So if you were on 20mg of citalopram you d be on 10mg of escitalopram.
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if the decision has been made to discontinue treatment, medication should be tapered, as rapidly as is feasible, but with recognition that abrupt discontinuation can be associated with certain symptoms see precautions and dosage and administration – discontinuation of treatment with citalopram hbr tablets , for a description of the risks of discontinuation of citalopram hbr tablets .
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so for me i mostly can control the appetite fluctuations, though it s not easy, and the citalopram doesn t seem to have altered my metabolism.
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a current last 12 months dsm-iv diagnosis of schizophrenia, bipolar disorder, other psychotic disorder, eating disorder, panic disorder with or without agoraphobia; current use of psychoactive drugs, other than occasional marijuana use 3 uses per week , as determined by a positive urine screen for narcotics, amphetamines, or sedative hypnotics; serious alcohol withdrawal symptoms as indicated by a score 10 on the clinical institute withdrawal assessment for alcohol-revised ciwa ; clinically significant physical abnormalities as indicated by physical examination, hematological laboratory assay, or urinalysis, defined as hematology and chemistry laboratory tests that are within normal – 10 limits with the following exceptions a liver function tests total bilirubin, alanine transaminase alt , aspartate aminotransferase ast , and alkaline phosphatase 3 x the upper limit of normal, and b kidney function tests creatinine and bun 2 x the upper limit of normal; a screening ecg that demonstrates anything other than normal sinus rhythm, normal conduction, and no clinically significant arrhythmias; history of epilepsy, seizures, or severe head trauma; history of alcohol intoxication delirium, alcohol withdrawal delirium or seizure, alcohol-induced persisting dementia, or alcohol-induced psychosis; treatment with any of the following medications within the last 30 days prior to randomization antidepressants, anti-convulsants, hypnotics, antipsychotics, psychomotor stimulants, or anti-anxiety agents; previous treatment with citalopram discontinued due to an adverse event; pregnancy, nursing, or refusal to use reliable barrier method of birth control, if female; presence of metal fragments, pacemaker, or other ferromagnetic material which would prevent safe completion of an mri scan; recent history of radiation exposure which would make exposure to radiation from serial pet scans contraindicated; non-zero breath-alcohol level on screening.
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so, the drug company lists tinnitus as an uncommon side effect of citalopram.
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