Citalopram: -Class (other examples) -How they differ from TCA (tricyclic antidepressants) -Side effects -Dose -Couselling

-SSRI selecitve serotonin reuptake inhibitor (Escitalopram, fluoxetine & sertraline)- effective when prescribed other medications -Less sedative and fewer antimuscarinic & CV side effects than TCAs -GI side effects -QT interval prolongation (citalopram & escitalopram)- dose dependent (ECG measurements with those with cardiac disease & electrolyte disturbances- corrected before starting treamtent. -40mg for adults -20mg for patients older than 65 -20mg for those with hepatic impairment -Discuss exspectations with patient (2-4 weeks to start to feel effect) -Available support -Not Addictive but slow withdrawal