CNS

Bioxal®

Brand Name:

Bioxal ®

Dosage:

20 mg & 40 mg

Generic Name:

Citalopram

Pharmacotherapeutic Group:

Selective Serotonin Reuptake Inhibitor

Therapeutic Indication:

Citalopram: Treatment of depression; treatment of obsessions and compulsions in patients with obsessive-compulsive disorder (OCD), as defined in the DSM-IV; treatment of panic disorder with or without agoraphobia, as defined in DSM-IV; posttraumatic stress disorder (PTSD).

Dosage and Administration:

  • Depression
    ADULTS: PO 50 to 200 mg once daily.
  • OCD
    ADULTS: PO 50 to 200 mg once daily.
    CHILDREN: PO Initiate dosage with 25 mg once daily (ages 6 to 12 yr) and 50 mg once daily in adolescents (ages 13 to 17 yr) in the morning or evening. Patients not responding to an initial dose of 25 or 50 mg/day may benefit from dose increases up to a max of 200 mg/day.
  • Panic Disorder and PTSD
    ADULTS: PO 25 mg once daily; after 1 wk increase the dose to 50 mg once daily. Patients not responding to 50 mg dose may benefit from dose increases up to a max of 200 mg/day; Dose changes should not occur at intervals < 1 wk.

Side Effects:

  • CV: Palpitations; hot flushes; hypotension (postural); hypertension; syncope; tachycardia; chest pain.
  • CNS: Agitation; anxiety; nervousness; headache; insomnia; dizziness; tremor; fatigue; tingling; diminished sensation; twitching; hypertonia; decreased concentration; confusion; somnolence; nervousness; depression; decreasedlibido; agitation; emotional lability; vertigo; hypoesthesia; apathy; hypo-/hyperkinesia; abnormal dreams. DERM: Sweating, rash; pruritus; acne.
  • EENT: Abnormal vision; ringing in the ears; rhinitis; pharyngitis; change in taste perception.
  • GI: Nausea; diarrhea; dry mouth; anorexia; vomiting; flatulence; constipation; abdominal pain; increased appetite; dyspepsia; gastroenteritis; tooth disorder/caries; dysphagia; melena.
  • GU: Sexual dysfunction; urinary frequency; urinary disorder; menstrual disorder; pain; abnormal ejaculation.
  • HEM: Lymphadenopathy; purpura.
  • METABOLIC: Dehydration; hypoglycemia.
  • RESP: Upper respiratory tract infection; pharyngitis; sinusitis; cough; dyspnea; bronchitis; rhinitis; yawn.
  • OTHER: Muscle pain; weight loss or gain; myalgia; arthralgia; asthenia; fever; allergy/allergic reaction; chills; back pain; malaise; edema.

 

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