Citalopram hydrobromide is a prescription medicine used for the treatment of depression. The citalopram dosage prescribes by your doctor may vary depending on a number of factors, like the patients age, other medical conditions and the medicines you are taking for other diseases.
It is advised the patients not to adjust the prescribed citalopram dosage unless your healthcare provider specifically instructs you to do so. citalopram 20mg is the initial dosage prescribed by most of the health care providers. In adults, initial citalopram 20mg orally once a day is recommended. Maintenance dose of citalopram 20mg to 40 mg/day. The initial dose may be increased in citalopram 20mg increments not more often than once a week up to a maximum of 40 mg per day. The same citalopram 20mg is prescribed as the Geriatric dose. Maintenance dosage of citalopram 20mg per day. For nonresponders, the dose may be increased up to a maximum of 40 mg per day after at least 1 week from the initial citalopram 20mg dosage.
Like most of the medicines, the pediatric citalopram dosage is different from the adults. Doctors may prescribe the medicine as per your child’s age. Children up to 11 years are recommended with initial dosage of 10 mg orally once daily; increase dose slowly by 5 mg/day every 2 weeks as clinically needed; Dosage range citalopram 20mg to 40 mg/day. In children between 12 to 18 years an initial citalopram 20mg orally once daily; increase dose slowly by 10 mg/day every 2 weeks as clinically needed; citalopram 20mg to 40 mg/day are recommended.
Pediatric citalopram dosage for Obsessive Compulsive Disorder in Children up to 11 years are recommended with initial: 5-10 mg/day given once daily; increase citalopram dosage slowly by 5 mg/day every 2 weeks as clinically needed; dosage range: 10 to 40 mg/day. Children between the age group of 12 to 18 years are advised to take initial dosage of 10 to citalopram 20mg/day given once daily; increase citalopram dosage slowly by 10 mg/day every 2 weeks as clinically needed; dosage range: 10 to 40 mg/day.
Liver citalopram dosage Adjustments: citalopram 20mg per day is recommended in adult patients with hepatic impairment. The citalopram dosage may be cautiously increased to 40 mg per day only in non-responders.
Precautions required with citalopram dosage: Citalopram is contraindicated in patients with congenital long QT syndrome. Studies proved that citalopram dosage should not be greater than 40 mg per day because it can cause abnormal prolongation of the QT interval which can lead to an abnormal heart rhythms. Some patients taking citalopram dosage are reported with major depressive disorder and other psychiatric disorders may be at an increased risk of suicidal thinking and suicidality with antidepressant use, particularly during the first few months of citalopram dosage.
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