Package	Price	Per Item	Savings	Order
	Paxil 30 pills x 40 mg	$166.58	$5.55	$0
	Paxil 60 pills x 40 mg	$287.49	$4.79	$46
	Paxil 90 pills x 40 mg	$372.06	$4.13	$128
	Paxil 30 pills x 30 mg	$128.14	$4.27	$0
	Paxil 60 pills x 30 mg	$221.15	$3.68	$36
	Paxil 90 pills x 30 mg	$286.2	$3.18	$98
	Paxil 30 pills x 20 mg	$89.69	$2.99	$0
	Paxil 60 pills x 20 mg	$154.8	$2.58	$25
	Paxil 90 pills x 20 mg	$200.34	$2.22	$69
	Paxil 30 pills x 10 mg	$59.8	$1.99	$0
	Paxil 60 pills x 10 mg	$96.5	$1.61	$23
	Paxil 90 pills x 10 mg	$118.25	$1.31	$61

Paxil
	Paxil (Paroxetine) is an anti-depressant drug.

Paxil

Generic name: Paroxetine

Paroxetine tablets or extended-release tablets

What are paroxetine tablets or extended-release tablets?

PAROXETINE (Paxil®, Paxil® CR., Pexeva.) is classified as an antidepressant. It helps to improve a person’s mood by treating depression. Paroxetine can also help people with anxiety problems like social anxiety, obsessive compulsive disorder, panic attacks, or post-traumatic stress. Paroxetine may also be prescribed for other purposes, like premenstrual dysphoric disorder (PMDD). Generic paroxetine tablets are available. Generic extended-release tablets are not yet available.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• heart disease
• kidney disease
• liver disease
• receiving electroconvulsive therapy
• seizures (convulsions)
• suicidal thoughts or a previous suicide attempt
• an unusual or allergic reaction to paroxetine, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take paroxetine tablets by mouth. Follow the directions on the prescription label. If you are taking Paxil® CR., you should not chew, crush, or cut these tablets. You may take paroxetine with or without food. Swallow the tablets with a drink of water. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your prescriber’s advice.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take double or extra doses.

What drug(s) may interact with paroxetine?

Paroxetine has the potential to interact with a variety of medications, check with your healthcare professional. The following list contains some of these interactions.

Do not take paroxetine with any of the following medications:

• astemizole (Hismanal®)
• cisapride (Propulsid®)
• pimozide (Orap®)
• terfenadine (Seldane®)
• thioridazine (Mellaril®)
• medicines called MAO inhibitors-phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), selegiline (Eldepryl®)

Paroxetine may also interact with the following medications:

• antacids (interacts with Paxil® CR. only)
• alcohol
• amphetamine
• certain diet drugs (dexfenfluramine, fenfluramine, phentermine, sibutramine)
• certain migraine headache medicines (almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan)
• cimetidine
• dextroamphetamine
• dextromethorphan
• digoxin
• doxercalciferol
• fosphenytoin
• furazolidone
• linezolid
• lithium
• medicines for psychotic disturbances
• other medicines for mental depression, mania, anxiety, or difficulty sleeping
• medicines for regulating heart rhythm or blood pressure
• phenobarbital
• phenytoin
• prescription pain medications
• primidone
• procarbazine
• selegiline
• St. John’s wort, Hypericum perforatum
• theophylline
• tramadol
• warfarin

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, and herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from taking paroxetine?

Side effects that you should report to your prescriber or health care professional as soon as possible:

• agitation, anxiety, or restlessness, especially in the first week of treatment or when doses are changed
• difficulty breathing
• dizziness or lightheadedness
• heart palpitations
• pain or difficulty passing urine
• painful or prolonged erection (men)
• passing urine more often than usual
• fast talking and excited feelings or actions that are out of control
• rash, itching (hives)
• tingling, pain or numbness in the hands or feet
• unusual tiredness or weakness
• vomiting

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• constipation or diarrhea
• difficulty sleeping
• drowsiness
• dry mouth
• headache
• increased or decreased appetite
• increased sweating
• muscle pain or weakness
• sexual difficulties (decreased sexual ability or desire)
• stomach gas, indigestion
• tremor (shaking)
• unusual taste
• weight gain or loss

What should I watch for while taking paroxetine?

Visit your prescriber or health care professional for regular checks on your progress. Continue to take your tablets even if you do not immediately feel better. It can take several weeks before you feel the full effect of paroxetine.

Patients and their families should watch out for worsening depression or thoughts of suicide. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of antidepressant treatment or after a change in dose, call your health care professional.

If you have been taking paroxetine regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose or your symptoms may get worse. Ask your prescriber or health care professional for advice.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how paroxetine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can increase or decrease the effects of paroxetine. Avoid alcoholic drinks.

If you are pregnant or planning a pregnancy and receive paroxetine, you should discuss other medication options with your health care provider. In some studies, paroxetine has been shown to increase the risk for heart problems in infants born to women who received paroxetine early in pregnancy.

Do not treat yourself for coughs, colds or allergies without asking your prescriber or health care professional for advice. Some ingredients can increase possible side effects.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water will help.

If you are going to have surgery, tell your prescriber or health care professional that you are taking paroxetine.

Where can I keep my medicine?

Keep out of the reach of children in a container that small children cannot open.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.

Paxil
		Paxil 30 pills x 40 mg	$166.58
		Paxil 60 pills x 40 mg	$287.49
		Paxil 90 pills x 40 mg	$372.06
		Paxil 30 pills x 30 mg	$128.14
		Paxil 60 pills x 30 mg	$221.15
		Paxil 90 pills x 30 mg	$286.2
		Paxil 30 pills x 20 mg	$89.69
		Paxil 60 pills x 20 mg	$154.8
		Paxil 90 pills x 20 mg	$200.34
		Paxil 30 pills x 10 mg	$59.8
		Paxil 60 pills x 10 mg	$96.5
		Paxil 90 pills x 10 mg	$118.25

	Package	Price	Per Item	Savings	Order
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	x	$0	$0	$0
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	x	$0	$0	$0

What is fluoxetine?

• Fluoxetine is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Fluoxetine affects chemicals in the brain that may become unbalanced and cause depression, panic, anxiety, or obsessive-compulsive symptoms.
• Fluoxetine is used to treat major depressive disorder, bulimia nervosa (an eating disorder) obsessive-compulsive disorder, panic disorder, and premenstrual dysphoric disorder (PMDD).
• Fluoxetine may also be used for purposes other than those listed in this medication guide.

What should I discuss with my doctor before taking fluoxetine?

• You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. Talk with your doctor about this risk.
• o not use fluoxetine if you are using any of the following drugs:
  • pimozide (Orap);
  • thioridazine (Mellaril); or
  • an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam).
• Serious and sometimes fatal reactions can occur when these medicines are taken with fluoxetine. You must wait at least 14 days after stopping an MAO inhibitor before you can take fluoxetine. You must wait 5 weeks after stopping fluoxetine before you can take thioridazine (Mellaril).
• Before taking fluoxetine, tell your doctor if you have:
  • cirrhosis of the liver;
  • kidney disease;
  • diabetes;
  • seizures or epilepsy;
  • bipolar disorder (manic depression); or
  • a history of drug abuse or suicidal thoughts.
• If you have any of these conditions, you may not be able to use fluoxetine, or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
• Fluoxetine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take fluoxetine?

• Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.
• Do not break, chew, or open an extended-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
• Try to take the medicine at the same time each day.
• It may take 4 weeks or more for you to start feeling better. Do not stop using fluoxetine without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
• To treat premenstrual dysphoric disorder, the usual dose of fluoxetine is once daily while you are having your period. You may also begin taking the medication 14 days before the anticipated start of your period. Follow your doctor’s directions carefully.
• Store fluoxetine at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.
• If you miss a dose of the drug weekly, take the missed dose as soon as you remember and take the next dose 7 days later. However, if it is almost time for the next regularly scheduled weekly dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

• Seek emergency medical attention if you think you have taken too much of this medication. Symptoms of a fluoxetine overdose may include nausea, vomiting, fever, sleepiness, rapid or uneven heartbeat, confusion, fainting, seizures, or coma.

What should I avoid while taking fluoxetine?

• Do not take fluoxetine together with thioridazine (Mellaril), isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).
• Avoid drinking alcohol, which can increase some of the side effects of fluoxetine.
• Avoid using other medicines that make you sleepy (such as cold medicine, other pain medication, muscle relaxants). They can add to sleepiness caused by fluoxetine.
• Fluoxetine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What are the possible side effects of fluoxetine?

• Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), thoughts of suicide or hurting yourself.
• Call your doctor at once if you have any of these serious side effects:
  • seizure (convulsions);
  • tremors, shivering, muscle stiffness or twitching;
  • a red, blistering, peeling skin rash;
  • unusual thoughts or behavior;
  • seizure (convulsions);
  • problems with balance or coordination; or
  • agitation, confusion, sweating, fast heartbeat.
• Other less serious side effects are more likely to occur, such as:
  • feeling anxious, nervous, restless, or unable to sit still;
  • drowsiness, dizziness, weakness;
  • sleep problems (insomnia);
  • runny nose, sore throat, headache, flu symptoms;
  • nausea, diarrhea, changes in appetite;
  • weight changes;
  • decreased sex drive, impotence, or difficulty having an orgasm; or
  • dry mouth, increased sweating.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What drug(s) may interact with fluoxetine?

Fluoxetine has the potential to interact with a variety of medications, check with your healthcare professional. The following list contains some of these interactions.

Do not take fluoxetine with any of the following medications:

• astemizole (Hismanal®)
• cisapride (Propulsid®)
• pimozide (Orap®)
• terfenadine (Seldane®)
• thioridazine (Mellaril®)
• medicines called MAO inhibitors-phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), selegiline (Eldepryl®)

Fluoxetine may also interact with the following medications:

• alcohol
• amphetamine
• aspirin
• benzodiazepines, commonly used for anxiety or sleeping problems, such as diazepam or alprazolam
• buspirone
• carbamazepine
• certain diet drugs (dexfenfluramine, fenfluramine, phentermine, sibutramine)
• certain medicines for migraine headache (almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan, dihydroergotamine, ergotamine, methysergide)
• cimetidine
• cyproheptadine
• dextroamphetamine
• dextromethorphan
• dofetilide
• ergonovine
• furazolidone
• linezolid
• lithium
• metoprolol
• medicines for diabetes
• medicines for mental depression
• medicines for mental problems or psychotic disturbances
• methylergonovine
• nonsteroidal antiinflammatory drugs (NSAIDs, like ibuprofen)
• phenytoin
• propafenone
• propranolol
• St. John’s wort
• warfarin

		x	$0

	Package	Price	Per Item	Savings	Order
	Pamelor 60 pills x 25 mg	$54.67	$0.91	$0
	Pamelor 90 pills x 25 mg	$69.16	$0.77	$13

Pamelor
	Pamelor (Nortriptyline) is used for treating depression.

Pamelor

Generic name: Nortriptyline

Nortriptyline capsules

What are nortriptyline capsules?

NORTRIPTYLINE (Pamelor®) is an antidepressant. Nortriptyline can help to lift your spirits by treating your depression.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• an alcohol problem
• asthma, difficulty breathing
• blood disorders or disease
• diabetes
• difficulty passing urine, prostate trouble
• glaucoma
• having intramuscular injections
• heart disease, or recent heart attack
• liver disease
• over active thyroid
• Parkinson’s disease
• schizophrenia
• seizures (convulsions)
• stomach disease
• an unusual or allergic reaction to nortriptyline, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take nortriptyline capsules by mouth. Follow the directions on the prescription label. Swallow the capsules with a drink of water. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your prescriber’s advice.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

Elderly patients over 65 years old and adolescents may have a stronger reaction to this medicine and need smaller doses.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What drug(s) may interact with nortriptyline?

Nortriptyline can interact with many other medicines. Some interactions can be very important. Make sure your prescriber or health care professional knows about all other medicines you are taking. Many important interactions are listed below:

Do not take nortriptyline with any of the following medications:

• astemizole (Hismanal®)
• cisapride (Propulsid®)
• probucol
• terfenadine (Seldane®)
• thioridazine (Mellaril®)
• medicines called MAO inhibitors-phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), selegiline (Eldepryl®)
• other medicines for mental depression (may be duplicate therapies or cause additive side effects)

Nortriptyline may also interact with any of the following medications:

• alcohol
• antacids
• atropine and related drugs like hyoscyamine, scopolamine, tolterodine and others
• barbiturate medicines for inducing sleep or treating seizures (convulsions), such as phenobarbital
• blood thinners, such as warfarin
• bromocriptine
• bupropion
• cimetidine
• clonidine
• cocaine
• delavirdine
• diphenoxylate
• disulfiram
• donepezil
• drugs for treating HIV infection
• female hormones, including contraceptive or birth control pills and estrogen
• galantamine
• herbs and dietary supplements like ephedra (Ma huang), kava kava, SAM-e, St. John’s wort, valerian, or others
• imatinib, STI-571
• kaolin; pectin
• labetalol
• levodopa and other medicines for movement problems like Parkinson’s disease
• lithium
• medicines for anxiety or sleeping problems
• medicines for colds, flu and breathing difficulties, like pseudoephedrine
• medicines for hay fever or allergies (antihistamines)
• medicines for weight loss or appetite control
• medicines used to regulate abnormal heartbeat or to treat other heart conditions (examples: amiodarone, bepridil, disopyramide, dofetilide, encainide, flecainide, ibutilide, mibefradil, procainamide, propafenone, quinidine, and others)
• metoclopramide
• muscle relaxants, like cyclobenzaprine
• other medicines for mental or mood problems and psychotic disturbances
• prescription pain medications like morphine, codeine, tramadol and others
• procarbazine
• seizure (convulsion) or epilepsy medicine such as carbamazepine or phenytoin
• stimulants like dexmethylphenidate or methylphenidate
• some antibiotics (examples: erythromycin, gatifloxacin, levofloxacin, linezolid, moxifloxacin, sotalol, sparfloxacin)
• tacrine
• thyroid hormones such as levothyroxine

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from taking nortriptyline?

Side effects that you should report to your prescriber or health care professional as soon as possible:

• abnormal production of milk in females
• blurred vision or eye pain
• breast enlargement in both males and females
• confusion, hallucinations (seeing or hearing things that are not really there)
• difficulty breathing
• fainting spells
• fever
• irregular or fast, pounding heartbeat, palpitations
• muscle stiffness, or spasms
• pain or difficulty passing urine, loss of bladder control
• seizures (convulsions)
• sexual difficulties (decreased sexual ability or desire)
• stomach pain
• swelling of the testicles
• tingling, pain, or numbness in the feet or hands
• tremor (shaking)
• unusual weakness or tiredness
• yellowing of the eyes or skin

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• anxiety
• constipation, or diarrhea
• drowsiness or dizziness
• dry mouth
• headache
• increased sensitivity of the skin to sun or ultraviolet light
• loss of appetite
• nausea, vomiting
• skin rash or itching
• weight gain or loss

What should I watch for while taking nortriptyline?

Visit your prescriber or health care professional for regular checks on your progress. It can take several days or weeks before you feel the full effect of nortriptyline. If you have been taking nortriptyline regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose or you may get severe side effects. Ask your prescriber or health care professional for advice. Even after you stop taking nortriptyline it can still affect your body for several days.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how nortriptyline affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can increase dizziness and drowsiness. Avoid alcoholic drinks.

Do not treat yourself for coughs, colds or allergies without asking your prescriber or health care professional for advice. Some ingredients can increase possible side effects.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water will help.

Nortripyline may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See your ophthalmologist if the problem does not go away or is severe.

Nortriptyline may make your skin more sensitive to the sun. Keep out of the sun, or wear protective clothing outdoors and use a sunscreen. Do not use sun lamps or sun tanning beds or booths.

Nortriptyline can affect blood glucose (sugar) levels. If you are a diabetic, check your blood sugar more often than usual, especially during the first few weeks of nortriptyline treatment. Call your prescriber or health care professional for advice if you notice a change in the results of blood or urine glucose tests.

If you are going to have surgery or will need an x-ray procedure that uses contrast agents, tell your prescriber or health care professional that you are taking this medicine.

Where can I keep my medicine?

Keep out of the reach of children in a container that small children cannot open.

Store at room temperature below 30 degrees C (86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.

Pamelor
		Pamelor 60 pills x 25 mg	$54.67
		Pamelor 90 pills x 25 mg	$69.16

	Package	Price	Per Item	Savings	Order
	Celexa 30 pills x 40 mg	$74.32	$2.48	$0
	Celexa 60 pills x 40 mg	$128.26	$2.14	$20
	Celexa 90 pills x 40 mg	$165.99	$1.84	$57
	Celexa 60 pills x 20 mg	$68.32	$1.14	$0
	Celexa 90 pills x 20 mg	$85.86	$0.96	$17
	Celexa 90 pills x 10 mg	$54.95	$0.61	$0

Celexa
	Celexa (Citalopram) is used for treating depression.

Drug Name

Celexa (Citalopram)

Drug Uses

Celexa treats depression. It may also be used for other conditions as determined by your doctor.

How to use

Use Celexa as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Celexa comes with an additional patient information sheet called a Medication Guide. Read it carefully and reread it each time you get Celexa refilled.
• Celexa may be taken with or without food.
• You may notice improvement in your depression in 1 to 4 weeks. Continue to take your medicine as directed even when depression improves.
• If it is necessary to stop Celexa , your doctor will need to reduce the dosage over a few days to a week.
• Do not miss any doses.

Warnings/Precautions

Do not use Celexa if:

• you are allergic to any ingredient in Celexa;
• you are taking or have taken a monoamine oxidase (MAO) inhibitor (eg, phenelzine) or St. John’s wort within the last 14 days;
• you are taking astemizole, pimozide, dexfenfluramine, fenfluramine, phenothiazines (eg, thioridazine), sibutramine, or terfenadine.

Contact your doctor or health care provider right away if any of these apply to you.

Some medical conditions may interact with Celexa . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you or a family member has a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• if you have a history of seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems
• if you are dehydrated, have low blood sodium levels, or drink alcohol
• if you will be having electroconvulsive therapy (ECT)

Some MEDICINES MAY INTERACT with Celexa . Tell your health care provider if you are taking any other medicines, especially any of the following:
Fenfluramine derivatives (eg, dexfenfluramine), linezolid, lithium, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT1 receptor agonists (eg, sumatriptan), sibutramine, St. John’s wort, or trazodone because severe side effects, such as a reaction that may include fever, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of bleeding, including stomach bleeding, may be increased
Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood sodium levels may be increased
Tramadol because the risk of seizures may be increased H1 antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart problems, including irregular heartbeat, may occur
Carbamazepine or cyproheptadine because they may decrease Celexa ’s effectiveness
Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) because the risk of their side effects may be increased by Celexa

Drug Class and Mechanism

Celexa is a selective serotonin reuptake inhibitor (SSRI). It helps to restore the brain’s chemical balance by increasing the supply of serotonin, which helps improve mood.

Missed Dose

If you miss a dose of Celexa, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Storage

Store at the room temperature away from moisture and sunlight. Keep out of the reach of children.

Possible Side Effects

Check with your doctor if any of these most common side effects persist or become bothersome:
change in taste; decreased menstrual flow or painful periods; diarrhea; dry mouth; ejaculation disorder; impotence; increased sweating; loss of appetite; nausea; runny nose; sinus inflammation; tiredness; tremor; upset stomach; weight loss or gain.
Seek medical attention right away if any of these severe side effects occur:
severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); anxiety; cold sweat; confusion; dizziness; fatigue; hostility; impulsiveness; irritability; lack of concern; mania; mental/mood changes; panic attacks; restlessness; seizures; shakiness; sleeplessness; sore throat or fever; suicidal thoughts or behaviors; vision changes; worsening of depression.

More Information

Celexa is to be used only by the patient for whom it is prescribed. Do not share it with other people.

Celexa
		Celexa 30 pills x 40 mg	$74.32
		Celexa 60 pills x 40 mg	$128.26
		Celexa 90 pills x 40 mg	$165.99
		Celexa 60 pills x 20 mg	$68.32
		Celexa 90 pills x 20 mg	$85.86
		Celexa 90 pills x 10 mg	$54.95