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Citalopram Coupon - Citalopram 20mg tablet

citalopram

Generic Celexa
Used for Depression

Citalopram (Celexa) is a first-choice medication for treating depression in adults. This antidepressant belongs to the drug class called selective serotonin reuptake inhibitors (SSRIs). Citalopram (Celexa) is typically taken by mouth once daily. It typically takes a few weeks or longer of consistent treatment to notice an improvement to your mood. Common side effects include nausea and dry mouth. There's a low risk for weight gain, but suddenly stopping the medication can lead to withdrawal symptoms (e.g., upset stomach, trouble sleeping, anxiety).

Reviewed by:Last reviewed on March 4, 2024
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What is Citalopram (Celexa)?

What is Citalopram (Celexa) used for?

How Citalopram (Celexa) works

Citalopram (Celexa) is a selective serotonin reuptake inhibitor (SSRI). It works by raising the levels of serotonin in your brain. Serotonin is important for regulating your mood.

When does Citalopram (Celexa) start working?Time passed since treatment started:
HOURS
DAYS
WEEKS
Initial effect
MONTHS
Full effect

Drug facts

Common BrandsCelexa
Drug ClassSSRI
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only
side-effects-icon

Side effects of Citalopram (Celexa)

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Nausea (21%)
  • Dry mouth (20%)
  • Sleepiness (18%)
  • Trouble sleeping (15%)
  • Sweating (11%)
  • Tremor (8%)
  • Diarrhea (8%)
  • Ejaculation problems (6%)

Less Common Side Effects

Citalopram (Celexa) serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Suicidal thoughts or behaviors
  • Abnormal heart rhythm: chest pounding, short of breath, chest pain, feeling faint or lightheaded
  • Serotonin syndrome: fast heart rate, dizziness, sweating, flushing, tremor (shakiness), muscle stiffness, muscle twitching or spasms, uncoordinated movement
  • Serious bleeding: bruising that doesn't improve, black-colored stools, pink or red-colored urine, coughing up or vomiting blood, unusual bleeding from the nose or gums
  • Low sodium levels: nausea, fatigue, headache, confusion, disoriented
  • Seizures
When do Citalopram (Celexa) possible side effects begin and end?
Time passed since treatment started:
H
D
W
M
Nausea
Dry mouth
Changes in sleep
Sweating more
Suicidal thoughts
Seek immediate medical care if you experience this side effect.
If a line continues to the right, you'll likely keep experiencing this side effect once it starts.

Source: DailyMed

The following Citalopram (Celexa) side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Less common

Agitation

blurred vision

confusion

fever

increase in the frequency of urination or amount of urine produced

lack of emotion

loss of memory

menstrual changes

skin rash or itching

trouble breathing

Rare

Behavior change similar to drunkenness

bleeding gums

breast tenderness or enlargement or unusual secretion of milk (in females)

chills

convulsions (seizures)

diarrhea

difficulty with concentrating

dizziness or fainting

drowsiness

increased hunger

increased thirst

irregular heartbeat

lack of energy

lethargy

nosebleed

overactive reflexes

painful urination

poor coordination

purple or red spots on the skin

rapid weight gain

red or irritated eyes

redness, tenderness, itching, burning, or peeling of the skin

shivering

slow or irregular heartbeat (less than 50 beats per minute)

sore throat

stupor

sweating

swelling of the face, ankles, or hands

talking or acting with excitement you cannot control

trembling, shaking, or twitching

trouble with holding or releasing urine

unusual or sudden body or facial movements or postures

unusual tiredness or weakness

Incidence not known

Abdominal or stomach pain

back or leg pains

black, tarry stools

bloating

bloody stools

chest pain

confusion as to time, place, or person

constipation

cough

darkened urine

difficult or fast breathing

difficulty with swallowing

drooling

fast, slow, or irregular heartbeat

general body swelling

hive-like swelling on the face, eyelids, lips, tongue, or throat

hives

holding false beliefs that cannot be changed by fact

impaired consciousness, ranging from confusion to coma

indigestion

itching, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

loss of appetite

loss of bladder control

loss of consciousness

muscle cramps or spasms

muscle tightness

muscle twitching or jerking

painful or prolonged erection of the penis

pale skin

penile erections, frequent or continuing

recurrent fainting

rhythmic movement of the muscles

seeing, hearing, or feeling things that are not there

swelling of the breasts or unusual milk production

tenderness, pain, swelling, warmth, skin discoloration, and prominent superficial veins over the affected area

tightness in the chest

total body jerking

twitching, twisting, uncontrolled repetitive movements of the tongue, lips, face, arms, or legs

uncontrolled jerking or twisting movements

unusual excitement

vomiting of blood or material that looks like coffee grounds

yellowing of the eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Decrease in sexual desire or ability

sleepiness or unusual drowsiness

Less common

Body aches or pain

change in sense of taste

gas

headache (severe and throbbing)

heartburn

increased sweating

increased yawning

loss of voice

pain in the muscles or joints

sneezing

stuffy or runny nose

tingling, burning, or prickly feelings on the skin

tooth grinding

unusual increase or decrease in weight

watering of the mouth

Incidence not known

Bruising

inability to sit still

large, flat, blue or purplish patches in the skin

need to keep moving

uncontrolled eye movements

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Pros and cons of Citalopram (Celexa)

Pros

Cons

  • Can take a couple months before you feel the full effects of this medication
  • Can interact with other medications, especially those affecting serotonin levels or heart rhythm
  • Can cause withdrawal symptoms if you suddenly stop taking it
  • Not FDA-approved for children
pharmacist-tips-icon

Pharmacist tips for Citalopram (Celexa)

pharmacist
  • You can take citalopram (Celexa) with or without food. Keep in mind that citalopram (Celexa) commonly causes nausea, especially when you first start the medication and when your dose changes. Taking the medication with food might help lessen this stomach upset.
  • If you get nauseous after you start taking citalopram (Celexa), it should get better as you continue taking the medication. Let your prescriber know if nausea doesn't go away or if it's bothersome. They might lower your citalopram (Celexa) dose or prescribe medications to help with nausea.
  • Don't change your dose or suddenly stop taking citalopram (Celexa) without talking to your psychiatrist first. Otherwise, this could lead to withdrawal symptoms like nausea, headache, and sleep problems. Follow your prescriber's instructions to lower your dose slowly over a period of time to stop the medication completely.
  • Citalopram (Celexa) can make some people have trouble sleeping and other people tired. Take the medication either in the morning or at night depending on how it affects your sleep. Just make sure to be consistent with when you take it (at the same time every day).
  • Avoid alcohol while you're taking citalopram (Celexa). Alcohol can worsen certain side effects like drowsiness or dizziness. It might also worsen your depression symptoms.
  • Don't drive or do anything requiring concentration until you know how citalopram (Celexa) affects you. It's possible for the medication to make you sleepy and lower your ability to think clearly or react fast.
  • Antidepressant medications like citalopram (Celexa) can raise the risk of thoughts about self-harm. Contact your psychiatrist right away if you or your loved ones notice any new or worsening changes in your behavior or mood while you're taking this medication.
  • Tell your psychiatrist, pharmacist, and primary care provider about all the medications you take. Don't start any new medications while you're taking citalopram (Celexa) without talking to your care team first. They can check whether you need any changes to your treatment plan to keep you safe from harmful citalopram (Celexa) interactions.
  • Talk with your psychiatrist or primary care provider about the benefits and risks of taking citalopram (Celexa) during pregnancy. It's not completely clear how safe it is to take medication while pregnant, but a study showed that it doesn't seem to cause major birth defects when it's used during pregnancy.
  • Don't breastfeed your baby while you're taking citalopram (Celexa) without talking to your psychiatrist or primary care provider first. Low amounts of the medication can get into breast milk. This means there's a risk that your baby might have side effects, such as sleepiness, restlessness, and poor feeding.

More tips for citalopram (Celexa) 10 mg/5 mL liquid:

  • Make sure to use an oral syringe or medication dosing cup to measure out your citalopram (Celexa) dose. Don't use household spoons because they aren't accurate and might cause you to take the wrong dose. Ask your pharmacy for extra oral syringes or dosing cups just in case you lose one.
  • Store the liquid at room temperature in the original bottle it came in from the pharmacy.
Common questions about Citalopram

Common questions about Citalopram

Citalopram can start to work within 2 weeks for some people. But in general, it can take about 1 to 2 months to feel the full effects of the medication for treating depression. Be aware that you might have side effects, like nausea and sleep problems, before your mood improves. But don't get discouraged and make sure to continue taking the medication as prescribed. Keep in mind that each person can have a different experience with Citalopram. Contact your prescriber if you're not sure whether Citalopram is working for you.

How you feel after you start taking Citalopram can differ from person to person. It also might depend on your Citalopram dose and how serious your depression is. In general, you might notice feeling more energetic or having a more positive mood after a couple weeks of taking Citalopram. But it can take a few months to feel the full benefits of the medication. At the same time, it's common to have side effects from Citalopram, like nausea or dizziness, before you feel noticeable benefit from the medication. Talk with your psychiatrist or primary care provider if you have more questions about what it might feel like to take Citalopram.

Citalopram has a few serious side effects and risks that you should be aware of. All antidepressants, including Citalopram, have a risk for worsening depression and thoughts of suicide. The risk is highest if you're 24 years old or younger, just starting the medication, or changing the dose. In addition, taking Citalopram can put you at risk for a rare, but serious condition called serotonin syndrome if you're also taking other medications that can raise your serotonin levels, such as other antidepressants and certain migraine medications. Lastly, taking Citalopram can rarely lead to a serious irregular heart rhythm problem called QT prolongation. Your primary care provider or psychiatrist will regularly follow up with you to check for your risk of these serious side effects and make adjustments to your treatment, if needed.

It's possible to experience weight changes, such as weight gain, while you're taking Citalopram. But in general, there's a low risk for weight gain, especially compared to some other SSRIs like paroxetine (Paxil). In fact, in clinical studies, some people reported a little weight loss (about 1 pound) after they started taking Citalopram. Talk with your psychiatrist or primary care provider if you experience unexpected weight changes after you start treatment with this medication.

Yes, Citalopram can make you tired. But it's also possible for the medication make it harder to fall asleep. Pay attention to how Citalopram affects your sleep, especially when you start the medication and when your dose changes. Contact your psychiatrist or primary care provider if Citalopram is making you too sleepy or interrupting your sleep. They might recommend to try changing the time of day you take the medication, or they might lower your dose.

There isn't a set amount of time that you can continue to take Citalopram. Your psychiatrist or primary care provider will probably recommend that you continue taking the medication as long as it's helping your depression and as long as you're not having any significant side effects. Your prescriber might try to slowly lower your dose to see whether your depression is well controlled. There might be a point where you can stop taking Citalopram if your depression seems manageable without medication.

Yes, Citalopram is an selective serotonin reuptake inhibitor (SSRI). It works by raising the levels of serotonin in your brain to regulate and improve your mood. As with many of the other SSRIs, Citalopram is a first-choice medication for treating depression.

No, Citalopram isn't a controlled substance. It doesn't have a risk of addiction, misuse, or dependence.

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Risks and warnings for Citalopram (Celexa)

Citalopram (Celexa) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

Worsening depression, suicidal thoughts, and unusual behavior

  • Risk factors: Age under 24 years old | History of other mental health conditions

Black Box Warning Taking citalopram (Celexa) can put you at risk for worsened depression and thoughts of suicide or self-harm. The risk is highest if you're 24 years of age or younger, if you just started taking the medication (during the first few weeks of starting), and if your dose just changed. Get medical help right away if you or anyone around you notices that you have suicidal thoughts or unusual behavior (e.g., anxiety, panic attacks, trouble sleeping, feeling angry or irritated, restlessness) while you're taking citalopram (Celexa).

Life-threatening abnormal heart rhythm (QT prolongation)

  • Risk factors: Low blood potassium or magnesium levels | Older age | Kidney problems | History of heart problems, slow heart rate, or other abnormal heart rhythms (arrhythmias) | Personal or family history of long QT syndrome | Taking other medications that cause QT prolongation

Citalopram (Celexa) can affect your heart rhythm, which can be serious and life-threatening. More specifically, this medication can lengthen the time period from when the heart pumps and then relaxes. This is known as QT prolongation.

Your risk for QT prolongation and heart rhythm problems is higher if you have certain factors, including having abnormal electrolyte levels, having heart rhythm conditions, or taking other medications that cause heart rhythm problems, among others. To lower your risk, your psychiatrist or primary care provider might recommend that you get an electrocardiogram (EKG) done to make sure your heart rhythm is normal.

Call 911 right away if you feel your chest pounding, chest pain, short of breath, faint, or lightheaded while you're taking citalopram (Celexa). These can be symptoms of an abnormal heart rhythm.

Serotonin syndrome

  • Risk factors: Taking other medications that raise serotonin levels

Some people who took citalopram (Celexa) have developed a rare, but potentially life-threatening condition called serotonin syndrome. This condition happens when there's too much serotonin in the brain.

Your risk for serotonin syndrome is higher if you take citalopram (Celexa) with other medications that can raise your serotonin levels. These medications can include certain antidepressants, mental health medications, and migraine medications. Let your psychiatrist, primary care provider, and pharmacist know about all the medications you take before you start citalopram (Celexa). Also, don't start any new medications without talking to them first.

Get medical help right away if you have any symptoms of serotonin syndrome while you're taking citalopram (Celexa). Symptoms can include fast heart rate, sweating, muscle stiffness or spasms, fever, and confusion.

Withdrawal

  • Risk factors: Stopping citalopram (Celexa) suddenly

Suddenly stopping citalopram (Celexa) can cause withdrawal symptoms. You might feel nauseous, anxious, distressed, or dizzy; have flu-like symptoms; or have trouble sleeping. Ask your prescriber if you want to or need to stop taking citalopram (Celexa). Your prescriber will give you specific instructions on how to stop the medication safely over time. Never try to stop citalopram (Celexa) on your own and without your prescriber's guidance.

Higher risk of bleeding

  • Risk factors: Taking blood-thinners or other medications that raise your risk of bleeding

Citalopram (Celexa) can raise your risk of bleeding or bruising. Be careful if you need to take citalopram (Celexa) along with other medications that can put you at greater bleeding risk. These other medications can include aspirin, clopidogrel (Plavix), and blood thinners like warfarin (Coumadin) and apixaban (Eliquis). Get medical help if you have signs of unusual bleeding, such as bruising that doesn't improve, black-colored stools, pink or red-colored urine, coughing up or vomiting blood, or unusual bleeding from the nose or gums.

Not for use in bipolar disorder by itself

Depression can be the first sign of bipolar disorder. If you're at risk for bipolar disorder, taking antidepressants like citalopram (Celexa) by themselves can trigger a bipolar manic episode. For this reason, citalopram (Celexa) isn't used to treat bipolar depression.

Your psychiatrist will check whether you have or are at risk for bipolar disorder before you start taking citalopram (Celexa). Talk to your psychiatrist right away if you or your loved ones notice unusual changes in your behavior, such as racing thoughts, restlessness, getting easily distracted, or unusual talkativeness. These can be symptoms of a manic episode.

Glaucoma

  • Risk factors: History of angle-closure glaucoma

Citalopram (Celexa) can lead to or worsen angle-closure glaucoma. Be sure to visit your optometrist for regular eye exams to check your eyes and vision while you're taking this medication. Contact your optometrist or psychiatrist if you notice changes in your vision after you start taking citalopram (Celexa).

Low sodium levels

  • Risk factors: Older people | Taking diuretics (water pills)

Citalopram (Celexa) can cause low sodium levels in the blood. Watch out for symptoms of low sodium levels, such as weakness, headache, trouble concentrating, and confusion. Get medical help right away if you notice these symptoms because having low sodium levels is a medical emergency.

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Citalopram (Celexa) dosage

The average cost for 90 tablets of 20mg of Citalopram (Celexa) is $13.60 with a free GoodRx coupon. This is 86.49% off the average retail price of $100.65.
capsuleCapsule
DosageQuantityPrice as low asPrice per unit
30mg30 capsules$74.10$2.47
ml of oral solutionMl of oral solution
DosageQuantityPrice as low asPrice per unit
10mg/5ml150 ml$36.21$0.24
tabletTablet
DosageQuantityPrice as low asPrice per unit
20mg90 tablets$13.60$0.15
40mg90 tablets$15.07$0.17
10mg30 tablets$8.95$0.30

Typical dosage for Citalopram (Celexa)

The typical starting dose is 20 mg by mouth once daily. If needed, your prescriber might raise your dose to 40 mg once daily after a week. The maximum recommended dose is 40 mg daily.

Your dose might be lower if you're an older adult or if you have liver problems.

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Interactions between Citalopram (Celexa) and other drugs

Citalopram (Celexa) may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Citalopram (Celexa). Please note that only the generic name of each medication is listed below.

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

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Citalopram (Celexa) contraindications

Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Citalopram (Celexa) will not be safe for you to take.

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What are alternatives to Citalopram (Celexa)?

There are a number of medications that your doctor can prescribe in place of Citalopram (Celexa). Compare a few possible alternatives below.
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News about Citalopram (Celexa)

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Citalopram (Celexa) images

Pink Oblong A And 0 6 - Citalopram Hydrobromide 20mg Tablet
This medicine is Pink, Oblong, Scored Tablet Imprinted With "A" And "0 6".Pink Oblong A And 0 6 - Citalopram Hydrobromide 20mg Tablet
Pink Round Mx32 - Citalopram Hydrobromide 20mg Tablet
This medicine is Pink, Round, Scored Tablet Imprinted With "Mx32".Pink Round Mx32 - Citalopram Hydrobromide 20mg Tablet
Pink Round Mx32 - Citalopram Hydrobromide 20mg Tablet
This medicine is Pink, Round, Scored Tablet Imprinted With "Mx32".Pink Round Mx32 - Citalopram Hydrobromide 20mg Tablet
Pink Oblong A And 0 6 - Citalopram Hydrobromide 20mg Tablet
This medicine is Pink, Oblong, Scored Tablet Imprinted With "A" And "0 6".Pink Oblong A And 0 6 - Citalopram Hydrobromide 20mg Tablet
Tan Oval 1010 And 2 0 - Citalopram Hydrobromide 20mg Tablet
This medicine is Tan, Oval, Scored Tablet Imprinted With "1010" And "2 0".Tan Oval 1010 And 2 0 - Citalopram Hydrobromide 20mg Tablet
Pink Round I G And 207 - Citalopram Hydrobromide 20mg Tablet
This medicine is Pink, Round, Scored Tablet Imprinted With "207" And "I G".Pink Round I G And 207 - Citalopram Hydrobromide 20mg Tablet
Pink Round Rdy 343 - Citalopram Hydrobromide 20mg Tablet
This medicine is Pink, Round, Scored Tablet Imprinted With "Rdy 343".Pink Round Rdy 343 - Citalopram Hydrobromide 20mg Tablet
Pink Oval Ci 20 And Apo - Citalopram Hydrobromide 20mg Tablet
This medicine is Pink, Oval, Scored Tablet Imprinted With "Ci 20" And "Apo".Pink Oval Ci 20 And Apo - Citalopram Hydrobromide 20mg Tablet
Pink Oblong A And 0 6 - Citalopram Hydrobromide 20mg Tablet
This medicine is Pink, Oblong, Scored Tablet Imprinted With "A" And "0 6".Pink Oblong A And 0 6 - Citalopram Hydrobromide 20mg Tablet

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References

Best studies we found

Almatica Pharma LLC. (2022). CITALOPRAM capsule [package insert]. DailyMed.

American Psychological Association. (2023). Depression treatments for older adults.

Amneal Pharmaceuticals LLC. (2024). CITALOPRAM tablet [package insert]. DailyMed.

GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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