Bivien tablets

Bivien

  • Active Ingredient: Citalopram
  • 40 mg, 20 mg
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What is Bivien?

The active ingredient of Bivien brand is citalopram. Citalopram is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). The molecular formula is C20H22BrFN2O and its molecular weight is 405.35. Citalopram hydrobromide occurs as a fine white to off-white powder. Citalopram hydrobromide is sparingly soluble in water and soluble in ethanol. Citalopram hydrobromide 10 mg capsules have an ivory body and yellow cap and contain citalopram hydrobromide equivalent to 10 mg citalopram base. Citalopram hydrobromide 20 mg capsules have an ivory body and pink cap and contain citalopram hydrobromide equivalent to 20 mg citalopram base. Citalopram hydrobromide 40 mg capsules have an ivory body and a green cap and contain citalopram hydrobromide equivalent to 40 mg citalopram base. The capsules also contain the following inactive ingredients: corn starch, crospovidone, edible inks, gelatin, lactose monohydrate, magnesium stearate, titanium dioxide, and yellow iron oxide. The following coloring agents are used in the yellow (10 mg) capsules: D&C Red No. 28, D&C Yellow No. 10, and FD&C Yellow No. 6. The following coloring agents are used in the pink (20 mg) capsules: D&C Red No. 28, D&C Yellow No. 10, FD&C Blue No. 1, and FD&C Red No. 40. The following coloring agents are used in the green (40 mg) capsules: D&C Yellow No. 10 and FD&C Blue No. 1.

Used for

Bivien is used to treat diseases such as: Agitation, Anxiety and Stress, Bipolar Disorder, Body Dysmorphic Disorder, Borderline Personality Disorder, Depression, Dissociative Identity Disorder, Generalized Anxiety Disorder, Hot Flashes, Neuralgia, Obsessive Compulsive Disorder, Occipital Neuralgia, Panic Disorder, Persistent Depressive Disorder, Postpartum Depression, Premenstrual Dysphoric Disorder, Severe Mood Dysregulation, Somatoform Pain Disorder, Trichotillomania, Vulvodynia.

Side Effect

Possible side effects of Bivien include: gas; increased thirst; tooth grinding; holding false beliefs that cannot be changed by fact; poor coordination; nosebleed; blurred vision.

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What Is Bivien (Celexa)?

Bivien is the generic form of the brand-name antidepressant Celexa, which is used to treat depression.

In addition to depression, Bivien is also used for treating:

Bivien is in a class of antidepressants known as selective serotonin reuptake inhibitors (SSRIs), which work on neurotransmitters (the chemicals that nerves in the brain use to communicate with each other).

Many medical experts believe depression is caused by an imbalance of neurotransmitters such as serotonin.

Studies show there may be less serotonin in the brains of depressed people. Bivien is thought to work by increasing serotonin levels.

Bivien was approved by the Food and Drug Administration (FDA) in 1998 and is manufactured by Teva Pharmaceuticals.

Responses (2)

Did you hear it right? It takes about 4 WEEKS to reach peak effect. 10 mg isn't much at all. Your dr is starting you out slow. Its going to need to be increased to 20 in a week or so. Your husband is correct. The suicidal warning is something that all antidepressants carry. Its a requirement from the FDA. It does not mean that you are going to become suicidal. Side effects are listed if 1% of the population has had them. Most people have very few of them if any.

yes i did hear right as my husband was with meand i asked him did i hear right he said 4 days before they start to work not for the full affect i have read a few ppls comments on this medication n some have said 4 days some say a week some 4wks and 1 person said they could feel the first few hours i surpose it depends how medication works with ur body . just wanted 2 find best time of day just rang boots pharmecy and she said it dosnt matter the time most ppl take it n the morning i just wanted 2 no as i have kids n my youngest is nly months old so wanted to be safe and she said it can start 2 work on my problems in 4 days n will get the full work of it in weeks

Hi, Kaismama is correct in saying that it takes 4 weeks (give or take) for Bivien to work to it's full potential. You can start to feel better before this time, but 4 weeks is the guideline time period for when you can expect significant results. The majority of people take Bivien in the morning. It can be taken at night, but can interrupt your sleep pattern. It is important to take the medication at the same time every day. There are several potential side effects that you could suffer with, and these types of medications are known to make you feel worse before you feel better (up to 4 weeks, but not necessarily this long), to what extent varies from person to person. I started taking Bivien several years ago now and it has changed my life for the better. I would always suggest giving it a try. My mum also takes 10mg to treat her anxiety. Your doctor may keep you on this dose or possibly increase it after 3 or 4 weeks. I hope you find the same success as i have.

Rated Bivien (Celexa) for Anxiety Report

It’s been a life changer. Even my co workers have seen the difference in me. No longer crying every day and very mild side effects if any at all. Take 10 mg once a day.

What Is Celexa?

Celexa (Bivien hydrobromide) is a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI) indicated for the treatment of depression. Celexa is available in generic form.

Q: Does Bivien cause sleeplessness?

A: Celexa (Bivien) is an antidepressant which is used to treat depression. Insomnia is one of the more common side effects associated with Bivien. Some other side effects that are commonly associated with Bivien are nausea, dry mouth, somnolence, sweating, tremor, diarrhea, heartburn, anxiety, anorexia, nervousness, and decreased libido. This is not a complete list of the side effects associated with Bivien. Megan Uehara, PharmD

What should I discuss with my healthcare prov >

You should not use this medicine if you are allergic to Bivien or esBivien (Lexapro), or if you also take pimozide.

Do not use Bivien if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

To make sure Bivien is safe for you, tell your doctor if you have:

  • a bleeding or blood clotting disorder;
  • liver or kidney disease;
  • narrow-angle glaucoma;
  • seizures or epilepsy;
  • heart disease, heart failure, a heart rhythm disorder, slow heartbeats, or recent history of heart attack;
  • personal or family history of Long QT syndrome;
  • an electrolyte imbalance (such as low levels of potassium or magnesium in your blood);
  • bipolar disorder (manic depression); or
  • a history of drug abuse or suicidal thoughts.

Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.

Taking an SSRI antidepressant during pregnancy may cause serious lung problems or other complications in the baby. However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant. Do not start or stop taking this medicine during pregnancy without your doctor's advice.

Bivien can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using Bivien.

Do not give this medicine to anyone under 18 years old without medical advice. Bivien is not approved for use in children.

Q: What is the best way to get off of Bivien 10mg? I have been on it for 2 years, started at 20mg.

A: Bivien (Celexa) is a selective serotonin reuptake inhibitor used to treat depression and other conditions as determined by your doctor. Bivien does have a risk of withdrawal symptoms when stopping the medication, especially if Bivien is stopped suddenly. Tapering down the dose of Bivien slowly before completely stopping can help minimize withdrawal symptoms. Some possible withdrawal symptoms include dizziness, drowsiness, vivid dreams, irritability, nausea, tingling sensations, and headache. It is important to speak with your doctor before you stop any medications. Your doctor may be able to give you suggestions on how to cope with withdrawal symptoms and how to taper your dose to help prevent withdrawal. There are tablet cutters available which you may be able to get at your local pharmacy that can help with splitting of tablets to achieve a lower dose. The 10mg tablet of Bivien is the lowest strength available. Laura Cable, PharmD

Bivien Dosage

Bivien comes in tablet form, in 10, 20, and 40 milligrams (mg), or as a liquid solution taken orally.

Your doctor will likely prescribe a 20 mg dose of Bivien, taken once a day, to start. That dose could be increased gradually to 40 mg a day as you adjust to the medication.

It can be taken with or without food.

It may take one to four weeks before you notice the full benefit of Bivien, so continue your medication even if you feel well.

What other drugs will affect Bivien?

Taking Bivien with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before taking a sleeping pill, narcotic pain medicine, prescription cough medicine, a muscle relaxer, or medicine for anxiety, depression, or seizures.

Many drugs can interact with Bivien. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any you start or stop using, especially:

tryptophan (sometimes called L-tryptophan);

a blood thinner (warfarin, Coumadin, Jantoven);

any other antidepressant;

medicine to treat a psychiatric disorder; or

"triptan" migraine headache medicine.

This list is not complete and many other drugs can interact with Bivien. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Give a list of all your medicines to any healthcare provider who treats you.

Before taking this medicine

You should not use this medicine if you are allergic to Bivien or esBivien (Lexapro), or if you also take pimozide.

Do not use Bivien if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

To make sure Bivien is safe for you, tell your doctor if you have:

a bleeding or blood clotting disorder;

liver or kidney disease;

seizures or epilepsy;

heart disease, heart failure, a heart rhythm disorder, slow heartbeats, or recent history of heart attack;

personal or family history of Long QT syndrome;

an electrolyte imbalance (such as low levels of potassium or magnesium in your blood);

bipolar disorder (manic depression); or

a history of drug abuse or suicidal thoughts.

Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.

Taking an SSRI antidepressant during pregnancy may cause serious lung problems or other complications in the baby. However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant. Do not start or stop taking this medicine during pregnancy without your doctor's advice.

Bivien can pass into breast milk and may harm a nursing baby. You should discuss the risks and benefits of using Bivien if you are breast-feeding.

Do not give this medicine to anyone under 18 years old without medical advice. Bivien is not approved for use in children.

Other Events Observed During The Premarketing Evaluation Of Celexa (Bivien HBr)

Following is a list of WHO terms that reflect treatment-emergent adverse events, as defined in the introduction to the ADVERSE REACTIONS section, reported by patients treated with Celexa at multiple doses in a range of 10 to 80 mg/day during any phase of a trial within the premarketing database of 4422 patients. All reported events are included except those already listed in Table 3 or elsewhere in labeling, those events for which a drug cause was remote, those event terms which were so general as to be uninformative, and those occurring in only one patient. It is important to emphasize that, although the events reported occurred during treatment with Celexa, they were not necessarily caused by it.

Events are further categorized by body system and listed in order of decreasing frequency according to the following definitions: frequent adverse events are those occurring on one or more occasions in at least 1/100 patients; infrequent adverse events are those occurring in less than 1/100 patients but at least 1/1000 patients; rare events are those occurring in fewer than 1/1000 patients.

Cardiovascular- Frequent: tachycardia, postural hypotension, hypotension. Infrequent: hypertension, bradycardia, edema (extremities), angina pectoris, extrasystoles, cardiac failure, flushing, myocardial infarction, cerebrovascular accident, myocardial ischemia. Rare: transient ischemic attack, phlebitis, atrial fibrillation, cardiac arrest, bundle branch block.

Central And Peripheral Nervous System Disorders - Frequent: paresthesia, migraine. Infrequent: hyperkinesia, vertigo, hypertonia, extrapyramidal disorder, leg cramps, involuntary muscle contractions, hypokinesia, neuralgia, dystonia, abnormal gait, hypesthesia, ataxia. Rare: abnormal coordination, hyperesthesia, ptosis, stupor.

General - Infrequent: hot flushes, rigors, alcohol intolerance, syncope, influenza-like symptoms. Rare: hayfever.

Hemic and Lymphatic Disorders - Infrequent: purpura, anemia, epistaxis, leukocytosis, leucopenia, lymphadenopathy. Rare: pulmonary embolism, granulocytopenia, lymphocytosis, lymphopenia, hypochromic anemia, coagulation disorder, gingival bleeding.

Metabolic and Nutritional Disorders - Frequent: decreased weight, increased weight. Infrequent: increased hepatic enzymes, thirst, dry eyes, increased alkaline phosphatase, abnormal glucose tolerance. Rare: bilirubinemia, hypokalemia, obesity, hypoglycemia, hepatitis, dehydration.

Musculoskeletal System Disorders - Infrequent: arthritis, muscle weakness, skeletal pain. Rare: bursitis, osteoporosis.

Psychiatric Disorders - Frequent: impaired concentration, amnesia, apathy, depression, increased appetite, aggravated depression, suicide attempt, confusion. Infrequent: increased libido, aggressive reaction, paroniria, drug dependence, depersonalization, hallucination, euphoria, psychotic depression, delusion, paranoid reaction, emotional lability, panic reaction, psychosis. Rare: catatonic reaction, melancholia.

Reproductive Disorders /Female* - Frequent: amenorrhea. Infrequent: galactorrhea, breast pain, breast enlargement, vaginal hemorrhage.

*% based on female subjects only: 2955

Respiratory System Disorders - Frequent: coughing. Infrequent: bronchitis, dyspnea, pneumonia. Rare: asthma, laryngitis, bronchospasm, pneumonitis, sputum increased.

Urinary System Disorders - Frequent: polyuria. Infrequent: micturition frequency, urinary incontinence, urinary retention, dysuria. Rare: facial edema, hematuria, oliguria, pyelonephritis, renal calculus, renal pain.


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