A new study published in the American journal Psychiatry Review finds that the use of a non-stimulant medication, fluoxetine, is associated with an increased risk of death in young people with major depressive disorder, particularly in adolescents. This study suggests that fluoxetine is an effective and safe treatment option for this group of patients. It also suggests that this medication may be a valuable treatment option for those who may not respond to antidepressants.
The drug fluoxetine is a selective serotonin reuptake inhibitor (SSRI) antidepressant. The drug is approved by the US Food and Drug Administration (FDA) for treatment of major depressive disorder in adults. It is available under the brand name Celexa® (citalopram) and is taken orally. Its primary indication is depression and is not approved for use in children and adolescents under 18 years of age.
In the study, researchers found that young people who were prescribed fluoxetine (Celexa®) were more likely to suffer from serious health risks, including major depression and suicide. They also found that fluoxetine use was associated with a lower risk of death in this group of patients. These findings were consistent with earlier research suggesting that fluoxetine was associated with an increased risk of death in adolescents with major depressive disorder.
Another study published in the Journal of the American Medical Association, also of young people, found that the use of fluoxetine was associated with a decreased risk of serious complications including death in young people taking fluoxetine. Researchers concluded that fluoxetine should not be used in patients over the age of 18 because there is a risk of serious complications that may be life-threatening in this age group.
The research was published in the July 2024 issue of the Journal of the American Medical Association. Its author, Dr. Emily Carter, is a clinical instructor in psychiatry and is a medical student at Columbia University College of Physicians and Surgeons College of Medicine.
“Fluoxetine is a treatment option for adults and adolescents with major depressive disorder,” Dr. Carter wrote in the journal.
She and her research team looked at data from two other studies of young people on fluoxetine. The researchers examined the risk of death in a group of young people using the antidepressant Celexa® (citalopram) for two years. They also looked at the risk of serious complications in a group of young people who took fluoxetine.
The first study, which was conducted in the early 1970s, showed that there was a greater than 5 percent increase in the risk of death in young people taking Celexa® compared to those taking the drug alone. The second study, which was conducted in the early 1990s, showed that young people who used the antidepressant Celexa® had a greater than 5 percent increased risk of serious complications. The researchers concluded that, in fact, young people who took Celexa® were more likely to die from suicide, particularly in the first year after the study was conducted.
In the first study, the researchers analyzed data from the first 12 months of the study and found that the risk of death increased with age. The risk increased with age for both Celexa® and Celexa® + fluoxetine. The researchers also found that fluoxetine use was associated with a higher risk of serious complications, including death, compared to the group of young people who took the drug alone.
“Our results suggest that young people who took fluoxetine have an increased risk of serious complications that may be life-threatening in this age group,” Dr. Carter said. “Our study suggests that this medication may be a valuable treatment option for these young people.”
“Young people with major depression or suicidal thoughts may need to stay vigilant about their symptoms,” she added. “They may need other strategies to cope with the symptoms of depression and anxiety. This information will help them work with their healthcare providers and other mental health services.”
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NewsGetty ImagesThe study was conducted by researchers at Columbia University College of Physicians and Surgeons College of Medicine at the University of South Carolina. The research team analyzed data from a total of 2,841 children from the Columbia-based Columbia Center for Health Research.
The researchers analyzed data from the second 12 months of the study. The second study was conducted in the early 1990s, and the researchers analyzed data from the second year of the study. The researchers found that there was a greater than 5 percent increased risk of death in children taking Celexa® compared to children taking the drug alone.
Celexa has been shown to cause some side effects. Talk to your health care provider if these reactions do not disappear within a few days or become severe.
Common side effects reported from Celexa use:
This is not a complete list of adverse reactions. If you experience difficulty breathing, unusual bleeding or bruising, chest pain, a skin rash, hives, fever, joint pain, muscle stiffness, swelling, seizures, hallucinations, hoarseness, or changes in your heart rate while taking Celexa, seek medical attention immediately.
Antidepressant drugs like Celexa increase the risk of suicidal thoughts or behaviors, so patients taking Celexa should be monitored for the emergence or worsening of depression, suicidal thoughts or behaviors, or unusual changes in mood or behavior.
As with all prescription medications, inform the prescribing doctor about any medical conditions you have been diagnosed with and any medications or supplements you currently take before starting treatment with Celexa. Celexa can interact with other medicines and substances, causing potentially serious side effects. Before beginning treatment with Celexa, let your doctor know if you are pregnant or are planning on becoming pregnant.
What is Celexa?Celexa is an antidepressant that is used to treat major depressive disorder (MDD) and schizophrenia. It is not approved for the treatment or prevention of suicide. It can also be used to treat obsessive-compulsive disorder (OCD), panic disorder, and premenstrual dysphoric disorder (PMDD). When taken as a adjunctive treatment for an acute attack of anxiety, Celexa can help prevent the symptoms of an anxiety attack from returning.
What is depressive disorder?Depression is a mental health condition when a person has severe or persistent depression that is not controlled by other medications. The depression caused by your genetics or other factors may be a result of an underlying condition, not a genetic condition. Celexa is approved by the FDA to treat major depressive disorder and other types of depression, as well as seasonal affective disorder (SAD). It is also approved to treat seasonal affective disorder (SAD), a condition characterized by cold and/or flu episodes.
How does Celexa affect the brain?Celexa works by affecting the serotonin transporter, increasing serotonin activity in the brain. This increase in serotonin can cause a variety of symptoms, including a change in mood, sleep, and feelings. Celexa may also affect the receptors responsible for sending and receiving pain signals, including those responsible for nerves that extend to the stomach, brain, and nervous system.
What are the risks of taking Celexa?Celexa is not approved for use by patients under the age of 18. However, it is acceptable to use it for patients over the age of 65. The risks of taking Celexa include taking certain medications, taking into account any medical conditions being discussed, and any personal/family medical history.
Celexa (citalopram hydrobromide) is a prescription medication that belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). Celexa helps treat depression and anxiety disorders. It is used to treat symptoms of depression in people with a mental disorder called major depression or depression at the hypothalamus and pituitary gland.
Celexa may also be used to treat other conditions like panic disorder, social anxiety disorder, generalized anxiety disorder, and premenstrual dysphoric disorder. SSRIs like Celexa may be prescribed off label for conditions like obsessive-compulsive disorder (OCD), social anxiety disorder, panic disorder, generalized anxiety disorder (GAD), and premenstrual dysphoric disorder.
The most common side effects of Celexa include drowsiness, dry mouth, weight gain, fatigue, and increased sensitivity to cold. Consult your doctor if any of these side effects persist or become bothersome.
Celexa may also cause a decrease in sexual desire. It may be prescribed (by prescription or habit-forming) for purposes other than those listed in this medication guide, or for another condition.
Celexa should only be taken by adults or children 16 or older with a history of suicidal thoughts or behaviors. Celexa may make your skin more sensitive to the sun and may prevent your skin from becoming more sensitive to the sun.
Do not take Celexa if you are also taking a MAO inhibitor (e.g. Lithobid, Sertraline)
Severe allergic reactions (such as rash, swelling, or difficulty breathing or swallowing) and seizures may occur. Use of a medicine called thioridazine or warfarin is recommended even if you do not have any symptoms of a serious allergic reaction. Do not take this medicine if you are pregnant or breastfeeding without consulting your doctor.
Celexa may rarely cause a severe intestinal bleeding or peronal or ovarian failure. This is a rare side effect of Celexa but must be carefully considered.
If you notice other side effects that are not due to this medication or that are mild or moderate in severity (eg, drowsiness, dry mouth, weight gain, fatigue, blurred vision, muscle pain, blurred vision, blurred vision/dizziness, blurred vision/dysesthesia, weight gain), contact your doctor immediately.
This medication is not suitable for use in women or children.
thioridazine
warfarin
lithobid
xenical
Do not take thioridazine or Sertraline if you are also taking a MAO inhibitor (e.g.
Severe allergic reactions (such as rash, swelling, difficulty breathing or swallowing) and seizures may occur. Use of a medicine called thioridazine or Sertraline is recommended even if you are not experiencing any symptoms of a serious allergic reaction.
Celexa should only be used by adults or children 16 or older with a history of suicidal thoughts or behaviors. Celexa can make your skin more sensitive to the sun and may prevent your skin from becoming more sensitive to the sun.
Thioridazine should not be used if you are also taking a medication called alprazolam.
Do not take lorlodil for the long term without consulting your doctor.
Celexa (citalopram hydrobromide) is a selective serotonin reuptake inhibitor (SSRI) antidepressant that is used to treat depression. It is a first-line treatment option for patients who have been discontinued from Celexa due to an increase in their risk of suicidal thoughts or behaviors. This medication is also used to treat posttraumatic stress disorder (PTSD) and post-traumatic stress disorder (PTSD-P).
Celexa is a popular medication used to treat depression. It works by increasing the levels of serotonin in the brain, which can help to improve symptoms of depression.
Celexa may also be used in combination with other medications to treat anxiety disorders, such as benzodiazepines or selective serotonin reuptake inhibitors (SSRI).
Celexa may be prescribed as part of a treatment plan for patients who have not responded to other medications. This includes a medication guide, as well as dosage recommendations for the individual patient. Patients should always follow the prescribed dosage and treatment plan to optimize the benefits of Celexa.
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Celexa is a selective serotonin reuptake inhibitor (SSRI) used to treat depression. Celexa is a medication that is often preferred by patients who are not able to take antidepressants in combination with other medications. This means that the benefits of treatment can be more pronounced in patients who are already taking antidepressants.
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Like any medication, Celexa may have side effects. These side effects can vary in severity from mild to severe. Most side effects of Celexa are usually mild and go away on their own. However, some patients may experience more severe side effects such as suicidal thoughts or behaviors. It is important to talk to your doctor about any concerns or side effects that you are experiencing.