FDA approved

Generic for Celexa®Citalopram

Starting at $49/mo

Getting psychiatric care for anxiety and depression has never been more convenient. Consult with a healthcare provider through our platform to determine whether a medication like citalopram could be right for you.

Details

  • Prescribed by a healthcare provider experienced in treating anxiety & depression, if appropriate
  • Unlimited provider messaging
  • Free dosage adjustments

What is citalopram?

Citalopram is a prescription drug and was among the first few SSRI (selective serotonin reuptake inhibitor) antidepressant drugs on the market. The FDA first approved citalopram in 1998. It is sold under the brand name Celexa® and primarily prescribed to treat major depressive disorder.

Citalopram uses

Citalopram is FDA-approved to treat depression. In clinical trials, citalopram was shown to be effective both as an acute treatment and over longer periods of time.

How citalopram works

As an antidepressant medication, citalopram increases levels of a mood-enhancing chemical called serotonin in the brain. Like other SSRIs, citalopram lowers the level of serotonin that neurons reabsorb, which results in more free serotonin in the brain. For some, this can ease their symptoms with results like improved mood or reduced panic attacks.

* Only available if prescribed after an online consultation with a healthcare provider.

* Controlled substances such as Xanax and Adderall are not available through our platform.

* This page has been medically reviewed by Sylvia Valadez, MSN, APRN, FNP-BC.

Important Safety Information

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Generic for Celexa®

How to get citalopram online with Hers

1. Simple consultation

Complete an online mental health assessment and intake form, then connect with a healthcare provider through our platform.

2. Free delivery

Get citalopram shipped to you for free, if prescribed.

3. Ongoing support

Enjoy secure, ongoing support 100% online—including refills and unlimited dosage adjustments.


What’s an SSRI?

Selective serotonin reuptake inhibitors (SSRIs) are a type of antidepressant that work by increasing levels of a mood-affecting chemical called serotonin in the brain which helps to improve your symptoms. Nice, right?

The science of citalopram

Your brain naturally produces chemicals that make you feel good, like serotonin. Citalopram keeps neurons from reabsorbing this chemical so that you have more of it available in your brain. For some, this can ease their symptoms with results like improved mood or reduced panic attacks.

Citalopram

Keep in mind

Serious side effects of citalopram

While citalopram is generally well tolerated, it can cause serious side effects. Rarely reported side effects can include increased bleeding (gums), teeth grinding, seizure and angle-closure glaucoma. Other adverse effects of citalopram may include heart rhythm changes (such as QT prolongation), sudden changes in blood pressure or heart rate, suicidal thoughts, extreme drowsiness, allergic reaction, and more. Share any serious or worsening side effects with your healthcare provider.

Citalopram

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Felt better

Over 75% of Hers customers who checked in with their provider reported improvements in their mental health symptoms.*

* Results vary. Data were self-reported between 11/26/2021 and 08/01/2022 by Hers customers who 1) signed up between 11/04/2021 and 05/04/2022; 2) were prescribed antidepressant medication by a provider after their first consultation on the Hers platform; and 3) had an active subscription for such psychiatric medication through the Hers platform within 90 days after signing up.

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Before they're accepted to the pool of professionals we work with, all healthcare providers undergo a rigorous vetting process. They have years of experience and they’re ready to help with whatever you’re going through.

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Frequently asked questions about citalopram

How quickly does citalopram work?

Citalopram was shown to be effective as a treatment for depression in clinical trials lasting 4-6 weeks. Consult with your healthcare provider if you do not think your condition is getting better. Do not stop taking your medication without talking to your health care provider.

What are common side effects of citalopram?

Common side effects of citalopram include fatigue or trouble sleeping, dry mouth, nervousness, nausea, constipation, diarrhea, increased sweating, and more. See Important Safety Information for more and talk to your provider about side effects or related concerns.

What are some risk factors for taking citalopram?

Seek medical advice before taking citalopram if you have history of heart problems or heart failure, bipolar disorder, long QT syndrome, an electrolyte imbalance (such as low potassium, magnesium, or sodium levels), are allergic to citalopram or escitalopram or using other medications.

Does citalopram have known drug interactions?

Yes, like most medications, other drugs can interact with citalopram. Tell your provider if you take any medications or supplements related to serotonin levels (eg, sertraline, fluoxetine, lithium, St. John‘s Wort, etc), migraine medications (eg, triptans), pain medications (eg, NSAIDS like ibuprofen, etc), antibiotic linezolid, amphetamines, anticoagulants or blood thinners (eg, warfarin), antiarrhythmics (eg, pimozide), antipsychotics, antibiotics, or methadone.

How long do citalopram withdrawal symptoms last?

Citalopram has a half life of 36 hours, which means that after about a day and a half, the concentration of the drug in the body will be reduced by half. Withdrawal symptoms typically start about 1-5 days after your last dose and last for about 7 days to two months. It is important to consult with a provider before stopping citalopram since withdrawal symptoms can be serious.

Can I buy citalopram online?

If appropriate, a licensed psychiatry professional on the hers platform can prescribe citalopram online for you.

Learn more about citalopram

Important safety information

Learn more about citalopram

Important safety information

Important Safety Information

Do not take Citalopram if you:
  • are allergic to Citalopram, or any of the ingredients in Citalopram
  • take any medicines called monoamine oxidase inhibitor (MAOI), or if you have stopped taking and MAOI in the last 14 days
  • are on methadone
  • are drinking alcohol
  • are using or abusing recreation drugs or prescription medications
Citalopram can cause serious side effects. Rarely reported side effects include:
  • increased bleeding (gums)
  • low sodium blood levels (symptoms may include headache, weakness and difficulty remembering or concentrating)
  • teeth grinding
  • seizure
  • angle closure glaucoma (symptoms of angle closure glaucoma may include eye pain, changes in vision, swelling or redness in or around eye)
  • at higher doses may cause abnormal electrical activity of the heart
  • serotonin syndrome (symptoms may include shivering, diarrhea, confusion, severe muscle tightness, fever, seizures, and death)
Before you take Citalopram, tell your healthcare provider if you: have thoughts of suicide or harming yourself have a history of psychiatric or medical problems, including bipolar disorder have taken any medication in the past for your condition, whether effective or not have suffered adverse or side effects from previous medication therapies are receiving any non-medication treatment, such as talk therapy drink alcohol or use/abuse recreational or prescription drugs are pregnant, plan to become pregnant, or are breastfeeding
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, herbal supplements, and recreational drugs.
Citalopram may affect the way other medicines work, and other medicines may affect the way Citalopram works, causing side effects. Especially tell your healthcare provider if you take any of the following:
  • any other serotonergic medications, migraine medications (triptans), pain medications, antibiotic linezolid, amphetamines
  • anticoagulant therapy
  • certain antiarrhythmics: quinidine (Quinidex Extentabs®, Quinaglute®, Quinalan®), procainamide (Procanbid®, Pronestyl®, Pronestyl-SR®), amiodarone (Cordarone®, Pacerone®), sotalol (Betapace®, Sorine®)
  • certain antipsychotics: chlorpromazine (Thorazine®), thioridazine (Mellaril®)
  • certain antibiotics: gatifloxacin (Tequin®), moxifloxacin (Avelox®)
  • methadone
During treatment with this medication, the side effects of this medication may go away as your body adjusts to the medication. The most common side effects of Citalopram: diarrhea, nausea, increased sweating, nervousness, fatigue or feeling sleepy, insomnia.
Citalopram is a prescription medicine used to treat depression. (Off-label can be used to treat: obsessive-compulsive disorder, panic disorder, social phobia (also known as social anxiety disorder), posttraumatic stress disorder, eating disorders, premenstrual dysphoric disorder, and alcohol dependence.)
If you miss a dose of citalopram, take it as soon as you remember, unless it is closer to the time of your next dose. Discuss this with your healthcare provider. Do not double your next dose or take more than what is prescribed.
Do not abruptly stop taking Citalopram even when you feel better. Abruptly stopping can cause withdrawal symptoms including: vomiting, irritability, dizziness, headaches, sensation of tingling skin, or nightmares.
Sleep, energy, or appetite may show some improvement within the first 1-2 weeks. Improvement in these physical symptoms can be an important early signal that the medication is working. Depressed mood and lack of interest in activities may need up to 6-8 weeks to fully improve.
Patients, their families, and caregivers should be alert to the emergence of anxiety, restlessness, irritability, aggressiveness and insomnia. If these symptoms emerge, they should be reported to the patient’s prescriber or healthcare professional. All patients being treated with antidepressants for any indication should watch for and notify their healthcare provider for worsening symptoms, suicidality and unusual changes in behavior, especially during the first few months of treatment.
If you no longer need your medication, the best way to dispose of most types of old, unused, unwanted, or expired medicines (both prescription and over the counter) is to drop off the medicine at a drug take back site, location, or program immediately. You can use the DEA DIVERSION CONTROL DIVISION LOOKUP to find your nearest drug disposal site.
If no drug take back sites, locations, or programs are available in your area, and there are no specific disposal instructions (such as flushing) in the medication guide or package insert, you can follow these simple steps to dispose of most medicines in your trash at home:
  • Mix medicines (liquid or pills; do not crush tablets or capsules) with an unappealing substance such as dirt, cat litter, or used coffee grounds;
  • Place the mixture in a container such as a sealed plastic bag;
  • Throw away the container in your trash at home; and
  • Delete all personal information on the prescription label of empty medicine bottles or medicine packaging, then trash or recycle the empty bottle or packaging.
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* Controlled substances, including amphetamines (such as Adderall) or benzodiazepines (such as Xanax and Valium) are not available through our platform.