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Celexa® Tablets for Major Depressive Disorder
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Celexa is a prescription SSRI used to treat major depressive disorder. This page explains safe use, access options, and how US shipping from Canada works without insurance.
What Celexa Is and How It Works
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
Uses Of Celexa align with its class. Celexa® contains citalopram, a selective serotonin reuptake inhibitor. It helps increase serotonin levels in the brain. This mechanism may improve mood, energy, and interest in daily activities. It is taken once daily and can be used long term under a clinician’s guidance. For condition context, see our Depression hub.
Who It’s For
This medicine is approved for adults with major depressive disorder. It may also be considered in generalized anxiety when a clinician recommends it off-label. People with known QT prolongation, congenital long QT syndrome, or taking pimozide should avoid it. Those with liver impairment, low potassium or magnesium, or a history of seizures need careful assessment. Older adults often require lower doses. Discuss pregnancy or breastfeeding with your healthcare professional.
Dosage and Usage
Follow your prescription label. Many adults start once daily, with or without food, at the same time each day. Prescribers may adjust the dose based on response and tolerability. Maximum adult dosing is limited on-label due to QT prolongation risk. Older adults or those with hepatic impairment usually have a lower maximum.
Swallow tablets whole with water. If stomach upset occurs, try taking it with a light snack. Do not crush or split unless your prescriber advises and the tablet’s score permits. Do not stop suddenly; talk to your prescriber about gradual changes if needed. For broader background on day-to-day use, see our guide on How To Manage Anxiety Practical.
Strengths and Forms
Common presentations include film-coated tablets and an oral solution in some markets. Availability varies by manufacturer and country.
- Celexa 20mg tablets
- Also commonly published: 10 mg and 40 mg tablets
- Oral solution may be available in select regions
Your prescription determines the strength and quantity dispensed.
Missed Dose and Timing
If you miss a dose, take it when you remember unless it is close to the next dose. Skip the missed dose if it is almost time for the next one. Do not double up. Keeping a simple routine helps, such as taking it with your morning or evening hygiene habits.
Storage and Travel Basics
Store tablets at room temperature in a dry place, away from moisture and direct light. Keep in the original, child-resistant container. Do not store in a bathroom. When traveling, pack your medicine in your carry-on with the original label and a copy of your prescription. A brief medication list can help with security screening. If crossing borders, allow extra time for document checks.
Benefits
This treatment is once daily and generally well tolerated. It can reduce core depressive symptoms and help with associated anxiety in some patients. Generic options may support affordability. Tablet form helps with consistent dosing.
Side Effects and Safety
- Common: nausea, dry mouth, sweating, sleep changes, fatigue, dizziness
- Digestive: diarrhea or constipation
- Neurologic: headache, tremor, restlessness
- Sexual: decreased libido or difficulty with orgasm
Serious but less common risks include QT prolongation and Torsades de Pointes, serotonin syndrome, severe hyponatremia, angle-closure glaucoma, and allergic reactions. Antidepressants can increase suicidal thoughts in children, adolescents, and young adults. Seek urgent care for fainting, irregular heartbeat, confusion, severe agitation, fever, muscle stiffness, or significant eye pain.
Drug Interactions and Cautions
Avoid use with MAO inhibitors or within the required washout periods. Do not combine with pimozide. Use caution with other serotonergic agents such as triptans, tramadol, linezolid, lithium, St. John’s wort, or other SSRIs/SNRIs. Drugs that prolong the QT interval or lower potassium/magnesium raise cardiac risk. NSAIDs, aspirin, and anticoagulants may increase bleeding risk. Strong CYP2C19 inhibitors, including cimetidine, may affect exposure. Alcohol can worsen sedation and judgment. Always provide your prescriber a full medication list.
What to Expect Over Time
Responses vary. Some people notice gradual changes in sleep, energy, or appetite before mood improves. It may take sustained daily use to see full benefit. Track your symptoms weekly and share updates with your prescriber. If effects or tolerability are not where they should be, clinicians may adjust therapy according to the label and clinical judgment.
Compare With Alternatives
SSRIs such as sertraline and fluoxetine are commonly used alternatives. SNRIs like venlafaxine are options for certain patients. Learn about options in our resources on Managing Chronic Conditions With Online and Social Anxiety Disorder Medication What. For augmentation in major depression, a prescriber may consider agents like Seroquel® Xr when appropriate. Your clinician will review risks, benefits, and goals before changing therapy.
Pricing and Access
With Canadian pharmacy sourcing, many patients find Celexa Canadian pricing helpful compared with local cash-pay quotes. We provide transparent options and clear requirements for prescriptions. You can Buy Celexa online through Border Free Health after your prescriber sends a valid prescription. We arrange fulfilment that Ships from Canada to US. For country details, see Canada.
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Availability and Substitutions
Supply can vary by manufacturer and strength. If the brand is out of stock, a prescriber may authorize generic substitution. Pharmacies may dispense authorized generics or equivalent products when appropriate. We can help your prescriber consider Generic Celexa citalopram tablets if that suits your therapy plan.
Patient Suitability and Cost-Saving Tips
This treatment may suit adults with major depressive disorder who need an SSRI option and have no significant contraindications. It may not suit people with certain heart rhythm issues or those on interacting medicines. Share your full health history, including electrolytes, liver status, and any prior sensitivities to SSRIs.
- Multi-month fills: ask your prescriber about 60- or 90-day supplies
- Set reminders: use phone alerts or a pillbox to stay consistent
- Travel-ready: keep a medication list and prescription copy in your carry-on
- Generic pathways: discuss citalopram options if suitable
- Check categories: explore Mental Health for related therapies
Questions to Ask Your Clinician
- Starting dose: what is the initial plan and monitoring schedule?
- Safety: do I have risk factors for QT prolongation?
- Interactions: which medicines or supplements should I avoid?
- Expectations: how will we assess progress and tolerability?
- Alternatives: what are next steps if response is limited?
Authoritative Sources
Ready to proceed? Order Celexa online with US delivery from Canada and prompt, express shipping, with temperature-controlled handling when required. This page is educational and not a substitute for professional medical advice.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Can Celexa cause weight gain?
Weight gain is possible, especially with long-term use. Lifestyle changes such as exercise and diet can help manage this side effect.
Is Celexa safe to take during pregnancy?
Celexa should only be used during pregnancy if clearly needed. Always consult your doctor before continuing or starting this medication while pregnant.
How long does Celexa take to work?
It may take 1–2 weeks to notice some improvement, with full effects often taking up to 4 weeks. Keep taking the medication as prescribed.
Can Celexa cause withdrawal symptoms?
Yes, stopping Celexa suddenly can lead to dizziness, mood swings, or flu-like symptoms. Always taper off under medical supervision.
Can I drink alcohol while taking Celexa?
It’s best to avoid alcohol, as it may increase drowsiness or worsen depression symptoms.
How long does citalopram usually take to work?
Many people notice gradual changes in sleep, energy, or appetite within a few weeks, with mood gains following later. Timelines vary by person and condition. Consistent daily use is important. Keep regular check-ins with your healthcare professional to review progress and any side effects. Do not change your dose or stop without medical guidance.
Can I drink alcohol while taking this SSRI?
Alcohol can increase drowsiness, impair judgment, and may worsen depression symptoms. Occasional use is discouraged, especially when starting treatment or after dose changes. If you choose to drink, discuss safer limits with your prescriber. Some people avoid alcohol entirely while on therapy to reduce risks.
What if I miss a dose of my tablets?
Take the dose when you remember unless it is close to your next scheduled dose. If it is near the next one, skip the missed dose and resume your regular timing. Do not double up to make up for a missed dose. Consider using reminders or a pillbox to support adherence.
Is this medicine safe in pregnancy or breastfeeding?
Safety depends on individual factors and timing. Some risks exist with untreated depression and with antidepressant exposure. Your clinician can weigh benefits and potential risks, consider alternatives, and monitor closely. Do not start or stop treatment without professional advice. Share your full history and any plans for pregnancy.
What interactions should I watch for with citalopram?
Avoid MAO inhibitors and pimozide. Use caution with other serotonergic drugs such as triptans, tramadol, and St. John’s wort. Medicines that prolong the QT interval, or lower potassium or magnesium, increase cardiac risk. NSAIDs and anticoagulants may raise bleeding risk. Always provide a complete medication list to your prescriber.
Can I split or crush the tablets?
Use tablets as directed. Some scored tablets may be split if your prescriber recommends it. Do not crush or split unless told to do so, as doing so can affect dosing accuracy and tolerability. If swallowing is difficult, ask about alternate strengths or formulations that might be appropriate.
How should I store my medication at home and during travel?
Keep tablets in a dry place at room temperature, away from light and humidity, and out of reach of children. Leave the medicine in its original, labeled container. For travel, keep it in your carry-on with a prescription copy or medication list. Bring enough supply for your trip and allow time for security checks.
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