Celexa (Citalopram Hydrobromide) 10/20 mg belongs to a group of medications called selective serotonin reuptake inhibitors (SSRIs). It is a medicine which is used in depression and panic disorder. SSRIs improve depression by increasing the amount of serotonin (a neurotransmitter) in certain areas of the brain, which in turn improves the ability of the brain to transmit messages from one nerve cell to another.
Citalopram was approved by the Food and Drug Administration (FDA) in 1998.

The National Institutes of Health advises that children under 18 shouldn’t take Citalopram unless a doctor decides it’s the best option.
FDA also issued a Safety Announcement in 2012 recommending that Citalopram not be prescribed at doses greater than 40 milligrams a day because of the increased risk potentially dangerous abnormalities in the electrical activity of the heart (changes in heart rhythm).
Children who do take Citalopram may be more sensitive to its side effects especially appetite and weight loss. Your doctor will closely monitor both.
Citalopram may cause problems in newborns if it is taken during the last months of pregnancy.
This drug can make you drowsy. Do not engage in activities that require you to be alert until you know how citalopram affects you.
Other conditions that may be a concern when taking citalopram are a history of bipolar or manic-depressive disorder, past suicide attempts, liver disease, seizures, low blood sodium, intestinal ulcers or bleeding problems.

The usual recommended starting dose is 20 mg daily. Continue to take the medication regularly, even if Citalopram should be taken once daily either in the morning or evening, but at the same time every day. It should be swallowed whole with water and may be taken with food or on an empty stomach.
you don’t feel as though the medication is working. It may take several weeks to see a noticeable improvement in your mood.

Citalopram can cause withdrawal effects such as agitation, anxiety, difficulty concentrating, nausea, and vomiting if it is stopped suddenly. If it becomes necessary for you to stop taking citalopram, ask your doctor to advise you how best to gradually reduce the dose to avoid withdrawal effects.

Store this medication at room temperature, protect it from moisture, and keep it out of the reach of children.