previous treatment has worked, how likely you are to stick with your treatment, the potential side effects, and your preferences and priorities.
This means considering the number of medications a mother is on, as well as her psychiatric illness. If your illness is mild, your doctor might recommend getting off medication and replacing it with treatments such as psychotherapy, prenatal yoga or acupuncture to improve your mood. Ultimately, Osborne says women should weigh the risks of medication against the risk of untreated illness. Medication risks are typically not greater than those of untreated mental illness.
Health Home Wellness and Prevention. Antidepressants and Pregnancy Women who take antidepressants, such as selective serotonin reuptake inhibitors SSRIs , during pregnancy may worry about whether the medications can cause birth defects.
Paroxetine : Early studies on a small number of patients connected the SSRI paroxetine with cardiac defects in babies. The purpose of this study was to investigate whether citalopram is associated with an increased incidence of adverse pregnancy outcomes. Study design: Pregnant women who contacted the Motherisk Program, a Teratogen Information Center in Toronto, Ontario, with regard to the safety of citalopram in pregnancy were enrolled in the study.
The exposed women were matched to a disease-matched group of women and a nonteratogenic group.
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