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Citalopram

Citalopram, Citalostad, Pram, Seropram · ATC code N06AB04

Also known as: Sitalopram · Brand names: Citalostad, Pram, Seropram, Cipramil, As-Cilog, Atopran, Cipram, Citara, Citexam, Citol, Citolixin, Citrex, Cyteras, Laira, Vodelax …

Key facts
Active substance
Citalopram
Drug class
Selective serotonin reuptake inhibitor
ATC code
N06AB04
Authorisation
authorised nationally; no central EU authorisation
Information as of
2026-10-27

Boxed warning

Antidepressants increased the risk of suicidal thoughts and behaviors in pediatric and young adult patients in short-term studies. Closely monitor all antidepressant-treated patients for clinical worsening, and for emergence of suicidal thoughts and behaviors [see Warnings and Precautions (5.1)]. Citalopram tablets are not approved for use in pediatric patients [see Use in Specific Populations (8.4)].

Key facts

Citalopram is a selective serotonin reuptake inhibitor (SSRI). Per the US prescribing information, it is used to treat major depressive disorder in adults.

What it is used for

  • Major depressive disorder (MDD) in adults
  • Not approved for pediatric patients

Dosing

  • Start 20 mg once daily, with or without food; increase after no less than one week to a maximum of 40 mg once daily.
  • Doses above 40 mg once daily are not recommended (risk of QT prolongation).
  • Patients greater than 60 years, hepatic impairment, CYP2C19 poor metabolizers or with CYP2C19 inhibitors: maximum 20 mg once daily.
  • At least 14 days between an MAOI antidepressant and citalopram, in either direction.
  • Screen for bipolar disorder before starting; reduce gradually when discontinuing.

Contraindications

  • Taking MAOIs (including linezolid or intravenous methylene blue) or within 14 days of stopping them
  • Taking pimozide
  • Known hypersensitivity to citalopram or inactive ingredients

Important warnings

  • Boxed warning: increased risk of suicidal thoughts and behaviors in pediatric and young adult patients; monitor all patients closely
  • QT prolongation and torsade de pointes
  • Serotonin syndrome
  • Increased risk of bleeding
  • Activation of mania/hypomania, discontinuation syndrome, seizures, angle-closure glaucoma, hyponatremia, sexual dysfunction

Side effects

  • Nausea (21%), dry mouth (20%), somnolence (18%), insomnia (15%)
  • Increased sweating (11%), diarrhea (8%)
  • Ejaculation disorder in males, the most common reaction at least twice the placebo rate

Interactions

  • MAOIs: risk of serotonin syndrome; contraindicated
  • Pimozide: raised pimozide levels and QT prolongation risk; contraindicated
  • CYP2C19 inhibitors: maximum 20 mg once daily

Pregnancy and breastfeeding

  • SSRI exposure, particularly in the month before delivery, has been associated with a less than 2-fold increase in the risk of postpartum hemorrhage.

Summary of the official product information, written with AI (Claude, Anthropic) on 2026-10-28. Every number was checked automatically against the original text. Not reviewed by a physician – the full official text is authoritative.

Full official text →

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For patients

Patient information (US)

Patient information (US) →

Authorisation and brand names by country

Medicines with exactly this active-substance composition, as listed in the national registers – alphabetical and without ranking. Whether a product is currently available is not shown here.

Austria

  • Citalopram1a Pharma Gmbh, Teva B.V, Genericon Pharma Gesellschaft M.B.H., +pharma Arzneimittel Gmbh, Hexal Pharma Gmbh, G.L. Pharma Gmbh · 6 register entries
  • CitalostadStada Arzneimittel Gmbh · 1 register entry
  • PramG.L. Pharma Gmbh · 2 register entries
  • SeropramLundbeck Austria Gmbh · 2 register entries

Source: EMA – Article 57 product data (EU/EEA), as of 2026-10-28

Germany

  • CipramilLundbeck Gmbh, De · 2 register entries
  • Citalopram1 A Pharma Gmbh, Neuraxpharm Arzneimittel Gmbh, Ratiopharm Gmbh, Vitabalans Oy, Heumann Pharma Gmbh & Co. Generica Kg, Holsten Pharma Gmbh, Amarox Pharma Gmbh, Ametas Medical Gmbh, Aristo Pharma Gmbh (Art 57), Basics Gmbh, Hexal Ag, Puren Pharma Gmbh & Co. Kg, Stadapharm Gmbh, Viatris Germany Gmbh, Abz-Pharma Gmbh, Aliud Pharma Gmbh · 21 register entries

Source: EMA – Article 57 product data (EU/EEA), as of 2026-10-28

Turkey

  • As-CilogAPOTEX İLAÇ SAN VE TİC. LTD. ŞTİ. · 2 register entries
  • AtopranBİLİM İLAÇ SAN. VE TİC. A.Ş. · 2 register entries
  • CipramLUNDBECK İLAÇ TİC. LTD. ŞTİ. · 2 register entries
  • CitaraTEVA İLAÇLARI SAN. VE TİC. A.Ş. · 2 register entries
  • CitexamKOÇAK FARMA İLAÇ VE KİMYA SAN. A.Ş. · 2 register entries
  • CitolABDİ İBRAHİM İLAÇ SAN. VE TİC. A.Ş., TÜM-EKİP İLAÇ A.Ş. · 5 register entries
  • CitolixinRECORDATİ İLAÇ SAN. VE TİC. A.Ş. · 2 register entries
  • CitrexDEVA HOLDİNG A.Ş. · 2 register entries
  • CyterasBİOFARMA İLAÇ SAN. VE TİC. A.Ş. · 3 register entries
  • LairaNOBEL İLAÇ SAN. VE TİC. A.Ş. · 3 register entries
  • VodelaxSANOVEL İLAÇ SAN. VE TİC. A.Ş. · 6 register entries

Source: TİTCK – Ruhsatlı Beşeri Tıbbi Ürünler Listesi, as of 2026-10-16

USA

  • CelexaAllergan, Inc. · 1 register entry

Source: U.S. FDA – Drug labels (openFDA/DailyMed), as of 2026-10-28

Brand names in 27 more European countries
Belgium
Cipramil, Citalopram Ab, Citalopram Eg, Citalopram Ratiopharm, Citalopram Sandoz, Citalopram Teva
Bulgaria
Оропрам, Серопрам
Croatia
Citalon
Cyprus
Cilodral, Ropramin, Seropram
Czechia
Citalec, Citalopram +pharma, Citalopram Medreg, Citalopram Orion, Citalopram Teva, Citalopram Vitabalans, Pram, Seropram
Denmark
Cipramil, Citalopram Jubilant, Citalopram Orion, Citalopram Pcd, Citalopram Sandoz, Citalopram Stada, Citalopram Teva, Citalopram Viatris, Citalopram Vitabalans, Citalopram ”vitabalans”, Loxopram
Estonia
Cipramil, Ciral, Citalec, Citalopram Teva, Citalopram Vitabalans
Finland
Citalopram Orion, Citalopram Ratiopharm, Citalopram Vitabalans, Sepram
France
Citalopram Almus, Citalopram Arrow, Citalopram Biogaran, Citalopram Cristers, Citalopram Eg, Citalopram Evolugen, Citalopram Sandoz, Citalopram Teva, Citalopram Viatris, Citalopram Zentiva, Citalopram Zydus, Seropram
Greece
Acelopam, Adeprenal, Cinapen, Cipraned, Citaloprol, Decilop, Depretal, Ecloram, Exenadil, Galopran, Goldamit, Locitafer, Lopracil, Lopraxer, Malicon, Nevropram®, Pralotam, Pramital, Prefucet, Ropramin, Selon, Seropram, Seror, Siloam, Sotovon, Talosin, Unstress, Varom, Verus, Vesema, Zanipram, Zeclicid
Hungary
Citagen, Citalopram Orion, Citalopram Teva, Citalopram Vitabalans, Citalopram Zentiva, Citapram, Seropram
Iceland
Cipramil, Citalopram Stada, Oropram
Ireland
Ciprager, Cipramil, Ciprotan, Citalopram Teva, Citrol
Italy
Citalopram Abc, Citalopram Almus, Citalopram Aurobindo, Citalopram Doc, Citalopram Eg, Citalopram Hexal, Citalopram Medreg, Citalopram Molteni, Citalopram Mylan Generics, Citalopram Pensa, Citalopram Ranbaxy, Citalopram Ratiopharm, Citalopram Sandoz Bv, Citalopram Sandoz Gmbh, Citalopram Sun, Citalopram Zentiva, Elopram, Frimaind, Kaidor, Return, Ricap, Seropram, Sintopram
Latvia
Cipramil, Citalopram Teva, Citalopram Vitabalans, Pram
Lithuania
Ciral, Citalopram Teva, Citalopram Vitabalans, Pram
Luxembourg
Cipramil, Citalopram Eg
Malta
Ciprotan, Citalopram Aurobindo
Netherlands
Cipramil, Citalopram Amarox, Citalopram Ametas, Citalopram Cf, Citalopram Ct, Citalopram Focus, Citalopram Hydrobromide Aurobindo, Citalopram Mylan, Citalopram Pch, Citalopram Ratiopharm, Citalopram Sandoz, Citalopram Stada, Citalopram Strides
Norway
Cipramil, Citalopram Orion, Citalopram Sandoz, Citalopram Teva, Citalopram Vitabalans
Poland
Aurex, Cipramil, Citabax, Cital, Citalopram Medreg, Citalopram Vitabalans, Citaxin, Citronil, Oropram, Pram
Portugal
Citalopram Aurovitas, Citalopram Azevedos, Citalopram Genedec, Citalopram Generis, Citalopram Wynn
Romania
Linisan
Slovakia
Citalec, Citalopram Teva, Citalopram Vitabalans
Slovenia
Cipramil, Citalopram Vitabalans
Spain
Citalopram Alter, Citalopram Aurovitas, Citalopram Bexal, Citalopram Cinfa, Citalopram Combix, Citalopram Farmalider, Citalopram Kern Pharma, Citalopram Mabo, Citalopram Normon, Citalopram Pensa, Citalopram Ratio, Citalopram Ratiopharm, Citalopram Sandoz, Citalopram Stada, Citalopram Sun, Citalopram Tarbis, Citalopram Teva-Rimafar, Citalopram Viatris, Citalopram Vir, Citalvir, Prisdal, Seropram
Sweden
Cipramil, Citalopram Jubilant, Citalopram Orion, Citalopram Sandoz, Citalopram Teva, Citalopram Viatris, Citalopram Vitabalans

EMA – Article 57 product data (EU/EEA), 2026-10-28

Medelix receives no money from pharmaceutical companies. Brand names are listed alphabetically and without ranking.

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Sources

  1. U.S. Food and Drug Administration. Citalopram (Amneal Pharmaceuticals LLC) – Prescribing Information, 2024-09-23. DailyMed (NLM), 2026-10-27. https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=6a402640-1c9d-4fca-8b5b-e1ac1dd4ca5a
  2. EMA – Article 57 product data (EU/EEA), 2026-10-28. https://www.ema.europa.eu/en/human-regulatory-overview/post-authorisation/data-medicines-iso-idmp-standards-post-authorisation/public-data-article-57-database
  3. EMA – Article 57 product data (EU/EEA), 2026-10-28. https://www.ema.europa.eu/en/human-regulatory-overview/post-authorisation/data-medicines-iso-idmp-standards-post-authorisation/public-data-article-57-database
  4. TİTCK – Ruhsatlı Beşeri Tıbbi Ürünler Listesi, 2026-10-16. https://www.titck.gov.tr/dinamikmodul/85
  5. U.S. FDA – Drug labels (openFDA/DailyMed), 2026-10-28. https://dailymed.nlm.nih.gov/dailymed/
  6. Wikidata (CC0): ATC N06AB.

Editorial: Medelix editorial team · last updated 2026-10-27 · How these pages are made · Report an error

Source: U.S. Food and Drug Administration (FDA), prescribing information, via DailyMed (NLM); public domain. Not advertising, not a treatment recommendation. For questions about your own treatment, ask your doctor or pharmacist.