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Citalopram 60 mg/ml Sublingual Drops

Citalopram 60 mg/ml Sublingual Drops is a liquid formulation dispensed in a dropper bottle, designed for precise and controlled administration. The medication is administered by dropping the desired number of drops into the mouth, making it an ideal choice for patients requiring smaller doses or those who may have difficulty swallowing tablets or capsules.

This formulation of Citalopram is primarily used to treat various disease states including depression, panic disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), social anxiety disorder, and premenstrual dysphoric disorder (PMDD). The sublingual method of administration allows for quick absorption and onset of action, providing rapid relief from these conditions.

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Citalopram Hydrobromide
Oral Drops
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Formula Information

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Citalopram 60 mg/ml Sublingual Drops is a specially formulated liquid medication designed for sublingual administration, meaning it is to be placed under the tongue for absorption. This formulation is dispensed in a dropper bottle, allowing for precise and controlled administration. The dropper bottle is particularly useful for medications requiring smaller doses or for pediatric patients who may have difficulty swallowing tablets or capsules.

Citalopram is a selective serotonin reuptake inhibitor (SSRI) that works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. It is primarily used to treat depression, but can also be used to treat other mental health conditions such as panic disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and social anxiety disorder. The sublingual administration route allows for the medication to be rapidly absorbed into the bloodstream, providing quicker relief from symptoms compared to oral tablets or capsules.

Patients should be aware that while Citalopram can help improve mood, sleep, appetite, and energy level, it may not work immediately. It is important to continue taking this medication even if you feel well, and not to stop taking it without first consulting your doctor. Side effects can include nausea, dry mouth, loss of appetite, tiredness, or excessive sweating. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Prescribers should note that the dosage is based on the patient's medical condition, response to treatment, age, and other medications they may be taking. Be sure to tell your doctor and pharmacist about all the products you use, including prescription drugs, nonprescription drugs, and herbal products. Regular monitoring of patient's progress and side effects is necessary to adjust the dosage accordingly.

If you have any questions about Citalopram 60 mg/ml Sublingual Drops, or any other aspect of compounding pharmacy, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Drug Interactions

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Citalopram is a selective serotonin reuptake inhibitor (SSRI) that is commonly used to treat depression and anxiety disorders. It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. However, it can interact with a number of other medications, potentially leading to serious side effects.

One of the most significant interactions is with other medications that increase serotonin levels, such as other SSRIs, SNRIs, triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, amphetamines, and St. John's Wort. Combining these medications can lead to a potentially life-threatening condition called serotonin syndrome, which can cause symptoms such as agitation, hallucinations, rapid heartbeat, fever, muscle stiffness or twitching, loss of coordination, nausea, vomiting, or diarrhea.

Citalopram can also interact with medications that affect the heart's rhythm, such as certain antipsychotics, certain antibiotics, and certain antiarrhythmics. This can lead to a serious condition called QT prolongation, which can cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away.

Other medications that can interact with citalopram include nonsteroidal anti-inflammatory drugs (NSAIDs), aspirin, warfarin, and other drugs that can cause bleeding/bruising. These medications can increase the risk of bleeding when combined with citalopram. Also, cimetidine and omeprazole can increase the level of citalopram in your body, potentially increasing side effects.

It's important to tell your doctor or pharmacist about all the products you use, including prescription drugs, nonprescription drugs, and herbal products, before starting treatment with citalopram. Also, check with your healthcare provider before starting or stopping any medication. This is not a complete list of possible drug interactions, so it's important to be aware that other interactions may exist.

Patients should also be aware that citalopram can cause drowsiness and impair your thinking or reactions. Avoid driving or operating machinery until you know how this medicine will affect you. Avoid drinking alcohol, which can increase some of the side effects of citalopram.

If you have any questions about these potential interactions or about the use of citalopram in general, please don't hesitate to reach out to us at Bayview Pharmacy. We're here to help ensure that your treatment is as safe and effective as possible.

How Does it Work

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Citalopram is a selective serotonin reuptake inhibitor (SSRI) that works by increasing the levels of serotonin, a natural substance in the brain that helps maintain mental balance. This medication is used to treat depression and other mental health disorders such as panic disorder and obsessive-compulsive disorder (OCD). It can help improve your energy level and feelings of well-being and decrease nervousness.

In this formulation, Citalopram is prepared as a 60 mg/ml sublingual drop solution. Sublingual administration involves placing the drops under the tongue where they are rapidly absorbed into the bloodstream through the mucous membranes. This method bypasses the digestive system, allowing for quicker absorption and avoiding the first-pass metabolism in the liver which can reduce the effectiveness of the medication. This makes sublingual drops an effective method for delivering medications that need to act quickly or that may be less effective if swallowed and digested.

The dropper bottle design allows for precise and controlled administration of the medication. This is particularly useful for medications requiring smaller doses or for pediatric patients who may have difficulty swallowing tablets or capsules. The patient or caregiver can easily control the number of drops administered, ensuring the correct dose is received each time. It's important to follow the prescriber's instructions carefully when using this medication.

As with any medication, there may be side effects. Common side effects of Citalopram include nausea, dry mouth, loss of appetite, tiredness, drowsiness, sweating, or yawning may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. It's important to remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects.

If you have any questions about this formulation or how to administer it, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help ensure you understand your medication and how to use it effectively.

Other Uses

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Citalopram sublingual drops, with their strength of 60 mg/ml, are primarily known to manage and treat serious depressive conditions. However, these drops have potential uses beyond this primary application. They can be used as an off-label treatment for a variety of anxiety disorders, including Generalized Anxiety Disorder (GAD), Panic Disorder, and Social Phobia. Due to their sublingual administration, these drops can provide faster relief than oral tablets, which can be beneficial in acute anxiety attacks.

Furthermore, citalopram sublingual drops might be employed for Obsessive Compulsive Disorder (OCD) management. This medication can help in decreasing the unwanted thoughts and panic that often accompany OCD. In addition to this, the controlled dose delivery afforded by the dropper mechanism allows the prescriber flexibility to titrate the dose, based on the patient's response.

Citalopram sublingual drops may also be considered in the treatment of eating disorders, such as bulimia nervosa and anorexia nervosa, as part of a comprehensive treatment plan. The medication may be used to help manage the cognitive distortions and obsessive thoughts associated with these disorders.

Another off-label use for this formulation is when it's used to address symptoms of post-traumatic stress disorder (PTSD), especially for patients who have difficulty swallowing medication in other forms, as the drops can bypass the gastrointestinal system to a certain extent and part of the medication can be absorbed directly into the bloodstream, providing quicker relief from symptoms.

It's important to note that the off-label uses mentioned have been based on clinical studies and professional experiences, but have not been formally approved for these conditions by regulatory authorities. Before starting a patient on citalopram for any of these off-label uses, healthcare providers must weigh the potential benefits and risks, and the decision should always be made in consultation with the patient. For a more detailed discussion about these possible other uses or if there are any questions or concerns, please do not hesitate to contact us at Bayview Pharmacy.

Frequently Asked Questions

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What is the purpose of using Citalopram 60 mg/ml in sublingual drop form?

Sublingual drop formulation of Citalopram enables precise and controlled administration of dosage. It is especially suitable for medications requiring smaller doses and for pediatric patients who may have difficulty swallowing tablets or capsules.

How should I use these sublingual drops?

The drops should be directly administered into the mouth using the dropper bottle. The number of drops required will be determined by your healthcare provider.

Can I dilute the Citalopram sublingual drops in water or juice?

Citalopram is designed to be taken sublingually, meaning it should be applied directly into the mouth. If you're having issues with the taste or application, discuss with your healthcare provider before diluting in any liquids.

Will Citalopram 60 mg/ml Sublingual drops cause any side effects?

As with any medication, some side effects may occur. These can include dry mouth, increased sweating, or changes in sex drive. Always consult your healthcare provider if you experience any adverse effects.

Is Citalopram 60 mg/ml Sublingual drops suitable for children?

Yes, the Citalopram sublingual formulation is often used for pediatric patients who may have difficulty swallowing tablets or capsules. However, it should only be used under the guidance and prescription of a healthcare provider.

Can Citalopram Sublingual drops be used with other medications?

Let your healthcare provider know of all the medications you are currently taking as certain drugs can interact with Citalopram. They will confirm if it is safe to take Citalopram with your other prescribed drugs.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. However, if it's close to the time for your next dose, skip the missed dose and continue with your usual dosing schedule. Do not double up doses to make up the missed one.

How do I store Citalopram Sublingual drops?

Citalopram Sublingual drops should be stored at room temperature, away from light and moisture. The dropper bottle should be tightly closed when not in use. Always keep this medication out of the reach of children.

Can I stop using Citalopram Sublingual drops abruptly?

It's not advised to stop taking Citalopram abruptly without consulting your healthcare provider. Doing so may cause unpleasant withdrawal symptoms. Always follow your healthcare provider's instructions on how to safely stop using this medication.

Can I drink alcohol while taking Citalopram Sublingual drops?

Alcohol can increase some of the side effects of Citalopram and should be avoided while taking this medication. Consult your healthcare provider for more information on potential interactions.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.