Citalopram 40mg

Generic For: Celexa

Citalopram 40mg (brand name Celexa) is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It is FDA-approved to treat major depressive disorder in adults and works by helping restore the balance of serotonin in the brain. After a licensed provider reviews your prescription, your order ships from a licensed U.S. pharmacy.

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Buy Citalopram 40mg Online (Generic Celexa)

An SSRI antidepressant used to treat depression and often prescribed for anxiety-related conditions

Citalopram 40mg Quick Facts

Drug classSSRI antidepressant
TreatsMajor depressive disorder (depression)
FormTablet
Typical dosingTake 1 tablet by mouth daily.
Prescription requiredYes — prescription only

What Is Citalopram 40mg?

Citalopram is a prescription antidepressant in the selective serotonin reuptake inhibitor (SSRI) class, sold under the brand name Celexa. It is FDA-approved to treat major depressive disorder in adults. Citalopram works by increasing the availability of serotonin, a chemical messenger in the brain that affects mood. It is taken as a once-daily tablet, and it may take several weeks to feel the full effect.

What Does Citalopram 40mg Treat?

Major depressive disorder (FDA-approved)
Depression symptoms such as low mood and loss of interest
Sometimes prescribed off-label for anxiety disorders
Sometimes prescribed off-label for panic disorder
Sometimes prescribed off-label for obsessive-compulsive symptoms
Off-label uses require your provider's clinical judgment

Citalopram 40mg Dosage

Start: 20 mg by mouth once daily.
May increase to maximum 40 mg once daily after at least 1 week.
Max 20 mg once daily if over age 60, hepatic impairment, or CYP2C19 poor metabolizer.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Citalopram 40mg Side Effects

Common side effects

  • Nausea
  • Dry mouth
  • Drowsiness or fatigue
  • Insomnia
  • Increased sweating
  • Tremor
  • Sexual side effects (decreased libido, ejaculation delay)
  • Diarrhea

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • QT prolongation or irregular heartbeat (palpitations, fainting)
  • Serotonin syndrome (agitation, fever, rapid heartbeat, muscle rigidity)
  • New or worsening suicidal thoughts, especially in young adults
  • Unusual bleeding or bruising
  • Low sodium levels (headache, confusion, weakness)
  • Severe allergic reaction (rash, swelling, trouble breathing)

Warnings & Interactions

Boxed warning: increased risk of suicidal thoughts in children, adolescents, and young adults
Do not use with or within 14 days of MAO inhibitors
Do not use with pimozide
Dose-dependent QT prolongation; 40 mg is the maximum daily dose
Avoid in congenital long QT syndrome; caution with other QT-prolonging drugs
Increased bleeding risk with NSAIDs, aspirin, or blood thinners
Do not stop abruptly; taper under provider guidance

Tell your prescriber about all medications, supplements, and health conditions before starting citalopram 40mg.

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Frequently Asked Questions

What is citalopram used for?

Citalopram is an SSRI antidepressant that is FDA-approved to treat major depressive disorder in adults. Some providers also prescribe it off-label for anxiety-related conditions based on clinical judgment.

What is the difference between citalopram and escitalopram?

Escitalopram (Lexapro) is the purified active form of citalopram (Celexa), so the two are closely related SSRIs. They have different approved uses, dosing, and side effect profiles, and your provider can determine which is more appropriate for you.

Do I need a prescription for citalopram 40mg?

Yes. Citalopram is a prescription-only medication in the United States. A licensed provider must review your health history and issue a valid prescription before it can be dispensed.

How does ordering and shipping work?

After you submit your prescription or complete a provider consultation, a licensed pharmacist reviews your order. Once approved, your medication ships in discreet packaging from a licensed U.S. pharmacy.

How long does citalopram take to work?

Some people notice improvement in sleep, energy, or appetite within 1 to 2 weeks. Full effects on mood typically take 4 to 6 weeks, so continue taking it as prescribed even if you feel better.

Is 40mg the maximum dose of citalopram?

Yes. The FDA limits citalopram to 40 mg per day due to a dose-related risk of heart rhythm changes (QT prolongation). Patients over 60, those with liver problems, and certain others should not exceed 20 mg daily.

Can I stop taking citalopram suddenly?

No. Stopping abruptly can cause discontinuation symptoms such as irritability, dizziness, and sleep problems. Work with your provider to taper the dose gradually.