Dalsan tablets


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

The active ingredient of Dalsan 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

Dalsan 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 Dalsan include: back or leg pains; dizziness or fainting; purple or red spots on the skin; fast, slow, or irregular heartbeat; Abdominal or stomach pain; change in sense of taste; stupor; holding false beliefs that cannot be changed by fact.

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See also Precautions section.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Some products that may interact with this drug include: other drugs that can cause bleeding/bruising (including antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen, "blood thinners" such as warfarin).

Aspirin can increase the risk of bleeding when used with this medication. However, if your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Ask your doctor or pharmacist for more details.

Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before and after treatment with this medication. Ask your doctor when to start or stop taking this medication.

The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotonin. Examples include street drugs such as MDMA/"ecstasy," St. John's wort, certain antidepressants (including other SSRIs such as fluoxetine/paroxetine, SNRIs such as duloxetine/venlafaxine), tryptophan, among others. The risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs.

Tell your doctor or pharmacist if you are taking other products that cause drowsiness including alcohol, marijuana (cannabis), antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants, and narcotic pain relievers (such as codeine).

Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

Many drugs besides Dalsan may affect the heart rhythm (QT prolongation), including amiodarone, pimozide, procainamide, quinidine, sotalol, among others.

Dalsan is very similar to esDalsan. Do not use medications containing esDalsan while using Dalsan.

This medication may interfere with certain medical/laboratory tests (including brain scan for Parkinson's disease), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

How should I take Dalsan?

Take Dalsan exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

It may take up to 4 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.

Do not stop using Dalsan suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.

Store at room temperature away from moisture and heat.

Before taking Dalsan

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking Dalsan it is important that your doctor knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you have any liver or k >

Rated Dalsan (Celexa) for Anxiety Report

HORRIBLE! I’ve so far only taken 1 20mg tablet. I took it last night around 7:40pm with food. By 9:30 I had horrible nausea and heart burn. My legs and body began trembling like I was having a seizure beyond my control until I slept. I had to take Gravol (anti nausea medication) and melatonin in order to fall asleep around 11:40. Woke up around 8:30am the next day feeling fine until 9:30, when I became nauseous again, the tremors came back, and I got extremely bad heart burn, my whole chest burning. I took Gravol again to hopefully sleep it off, but haven’t been able to fall asleep. My whole chest is burning, and I have extremely bad hunger pains but the nausea is too bad to eat. It’s currently 1:02pm, and I am never taking this drug ever again. It’s important to note that I am only 17yrs old, and my doctor prescribed this to me because I’ve been having persistent nausea for 6 months, she thinks it’s anxiety. 100% would never, ever try this drug again, it only made me worse.

Rated Dalsan (Celexa) for Depression Report

I am taking this for panic and depression. It took about 4 weeks to really help but it really does work. Stick it out! I was kind of nauseated & feel kind of out of it for two weeks but now my depression is gone and my anxiety is low. Incredible considering how horrible I felt!!

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 Dalsan 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 Dalsan 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 Dalsan 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 Dalsan (Celexa) for Depression Report

My depression was awful, crying every single day hours and hours on end . Got prescribed celexa and my doctor said push through it because the first few weeks are going to feel awful . I’m SO glad I did . This has changed my life , it won’t help the first week or even the second by week three you start seeing progress . I’m on 8 weeks now and my old self is coming back . I know how hard it is when you’re that low and you want something to work ASAP , but don’t give up it will change your life ! Side effects were light nausea , constant yawning and sleepy ! BUT push through because the results are worth it! I still get anxiety but nowhere near as bad as it was . Thanks to celexa I can start to live my life again !

Important information

You should not use Dalsan if you also take pimozide, or if you are being treated with methylene blue injection.

Do not use Dalsan if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine.

Some young people have thoughts about suicide when first taking an antidepressant. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor.

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Do not give Dalsan to anyone younger than 18 years old without the advice of a doctor. This medicine is not approved for use in children.


Dalsan has not been properly tested with recreational drugs.

Talk to your doctor if you think you might use recreational drugs while taking Dalsan.

Rated Dalsan (Celexa) for Depression Report

I hope it gets better. I'm only on day 2 of taking this, and I feel so uncomfortable. Nauseous, headache all day, dry mouth and sinuses, weird jittery anxious feeling where I can't get comfortable. I just hope it gets better because I don't know if all of this is better than the depression.

Dalsan Side Effects

Short-term side effects of Dalsan can include: 2

  • Dry mouth.
  • Nausea.
  • Appetite loss.
  • Drowsiness.
  • Joint pain.
  • Constipation.
  • Stomach pain.
  • Heartburn.
  • Frequent urination.
  • Changes in libido.
  • Yawning.
  • Sweating.

Dalsan can also cause a condition called serotonin syndrome, particularly if it is combined with tricyclic antidepressants, fentanyl, lithium, tramadol, trytophan, buspirone, amphetamines, or St. John’s wort. This condition requires emergency medical attention, so call 911 if symptoms arise. Serotonin syndrome can be deadly. Symptoms include: 1

  • Fast heartbeat.
  • Delirium.
  • Hallucinations.
  • Severe dizziness.
  • Nausea or vomiting.
  • Diarrhea.
  • Loss of physical coordination.
  • Agitation.
  • Restlessness.
  • Muscle twitches or rigidity.
  • Seizures.

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