Sedating ssris Hartz 4 single wohnung kosten
Citalopram is considered safe and well tolerated in the therapeutic dose range.
Distinct from some other agents in its class, it exhibits linear pharmacokinetics and minimal drug interaction potential, making it a better choice for the elderly or comorbid patients.
A further clarification issued in March 2012 restricted the maximum dose to 20 mg for subgroups of patients, including those older than 60 years and those taking an inhibitor of cytochrome P450 2C19.7.
Antidepressant exposure (including citalopram) during pregnancy is associated with shorter duration of gestation (by three days), increased risk of preterm delivery (by 55%), lower birth weight (by 75 g), and lower Apgar scores (by Tryptophan and 5-HTP are precursors to serotonin and can cause a rise in serotonin.
When taken with an SSRI, such as citalopram, this can lead to levels of serotonin that can be lethal.
This may also be the case when SSRI's are taken with SRA's (Serotonin Releasing Agents) such as in the case of MDMA.
This is a potentially dangerous interaction, so dosage adjustments may be needed or alternatives may be prescribed.A meta-analysis, including studies with fluoxetine, paroxetine, sertraline, escitalopram, and citalopram versus placebo, showed SSRIs to be effective in reducing symptoms of premenstrual syndrome, whether taken continuously or just in the luteal phase.A 2009 multisite randomized controlled study found no benefit and some adverse effects in autistic children from citalopram, raising doubts whether SSRIs are effective for treating repetitive behavior in children with autism. This side effect, if present, should subside as the body adjusts to the medication.SSRI discontinuation syndrome has been reported when treatment is stopped.It includes sensory, gastrointestinal symptoms, dizziness, lethargy, and sleep disturbances, as well as psychological symptoms such as anxiety/agitation, irritability, and poor concentration.
In Spain and Denmark it is also used for obsessive–compulsive disorder.