Citalopram is an antidepressant belonging to the class of selective serotonin-reuptake inhibitors (SSRIs) widely used to treat the symptoms of depression. It is a racemic bicyclic phthalate derivate and is the only compound with a tertiary amine and 2 nitrogen-containing metabolites among all SSRIs. Citalopram enhances serotonergic transmission through the inhibition of serotonin reuptake, and among all the SSRIs, citalopram appears to be the most selective toward serotonin reuptake inhibition. Specifically, it has a very minimal effect on dopamine and norepinephrine transportation and virtually no affinity for muscarinic, histaminergic, or GABAergic receptors.
Citalopram was approved by the FDA in 1998 for the treatment of depression in adults 18 years or older.
Citalopram is approved by the FDA for treating adults with major depressive disorder. It has also been used off-label to treat various diseases, including but not limited to sexual dysfunction, ethanol abuse, psychiatric conditions such as obsessive-compulsive disorder (OCD), social anxiety disorder, panic disorder, and diabetic neuropathy.
Department of Psychiatry, China Medical University Hospital, Taichung, Taiwan
The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, United States
Massachusetts General Hospital, Boston, Massachusetts, United States
Monroe Community Hospital, Rochester, New York, United States
VA Palo Alto Health Care System, Palo Alto, California, United States
University of Southern California Keck School of Medicine Memory and Aging Center, Los Angeles, California, United States
Stanford University School of Medicine, Stanford, California, United States
National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India
New York State Psychiatric Institute, New York, New York, United States
Steward St. Elizabeth's Medical Center, Boston, Massachusetts, United States
University of Ottawa, Institute of Mental Health Research, Ottawa, Ontario, Canada
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