Cita 40mg Tablet is a type of antidepressant belonging to the selective serotonin reuptake inhibitor (SSRI) group of medicines. It is prescribed to treat depression, where it helps to make you feel better and prevent new episodes of depression. This medicine is also used to treat panic disorder.

Cita 40mg Tablet can be taken with or without food. The dose and how often you need it will be decided by your doctor so that you get the right amount to control your symptoms. Your doctor may start you on a lower dose and increase it gradually. Do not change the dose or stop taking it without talking to your doctor, even if you feel well. Doing so may make your condition worse or you may suffer from unpleasant withdrawal symptoms (anxiety, restlessness, palpitations, dizziness, sleep disturbances, etc).

To get the most benefit, take this medicine regularly at the same time each day. Your doctor may advise you to take it in the morning if you have trouble sleeping. It may take a few weeks before you start feeling better. Let your doctor know if you do not see any improvement even after 4 weeks.

Some common side effects of this medicine include nausea, vomiting, fatigue, dry mouth, increased sweating, insomnia (difficulty in sleeping), decreased sexual drive, delayed ejaculation, and erectile dysfunction. Some people may experience sleepiness after taking this medicine. Let your doctor know straight away if you develop any sudden worsening of mood or any thoughts about harming yourself.

Before taking Cita 40mg Tablet, you should tell your doctor if you have epilepsy (seizure disorder or fits), diabetes, liver or kidney disease, any heart problems, or are currently taking medicines for depression known as MAO inhibitors. These may affect your treatment. Please tell your doctor about all the medicines you are taking to make sure you are safe.

Uses of Cita Tablet

Depression
Panic disorder

Benefits of Cita Tablet

In Depression

Cita 40mg Tablet works by increasing the level of a chemical called serotonin in the brain. This improves your mood, relieves anxiety, tension, and helps you sleep better. It has fewer side effects than older antidepressants. It usually takes 4-6 weeks for this medicine to work so you need to keep taking it even if you feel it is not working. Do not stop taking it, even if you feel better unless your doctor advises you to.

In Panic disorder

Cita 40mg Tablet can help relieve symptoms of many panic disorders including panic attacks. It can help you feel calmer and improve your ability to deal with problems. Do not stop taking it, even when you feel better, unless your doctor advises you to.

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Side effects of Cita Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Cita

Nausea
Vomiting
Dizziness
Fatigue
Increased sweating
Insomnia (difficulty in sleeping)
Low sexual desire
Erectile dysfunction
Delayed ejaculation

How to use Cita Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Cita 40mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Cita Tablet works

Cita 40mg Tablet is one of a group of antidepressants called selective serotonin reuptake inhibitors, or SSRIs. It is thought to be work by enhancing the level of mood-enhancing neurotransmitters called serotonin in the brain. This may help you to improve your energy level and feelings of well-being.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Cita 40mg Tablet.

Pregnancy

CONSULT YOUR DOCTOR

Cita 40mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Cita 40mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Babies should be monitored for behavioral side effects such as sleepiness or fussiness.

Driving

UNSAFE

Cita 40mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CAUTION

Cita 40mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Cita 40mg Tablet may be needed. Please consult your doctor.
Limited information is available on the use of Cita 40mg Tablet in these patients. No dose adjustment is recommended in patients with mild to moderate kidney disease.

Liver

CAUTION

Cita 40mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Cita 40mg Tablet may be needed. Please consult your doctor.

What if you forget to take Cita Tablet?

If you miss a dose of Cita 40mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Cita 40mg Tablet

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Quick tips

It can take up to 8 to 12 weeks to see the medicine full effects on your mood.
Take it with food to avoid stomach upset.
It causes less drowsiness as compared to other antidepressant medications.
Don't drive or do anything requiring concentration until you know how Cita 40mg Tablet affects you.
Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
Inform your doctor if you experience decreased sex drive or difficulty having an orgasm.
Do not stop taking the medication suddenly without talking to your doctor.

Fact Box

Chemical Class

Phenylbutylamine Derivative

Habit Forming

Therapeutic Class

NEURO CNS

Action Class

Selective Seretonin Reuptake inhibitors (SSRIs)

Interaction with drugs

Taking Cita with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Linezolid

Brand(s): Lizolan, Lidoford, Zenlid

LIFE-THREATENING

Moclobemide

Brand(s): Trima, Rimarex, Morex

LIFE-THREATENING

Rasagiline

Brand(s): Rasalect, Relgin, Rasipar

LIFE-THREATENING

Reboxetine

Brand(s): Rebotin

LIFE-THREATENING

View all interactions

Patient concerns

I am suffering from anxiety disorder and panic disorder since 2009 I was prescribed with clonazepam 1mg-3times a day and cita s 20mg-while a day From 2 weeks I'm getting suicidal thoughts If I stop any one tablet a day I'm getting sick from next day Please suggest me what I have to do. ??

Dr. Jyoti Kapoor Madan

Psychiatry

Maximum therapeutic dose of Clonazepam is 2mg/day for not more than 4-6weeks. Medicines are optimised till the response come and anxiolytics are generally tapered of. You are expected to maintain regular follow up with your psychiatrist. Current symptoms are suggestive of mood disorder and you need to see your psychiatrist asap so that proper medicines can be prescribed.

Suffering from panic disorder from last 10 years Taking 1 tab daily

Dr. Jyoti Kapoor Madan

Psychiatry

Based in your clinical history, your doctor plans the type of medicine and it's dose and duration. For first episode of anxiety/ depression/ panic, the usual maintenance phase is 6 months of asymptomatic period, after which medicines can be gradually tapered. But treatment may need to continue longer depending on severity and frequency of episodes. To take any decision to change medication or stop them, several factors have to be taken in account for which regular follow up with your psychiatrist is important. For second opinion, seek a proper consultation with another psychiatrist and take along your previous prescriptions.

taking medicine citas plus,suffered depression since 1 years,not control yet,kindly advice .

Dr. Jyoti Kapoor Madan

Psychiatry

Escitalopram is a good antidepressant but the dose range is If there is no response with maximum dose for 6 weeks, medicine are changed. It is necessary to follow with a psychiatrist as a general physician may not be experienced enough in treating depression. The combination drugs like cita plus also have clonazepam which shouldn't be taken regularly for too long. I recommend you see a psychiatrist in your vicinity and go for regular follow ups.

I had sleep disorder due to panic disorder. Every day feeling discomfort of gastric die to not getting sound sleep

Dr. Jyoti Kapoor Madan

Psychiatry

Sleep problems are often caused by underlying physical and/ or psychological cause. This requires examination of the patient so that proper treatment can be initiated. Often stress/ anxiety/ depression or mood disorder needs to be dealt with and sleeping pills are not adequate treatment. Please go through the link below for further understanding- Sleep Disorders ? Demythifying http://drjyotikapoor.com/2015/01/26/sleep-disorders/

PANIC ATTACK ANXIETY DISORDER T

Dr. Jyoti Kapoor Madan

Psychiatry

Anxiety is the result of a hyperarousal state of nervous system due to a low threshold for threat perception. In simpler words, it's an ongoing flight or fight response. It can elicit a neuro-hormonal response understood as Flight or Fright reaction kicking in physiological cascade of symptoms ranging from palpitations, tachycardia, breathlessness, increased bowel movement, increase frequency of urination, dizziness, muscle tension or pain, trembling, dizziness, blurring of vision to restlessness, confusion and fainting spells. Chronic stress causes prolonged anxiety response with the consequences of slowed me ration, lack of concentration, headaches, fluctuations in blood pressure and increased wear and tear of body tissues. Identifying your stressors, learning to deal with them, de stressing regularly by doing something that makes one feel good, yoga and meditation are some non pharmacological strategies to deal with it. If the condition is persisting for a long time, it's better to see a psychiatrist.

Mental Depression , Anxiety disorder

Dr. Jyoti Kapoor Madan

Psychiatry

Depression is a persistent state of sadness that is the result of interaction between one's inner biological and psychological state and gets triggered of with environmental stressors. Reactive depression is in response to a situation like loss, sickness, trauma etc. Endogenous depression occurs without any noticeable environmental stressors. Psychological symptoms include lack of interest, negative thinking, irritability, frustration, feeling demotivated etc. Somatic symptoms like fatigue/ weakness/ lack of sleep/ lack of appetite and other physical symptoms are common. Anxiety is common. In severe cases one may feel helpless and hopeless enough to wish for death or attempt suicide. Treatment includes physical and psychiatric work up following which medicines can be prescribed. In milder cases, psychotherapy or counselling is recommended.

FAQs

Q. What is Cita 40mg Tablet used for? How does it work?

Cita 40mg Tablet belongs to a class of medicines known as selective serotonin reuptake inhibitors (SSRIs). Cita 40mg Tablet is used to treat depression and panic disorder. It helps to improve your energy levels and elevates your mood. This medication works by restoring the balance of a chemical substance (serotonin) in the brain which helps to relieve depression and symptoms of panic disorder such as excessive fear, sweating, rapid heart rate, trembling or shaking, shortness of breath, chills etc.

Q. Does Cita 40mg Tablet make you gain weight?

Weight changes may be seen while using Cita 40mg Tablet, so monitor your weight closely. Cita 40mg Tablet belongs to a class of medicines known as selective serotonin reuptake inhibitors (SSRIs). Although SSRIs are associated with weight loss at first, long-term use of SSRIs may cause an increase in the weight. Long-term use is considered when the treatment lasts longer than six months. If these weight changes bother you, please consult your doctor.

Q. Can you drink alcohol while taking Cita 40mg Tablet?

No, it is advised not to take alcohol while taking Cita 40mg Tablet. Cita 40mg Tablet can cause sleepiness or may affect your ability to make decisions, think clearly, or react quickly. And taking alcohol with this medicine will only worsen these side effects. Therefore, you must avoid alcohol if you are on Cita 40mg Tablet.

Q. Can Cita 40mg Tablet cause abnormal heartbeat or arrhythmia?

Yes, Cita 40mg Tablet has been found to cause prolongation of the QT interval (a type of ECG abnormality) that can lead to arrhythmia (abnormal heartbeat or heart rhythm), which can be dangerous. However, this is very rare according to scientific research reports. Moreover, abnormalities in electrolyte levels (such as potassium and magnesium) may also increase the risk of abnormalities in the heartbeat of people suffering from heart problems. Such people must have an ECG review, before as well as during treatment with Cita 40mg Tablet. However, the final decision will be only made by your doctor, after analyzing your health condition and considering all possible risks and benefits of this medicine.

Q. What are the side effects of Cita 40mg Tablet?

The most common side effects of Cita 40mg Tablet are low sexual desire, vomiting, insomnia (difficulty in sleeping), orthostatic hypotension (sudden lowering of blood pressure on standing), anorgasmia (decreased orgasm), nausea, weight gain, erectile dysfunction, stomach upset, and restlessness. Please consult your doctor if these do not resolve or worry you. Your doctor will suggest ways to prevent or treat these side effects.

Q. Is it better to take Cita 40mg Tablet in the morning or at night?

It is usually recommended to take Cita 40mg Tablet once a day in the morning since it can keep you awake if taken late at night. You can take it with or without food. You should prefer taking it at the same time each day so that you remember to take it.

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Disclaimer:

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Stahl SM, editor. Citalopram. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 123-28.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 281-85.
Citalopram hydrobromide. St Albans, UK: Lundbeck Limited; 1995 [revised Dec. 2016]. [Accessed 23 Jan. 2019] (online) Available from:
Citalopram. St. Louis: Forest Pharmaceuticals; [revised 2013]. [Accessed 22 Mar. 2019] (online) Available from:
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 20 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 20 Mar. 2019] (online) Available from:

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