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Escitalopram seems to be more effective with proportionings lower than the citalopram for example 10mg of escitalopram is effective like 40mg of citalopram .

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Do not start Celexa in a patient who is being treated with linezolid or intravenous methylene blue because there is an increased risk of serotonin syndromeIn a patient who requires more urgent treatment of a psychiatric conditionother interventionsincluding hospitalizationshould be consideredsee CONTRAINDICATIONS

Do not give this medicine to anyone under 18 years old without medical adviceCitalopram is not approved for use in children.

In a thorough QT studyCelexa was found , . to be associated with a dose-dependent increase in the QTc intervalsee WARNINGSQT-Prolongation And Torsade de Pointes

Initial dose20 mg orally once a day Maintenance dose20 to 40 mg orally once a day Maximum dose40 mg orally per day.

GeneralInfrequenthot flushesrigorsalcohol intolerancesyncopeinfluenza-like symptomsRarehayfever.

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citalopram may decrease appetite and cause weight loss in children.