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If concomitant use of Celexa with other serotonergic drugs includingtriptanstricyclic antidepressantsfentanyllithiumtramadolbuspironeamphetaminestryptophan and StJohn’s Wort is clinically warrantedpatients should be made aware of a potential increased risk for serotonin syndrome particularly during treatment initiation and dose increases.

A major depressive episodeDSM-IVimplies a prominent and relatively persistentnearly every day for at least 2 weeksdepressed or dysphoric mood that usually interferes with daily functioningand includes at least five of i took prozac trazodone wellbutrin. the following nine symptomsdepressed moodloss of interest in usual activitiessignificant change in weight and/or appetiteinsomnia or hypersomniapsychomotor agitation or retardationincreased fatiguefeelings of guilt or worthlessnessslowed thinking or impaired concentrationa suicide attempt or suicidal ideation.

Although in controlled studies Celexa has not been shown to impair psychomotor performanceany psychoactive drug may impair judgmentthinkingor motor skillsso patients should be cautioned about operating hazardous machineryincluding automobilesuntil they are reasonably certain that Celexa therapy does not affect their ability to engage in such activities.

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