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You may become suicidal, especially at the beginning of your treatment and any time that your dose is increased or decreased.

You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: new or worsening depression; thinking about harming or killing yourself, or planning or trying to do so; extreme worry; agitation; panic attacks; difficulty falling asleep or staying asleep; aggressive behavior; irritability; acting without thinking; severe restlessness; and frenzied abnormal excitement.

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This can be confusing because there are so many brands of cold and flu medications to choose from.It is usually taken once a day, in the morning or in the evening, with or without food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Do not take more or less of it or take it more often than prescribed by your doctor.Your doctor may start you on a low dose of citalopram and gradually increase your dose, not more often than once a week.It is thought to work by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance.

Citalopram comes as a tablet and a solution (liquid) to take by mouth.

No matter your age, before you take an antidepressant, you, your parent, or your caregiver should talk to your doctor about the risks and benefits of treating your condition with an antidepressant or with other treatments.