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The efficacy of citalopram as a treatment for depression was established in two placebo-controlled studies of 4 to 6 weeks in duration in adult outpatients ages 18-66 meeting dsm-iii or dsm-iii-r criteria for major depression.
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pHeart diseaseheart failurea heart rhythm disorderslow heartbeatsor recent history of heart attack;/ppGet emergency medical help if you have signs of an allergic reaction to citalopramskin rash or hivesdifficulty breathingswelling of your facelipstongueor throat./ppThe prescriber should be aware that these figures cannot be used to predict the incidence of adverse events in the course of usual medical practice where patient characteristics and other factors differ from those which prevailed in the clinical trialsSimilarlythe cited frequencies cannot be compared with figures obtained from other clinical investigations involving different treatmentsusesand investigatorsThe cited figureshoweverdo provide the prescribing physician with some basis for estimating the relative contribution of drug and non-drug factors to the adverse event incidence rate in the population studied./ppTake citalopram exactly as prescribed by your doctorFollow all directions on your prescription labelYour doctor may occasionally change your doseDo not use this medicine in larger or smaller amounts or for longer than recommended./p

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