Citalopram

Suicidal Thoughts and Behaviors

• Increased risk of suicidal thoughts and behavior in pediatric and young adult patients taking antidepressants.
• Closely monitor all antidepressant-treated patients for clinical worsening and emergence of suicidal thoughts and behaviors (5.1)
• This drug is not approved for use in pediatric patients(8.4).

MONITORING RECOMMENDATIONS RELATED TO BLACK BOX DATA

• Close observation for suicidal thinking or unusual changes in behavior

FDA and Industry Communications

Drug Safety Communication: Abnormal Heart Rhythm Associated with High Doses (Aug 2011)

FDA Public Health Advisory: Antidepressant Use in Children, Adolescents, and Adults

FDA Proposes New Warnings About Suicidal Thinking, Behavior in Young Adults Who Take Antidepressant Medications (May 2007)

FDA Medication Guide

Patient Counseling Information

• Celexa

• Citalopram

Medication Guides

Patient Medication Guide

Package Inserts

Citalopram

Additional Information

• PubMed - Antidepressants and Suicidality