17 U.S. Code § 107 - Limitations on exclusive rights: Fair use
Notwithstanding the provisions of sections 106 and 106A, the fair use of a copyrighted work, including such use by reproduction in copies or phonorecords or by any other means specified by that section, for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright. In determining whether the use made of a work in any particular case is a fair use the factors to be considered shall include—
(1) the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes [all mirrored content falls under this clause, any ads present are mirrored from the original site, mirrored content earns me no revenue whatsoever];
(2) the nature of the copyrighted work [this is a unique resource for the mentally ill, and preservation of it can be argued to be incredibly important];
(3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole; and
(4) the effect of the use upon the potential market for or value of the copyrighted work. [absolutely none whatsoever, as the original work no longer exists anywhere else (outside of whatever bits and pieces archive.org managed to capture) - the original site was intermittantly completely unavailable for a extended period of time before its SSL certificate expired (and was never renewed), and eventually the site went offline for good, then finally the DNS records were removed at some point prior to May 2018, so at this point it is well beyond the 'dead and rotting' stage]
The fact that a work is unpublished shall not itself bar a finding of fair use if such finding is made upon consideration of all the above factors.

This domain is not controlled by Jerod Poore, and I will NOT continue redirecting traffic from this domain to crazymeds.us [as I formerly did] while Jerod continues with his immature temper tantrum over adblock or continues to fail to maintain his site, fucking over his entire community and countless visitors in the process. [belated clarification: with specific regards to the adblock drama I was referring to Poore at one point replacing his entire site with a single page complaining about the amount of revenue lost to users with ad blocking active, which is something that I took extreme exception to because this affected ALL visitors to the site regardless of if or if not they were actually using ad blocking]
This mirror is unfortunately incomplete (and very slightly outdated), as /CrazyTalk/ was not included when I scraped the site (it was far too large to scrape given the site's extremely poor performance, my wish to avoid worsening the poor performance further, and other factors). If you're looking for a replacement forum, I suggest visiting https://www.crazyboards.org/forums/. There are issues with many of the mirrored pages, I am working on identifying and fixing them, but I do not have the time to address every single issue at this moment (although by now the majority of these issues have been resolved). Dynamic content is obviously completely broken (this is beyond my control), and the loss of /CrazyTalk/ is quite bad given how much good user-generated info was on there, but you have Jerod to "thank" for that. Maybe I'll bring it back online at some point, but it wouldn't be the same as before. For now, I suggest visiting CrazyBoards instead.
Note (Oct 9 2018): Infrequent additional updates regarding the status of this site will be posted on https://info.crazymeds.net

Highlighting uses, dosage, how to take and discontinue


Celexa’s Side Effects, Warnings, etc. >>

Brand & Generic Names; Drug Classes

US brand name: Celexa
Generic name: citalopram

Drug Class(es)

Primary drug class: Antidepressants
Additional drug class(es): Serotonin-Selective Reuptake Inhibitors

Approved & Off-Label Uses (Indications)

Celexa’s US FDA Approved Treatment(s)

Major depressive disorder (MDD)

Uses Approved Overseas but not in the US

  • In India, Ireland, Russia, Tunisia, Ukraine, the UK, and most of Europe citalopram is approved to treat both the initial phases of depression and to prevent its relapse ; and Panic Disorder (PD) with or without agoraphobia .
  • In Argentina, Brazil, Estonia, Israel, and South Africa citalopram is approved to treat depression and PD as above, as well as OCD .
  • In the Dominican Republic Zalopram is approved to treat depression, PD, and OCD as above, and also alcoholism .
  • In Taiwan citalopram is approved to treat depression and anxiety.

Off-Label Uses of Celexa

Panic/Anxiety Spectrum Disorders

If an SSRI is approved to treat only depression in the US, expect it to be used off-label to treat all sorts of conditions in the panic/anxiety spectrum.

Other Forms of Depression
Other Conditions

When & If Celexa Will Work

Celexa’s Usual Onset of Action (when it starts working)

Like all SSRIs anywhere from a couple days to over a month. If you don’t feel any positive benefit after six weeks, then you should talk to your doctor about either another SSRI or trying a med that hits another neurotransmitter.

Likelihood of Working

  • There are just massive amounts of data with hard, real-world numbers from STAR*D giving actual odds of working:
    • It’s a literal 50% coin-toss that you’ll a positive response within four weeks.
    • And it’s a two-in-three chance that your depression will stay away.
    • Based on what I can find in other clinical trials & studies, books, and anecdotal evidence, you’ve got a good 60–70% chance that Celexa will work, keep working, and suck less than MDD and any other antidepressant, except Lexapro.
  • The data from the clinical trials for hot flashes are pretty encouraging, but anything in stage III tends to be encouraging.
  • Its main problem with anxiety seems to be the short-term exacerbation of the problem.

Taking and Discontinuing

How to Take Celexa

Manufacturers’ Recommendations

Lundbeck and Forest recommend:

Initial Treatment

Celexa (citalopram HBr) should be administered at an initial dose of 20 mg orally once daily , with an increase to a maximum dose of 40 mg/day at an interval of no less than one week. Doses above 40 mg/day are not recommended due to the risk of QT prolongation. Additionally, the only study pertinent to dose response for effectiveness did not demonstrate an advantage for the 60 mg/day dose over the 40 mg/day dose.

Maintenance Treatment

It is generally agreed that acute episodes of depression require several months or longer of sustained pharmacologic therapy. Systematic evaluation of Celexa in two studies has shown that its antidepressant efficacy is maintained for periods of up to 24 weeks following 6 or 8 weeks of initial treatment (32 weeks total). In one study, patients were assigned randomly to placebo or to the same dose of Celexa (20–60 mg/day) during maintenance treatment as they had received during the acute stabilization phase, while in the other study, patients were assigned randomly to continuation of Celexa 20 or 40 mg/day, or placebo, for maintenance treatment. In the latter study, the rates of relapse to depression were similar for the two dose groups (see Clinical Trials under CLINICAL PHARMACOLOGY). Based on these limited data, it is not known whether the dose of citalopram needed to maintain euthymia is identical to the dose needed to induce remission. If adverse reactions are bothersome, a decrease in dose to 20 mg/day can be considered.

--the Celexa PI sheet

In English:

  • Start with 20mg a day and give it at least a week.
  • If 20mg a day isn’t doing it for you go up to 40mg a day.
  • 60mg a day probably won’t work, but as long as you don’t have a history of heart problems, you can give it a shot if you want to.
  • It should work for at least 8 months at whatever dosage you’re taking.
    • If you’re taking 40–60mg a day you might be able to get by on 20mg a day if the side effects are a bit harsh.

Crazymeds’ Suggestions

I can’t find too much fault with Lundbeck’s/Forest’s recommendations. Depending on how bad your depression is and your history with Antidepressants in general or SSRIs in particular, you may want to start at 10mg a day and increase your dosage by 10mg a day until it starts working. But if you feel like whaleshit on the bottom of the ocean, start at 20mg!

Like any SSRI Celexa can take up to a month to fully work. But if it’s not doing anything for you after two or three weeks, especially if you started at 20mg and have been taking 40mg a day for at least two weeks, then it’s time to move on to something else.

How to Stop Taking Celexa (discontinuation / withdrawal)

Based on the 35 hour half-life your doctor should be recommending that you reduce your dosage by 10–20mg a day every 6–8 days if you need to stop taking it if you need to stop taking it, if not more slowly than that. Make that 10–20mg a day every week just to make things easier on everyone.

Thanks to that nice, long half-life is 35 hours - Prozac is the only SSRI/SNRI with a longer half-life - severe discontinuation syndrome is less likely than most other SSRIs and all the SNRIs.

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Last modified on Sun, 10 May, 2015 at 16:06:00 by JerodPoorePage Author Date created Monday, 28 January 2013 at 17:14:56
“Celexa (citalopram): Uses and Using” by Jerod Poore is copyright © 2013 Jerod Poore Published online 2013/01/28

Celexa, and all other drug names on this page and used throughout the site, are the trademarks of someone else.

will probably have the name of the manufacturer and trademark owner (they’re not always the same company) at or near the very bottom. Or ask Google who the owner is. The way pharmaceutical companies buy each other and swap products like Monopoly™ real estate, the ownership of the trademark may have changed without my noticing. It may of changed hands by the time you finished reading this article.

Page design and explanatory material by Jerod Poore, copyright © 2003 - 2015. All rights reserved. See the full copyright notice for full copyright details.
Don’t automatically believe everything you read on teh Intergoogles. No warranty is expressed or implied in this information. Consult one or more doctors and/or pharmacists before taking, or changing how you take any neurological and/or psychiatric medication. Your mileage may vary. What happened to us won’t necessarily happen to you. For more details see the Crazymeds big-ass disclaimer.

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