Highlighting uses, dosage, reviews, how to take & discontinue, side effects, pros & cons, and more
Brand & Generic Names; Drug Classes
|US brand name: Celexa|
|Generic name: citalopram|
|Primary drug class: Antidepressants|
|Additional drug class(es): Serotonin-Selective Reuptake Inhibitors|
Approved & Off-Label Uses (Indications)
Celexa’s US FDA Approved Treatment(s)
Major depressive disorder (MDD)
Uses Approved Overseas but not in the US
- In India, Ireland, Russia, Tunisia, Ukraine, the UK, and most of Europe citalopram is approved to treat both the initial phases of depression and to prevent its relapse ; and Panic Disorder (PD) with or without agoraphobia .
- In Argentina, Brazil, Estonia, Israel, and South Africa citalopram is approved to treat depression and PD as above, as well as OCD .
- In the Dominican Republic Zalopram is approved to treat depression, PD, and OCD as above, and also alcoholism .
- In Taiwan citalopram is approved to treat depression and anxiety.
Off-Label Uses of Celexa
Panic/Anxiety Spectrum Disorders
- Panic disorders with phobias
- Combat PTSD
- Social anxiety disorder (SAnD)
- Social anxiety with depression
- As noted above, Celexa is approved in South Africa to treat OCD.
- Like most SSRIs (and crazy meds in general) it fails at doing a damn thing for hoarding. Not only that, it can sometimes exacerbate the symmetry and hoarding forms/dimensions of OCD.
- But Celexa is just fabulous for compulsive shopping
- Augmenting (using with) other meds to treat OCD. such as clomipramine.
- The data do get a bit mixed with straight-up anxiety, which is probably why it’s not approved to treat anxiety spectrum disorders.
Other Forms of Depression
- Severe & frequent hot flashes . Particularly in post-menopausal women and women being treated for breast cancer.
- Premenstrual Dysphoric Disorder (PMDD)
- Chronic fatigue , where it’s so-so.
- Fibromyalgia . Two studies.
- Various forms of unpleasant behavior, including:
- A variety of eating disorders:
- Irritable Bowel Syndrome (IBS)
- Premature ejaculation
- I especially like the specificity of this study: Salvage Use of Citalopram for Treatment of Fluoxetine-Resistant Premature Ejaculation in Recently Married Men
- As well as this one: Panic attacks with spontaneous ejaculation successfully treated with citalopram and clonazepam
When & If Celexa Will Work
Celexa’s Usual Onset of Action (when it starts working)
Like all SSRIs anywhere from a couple days to over a month. If you don’t feel any positive benefit after six weeks, then you should talk to your doctor about either another SSRI or trying a med that hits another neurotransmitter.
Likelihood of Working
- There are just massive amounts of data with hard, real-world numbers from STAR*D giving actual odds of working:
- It’s a literal 50% coin-toss that you’ll a positive response within four weeks.
- And it’s a two-in-three chance that your depression will stay away.
- Based on what I can find in other clinical trials & studies, books, and anecdotal evidence, you’ve got a good 60–70% chance that Celexa will work, keep working, and suck less than MDD and any other antidepressant, except Lexapro.
- The data from the clinical trials for hot flashes are pretty encouraging, but anything in stage III tends to be encouraging.
- Its main problem with anxiety seems to be the short-term exacerbation of the problem.
Taking and Discontinuing
How to Take Celexa
Celexa (citalopram HBr) should be administered at an initial dose of 20 mg once daily, with an increase to a maximum dose of 40 mg/day at an interval of no less than one week. Doses above 40 mg/day are not recommended due to the risk of QT prolongation. Additionally, the only study pertinent to dose response for effectiveness did not demonstrate an advantage for the 60 mg/day dose over the 40 mg/day dose.
It is generally agreed that acute episodes of depression require several months or longer of sustained pharmacologic therapy. Systematic evaluation of Celexa in two studies has shown that its antidepressant efficacy is maintained for periods of up to 24 weeks following 6 or 8 weeks of initial treatment (32 weeks total). In one study, patients were assigned randomly to placebo or to the same dose of Celexa (20–60 mg/day) during maintenance treatment as they had received during the acute stabilization phase, while in the other study, patients were assigned randomly to continuation of Celexa 20 or 40 mg/day, or placebo, for maintenance treatment. In the latter study, the rates of relapse to depression were similar for the two dose groups (see Clinical Trials under CLINICAL PHARMACOLOGY). Based on these limited data, it is not known whether the dose of citalopram needed to maintain euthymia is identical to the dose needed to induce remission. If adverse reactions are bothersome, a decrease in dose to 20 mg/day can be considered.
- Start with 20mg a day and give it at least a week.
- If 20mg a day isn’t doing it for you go up to 40mg a day.
- 60mg a day probably won’t work, but as long as you don’t have a history of heart problems, you can give it a shot if you want to.
- It should work for at least 8 months at whatever dosage you’re taking.
- If you’re taking 40–60mg a day you might be able to get by on 20mg a day if the side effects are a bit harsh.
I can’t find too much fault with Lundbeck’s/Forest’s recommendations. Depending on how bad your depression is and your history with Antidepressants in general or SSRIs in particular, you may want to start at 10mg a day and increase your dosage by 10mg a day until it starts working. But if you feel like whaleshit on the bottom of the ocean, start at 20mg!
Like any SSRI Celexa can take up to a month to fully work. But if it’s not doing anything for you after two or three weeks, especially if you started at 20mg and have been taking 40mg a day for at least two weeks, then it’s time to move on to something else.
How to Stop Taking Celexa (discontinuation / withdrawal)
Based on the 35 hour half-life your doctor should be recommending that you reduce your dosage by 10–20mg a day every 6–8 days if you need to stop taking it if you need to stop taking it, if not more slowly than that. Make that 10–20mg a day every week just to make things easier on everyone.
Medicine Is The Best Medicine
I <3 Wellbutrin
Celexa’s Pros and Cons
- Works well on the combination of depression with OCD and/or SAnD-types of anxiety.
- Your insurance company may actually be right if they insist on your trying generic citalopram for your first med. Unless your doctor has a better idea, and/or you’ve used antidepressants in the past, especially SSRIs, just by playing the numbers Celexa is more likely to work (and suck less) than any other AD on the market.
- Generic citalopram is as good as Lexapro for most people.
- Basically, it’s the current King of all Antidepressants.
- If it does happen, the weight gain can be bad for an SSRI.
- Your insurance company might still insist you try it even if you’ve failed two other SSRIs previously.
- Not all generics are created equal.
Interesting Stuff your Doctor Probably didn’t Tell You about Celexa
For whatever reason, it’s a good med to switch to if the SSRI you’re already taking stops working or sucks too much. A study with Prozac and another with Paxil correspond to the anecdotal evidence I’ve come across. So in addition to being the best first med to try - unless you have specific symptoms that indicate an SSRI isn’t a way to go in the first place - it’s also the best second med to try.
Best Known for
Being the first drug most doctors prescribe for depression.
Return to Table of Contents
Celexa’s Side Effects
Side Effects All crazy meds Have
No matter which neurological and/or psychiatric drug you take, you’ll probably get one or more of these side effects. These will usually be gone, or at least will diminish to the point where you barely notice it most of the time, within a week or two.
- Drowsiness / fatigue - even when taking stimulants in some circumstances.
- Insomnia , instead of or alternating with the drowsiness.
- Assorted other minor GI complaints (constipation, diarrhea, etc.)
- Generally feeling spacey / out of it
- All crazy meds can, and probably will affect your dreams as well. There is no way of telling if that will be good or bad, let alone if this side effect is permanent or temporary.
- Any of the above side effects you see listed again below means they’re even more likely to happen and/or stick around longer and/or are worse than most other meds.
Typical Side Effects
The usual for SSRIs - headache , nausea , dry mouth , sweating , sleepiness or insomnia (sleeping is more likely), constipation or diarrhea (I wish SSRIs would make up their minds about these contradictory side effects), weight gain (if it happens the weight gain can be pretty bad for an SSRI), and assorted sexual dysfunctions . Most everything but the weight gain and bedroom problems usually goes away within a couple of weeks.
Return to Table of Contents
Uncommon Side Effects
Tremor , brand new anxiety or exacerbation of existing anxiety , acne , disruption of your menstrual cycle . Given that it works on PMDD and severe hot flashes, those last two shouldn’t be much of a surprise if they happen.
Somewhere between rare and uncommon are heart arrhythmia problems like torsades de pointes (TdP)/prolonged QT interval (QTc) . This happens more often than I had originally thought. Here’s a list of drugs to totally avoid if you have a history of TdP/QTc/cardiac arrhythmia.
Return to Table of Contents
Freaky Rare Side Effects
Rectal hemorrhage . Hiccups that won’t stop . Mouse had the unending hiccups. At the time it’s only funny when something like that happens to someone else. A year or two later, or even a couple months, it’s pretty funny no matter whom it happened to.
Return to Table of Contents
|Shirts to swipe from|
Crazymeds’ Clothes Line.
|See more ways to let my |
ADs express your feelings
|at Straitjacket T-shirts.||Shirts, hoodies & more.|
Medicated for Your Protection
Don’t worry about buying one. Windows shop and share the designs you’d like to buy. Do you have anything better to do right now?
What You Really Need to be Careful About
C-Use with caution
Return to Table of Contents
Celexa’s Half-Life & How Long Until It Clears Your System
Plasma half-life: 35 hours. It clears your system within 6–8 days.
Half-life is the average time it takes for you to process half of the drug’s active ingredient. If a drug has a half-life of around 24 hours and you take a dose of 100mg, you’ll have roughly the equivalent a 50mg dose after one day, a 25mg dose after two days, and so on. The rule of thumb is: multiply the half-life by five and you get how long it is for the dose you took to be cleared from your bloodstream2, so there’s nothing swimming around to attach itself to your brain and start doing stuff. That’s called “plasma clearance.” Complete clearance is a complex equation based on a lot of factors which may or may not: be published in the PI sheet, include personal data like your weight, or even completely figured out by corporate and independent researchers. It usually winds up being 2–5 days after plasma clearance no matter what3, but can take weeks. Sometimes a drug will clear from your brain and other organs before it clears from your blood.
Steady state is reached in: about a week.
Steady state is the flipside of half-life. This is when you can expect to get over side effects caused by fluctuating amounts of a medication in your bloodstream. Often, but not always the same amount of time as the plasma clearance above.
How citalopram Works
the current best guess at any rate
- Celexa treats depression and anxiety by effectively raising serotonin levels in your brain.
- It does so by letting your synapses soak in serotonin for longer than usual by slowing (inhibiting) the mechanism of serotonin transmission deeper into the neurons (reuptake).
- Depending on where, and to what extent that effect on serotonin occurs, your brain is happier.
- However, the regulation of your dopamine can also be affected, which is the likely cause of various side effects, especially those involving sexual dysfunction.
- This study may explain why it, and probably other SSRIs, works in treating OCD.
- I wish there were more pretty neuroimaging pictures.
- Here’s another one, looking at people with several anxiety-spectrum conditions (OCD, PTSD, & SAnD).
- Your guess is as good as, if not better than, mine when it comes to how any crazy meds work in regards to things like PMDD.
The active ingredient is usually the same as the generic name, but more often than not it’s a chemical salt of the substance identified as the generic. E.g. Fluoxetine is the generic for Prozac, but the active ingredient is fluoxetine hydrochloride (or HCl). It usually doesn’t make much of a difference outside of the more esoteric aspects of a drug’s pharmacology, but not always.
Tablets: 5 years. Oral solution: 2 years.
Return to Table of Contents
Celexa’s Noted Drug-Drug, Drug-Food & Drug-Supplement Interactions
Medicine Is The Best Medicine stickers
Fuck Depression stickers
PTSD Sucks! stickers
Fuck Bipolar bumper stickers
You don’t have to buy anything. Look around the store. Tweet what you like to your Pinbook Circle. Do you have anything better to do right now?
Check for Other Drug-Drug, Drug-Food & Drug-Supplement Interactions
It’s always a good idea to check for drug-drug interactions yourself. Just because most people in the crazy meds business know about really important interactions (e.g. MAOIs and a lot of stuff, warfarin and everything on the planet) doesn’t mean the person who prescribed your meds told you about them, or the pharmacist has all the meds you take at their fingertips like they’re supposed to. Or they have the time to do their jobs properly when not dealing with complete idiots or playing Angry Farmers on teh Faecesbooks.
Learn more about drug-everything interactions on our page of tips about taking crazy meds.
Name, Address, Serial Number (Generic and Overseas Availability)
Available in the US as a generic? Yes
Other Trade Names and Overseas Availability
Not including controlled/extended/sustained release suffixes (Efexor ER, Trevilor retard e.g.) or branded generics that are a hyphenate of the generic name and the drug company name (Apo-Citalopram e.g.).
Available as Celexa in:
- Costa Rica
Overseas Trade and Branded Generic Names
- Abgenix - Pakistan
- Acelopam - Greece
- Actipram - Bolivia, Chile, Paraguay, Peru, Venezuela
- Adeprenal - Greece
- A-Depress-Therapy 4 - Greece
- Akarin - Denmark
- Alcytam - Brazil
- Alepram - Greece
- Alopra - Pakistan
- Andepril - Denmark
- Ansiodex - Paraguay
- Antidepressa 5 - Bulgaria
- Apertia - Czech Republic, Finland, Germany, Hungary, Norway, Sweden, Switzerland
- Arpolax - Bangladesh, Hong Kong
- Arpopan - Mexico
- Arcana 6 - Austria
- Atinorm - Greece
- Aurex - Poland
- Auropram - Colombia
- Bellcital - Ireland, Sweden
- Belmazol - Greece
- Biopram - Sweden
- Bioxal - Iran
- Bivien - Greece
- Calton - Spain
- Celapram - Australia, Brazil, Taiwan
- Celepra - India, Sri Lanka
- Celesta - Pakistan
- Celica 7 - Australia, India
- Celius - Greece
- Celopram - Tunisia
- Ceropress - Greece
- Cerotor - Czech Republic
- Cetopress - Pakistan
- Cheer 8 - Pakistan
- Ciazil - Australia, France
- Cibrom - Mexico
- Cilate - South Africa
- Cilift - South Africa
- Cilomed - Sweden
- Cilonast - Poland
- Cilopa - Taiwan
- Cilopral - Switzerland
- Cilopram - Pakistan, Sweden
- Cilopress - Greece, Sweden
- Cimal - Chile, Colombia, Paraguay, Venezuela
- Cimax - Poland
- Cimetrex - Mexico
- Cinapen - Greece
- Cinavol - Italy
- Cipam - India
- Ciprager - Ireland
- Cipram - Bahrain, Egypt, Greece, Hong Kong, Indonesia, Korea, Kuwait, Lebanon, Malaysia, Malta, Netherlands, Oman, Pakistan, Saudi Arabia, Singapore, Sweden, Taiwan, Thailand, Turkey, UAE
- Cipramax - Egypt
- Cipramil - Australia, Brazil, Chile, China, Costa Rica, EU, Hong Kong, Ireland, Israel, New Zealand, Norway, Pakistan, Peru, Russia, South Africa, Ukraine, UK
- Cipraned - Greece
- Ciprapinie - Ireland, Netherlands
- Cipratal - Jordan
- Ciprotan - Ireland, Malta
- Ciral - Estonia, Latvia, Lithuania
- Cita - Czech Republic, India
- Citabax - Poland
- Citacip - Denmark
- Citadelm - India
- Citadeo - India
- Citadur - Denmark
- Citadura - Germany
- Citagen - Hungary
- Citaham - Denmark
- Citahexal - Ukraine
- Cital - Hong Kong, Malaysia, Poland
- Citalanorm - Albania, Bosnia-Herzegovina, Estonia, Latvia, Lithuania
- Citalec - Czech Republic, Estonia, Latvia, Slovakia/Slovak Republic
- Citalent - India
- Citaleq - Spain
- Citalex - Bulgaria, Czech Republic, Iran, Serbia
- Citalexal - Italy
- Citalgert - Greece
- Citalhexal - Austria, Ukraine
- CitaLich - Germany
- Citalo - Australia, Canada, Egypt, Pakistan
- Citalobell - Australia
- Citalobexal - Belgium
- Citalocit - Pakistan
- Citalogamma - Germany
- Citalogea - Denmark
- Citalogen - Bahrain, Germany, Oman, Saudi Arabia, UAE
- Citalohexal - South Africa
- Citalomed - Sweden
- Citalomep - Egypt
- Citalomine - India
- Citalon - Bulgaria, Croatia, Czech Republic, Germany, Greece, Hungary, Latvia, Lithuania, Macedonia (FYROM), Russia, Slovakia/Slovak Republic, Slovenia
- Citalonte - Denmark
- Citalop - Colombia, Germany, India, Sweden
- Citalophex - Germany
- Citaloprol - Greece
- Citalo-Q - Germany
- Citaloramin - Iran
- Citalostad - Austria, Estonia, Latvia, Lithuania, Sweden
- Citaloted - Iran
- Citalox - Slovenia
- Citalvir - Spain
- Citam - Luxembourg
- Citamed - Sweden
- Citamocal - Denmark, Finland, Norway, Sweden
- Citao - Taiwan
- Citap - Sri Lanka
- Citapram - Bangladesh, Hungary, Jordan, Lebanon, Oman, Saudi Arabia, Sweden, Viet Nam
- Citapriwa - Sweden
- Citara - India, Turkey
- Citaratio - Poland
- Citarid - Pakistan
- Citarcana - Austria
- Citavie - Sweden
- Citaxin - Poland
- Citazone - Colombia
- Citepamix - Italy
- Citesint - Italy
- Citexa - Turkey
- Citexam - Turkey
- Citoglan - Sweden
- Citol - Kazakhstan, Russia, Turkey
- Citola - India
- Citolap - Turkey
- Citolix - Turkey
- Citom - Iran, Oman
- Citomax - Georgia
- Citopam - Burma (Myanmar), India, Peru, Sri Lanka, Viet Nam
- Citopram - Pakistan
- Citor - Austria
- Citox - Mexico
- Citprim - Pakistan
- Citrex - Turkey
- Citrol - Ireland
- Citronil - Poland
- Città - Brazil
- Claropram - Switzerland
- Clik - Pakistan
- Copsam - Turkey
- Cortran - Chile
- C-Pram - India
- C-Talo - India
- Cutapam - Pakistan
- Cytop - India
- Dalsan - Bulgaria, Czech Republic, Hungary, Latvia, Romania
- Decilop - Greece
- Denyl - Brazil
- Dep-ez - Pakistan
- Depram - Egypt
- Deprapram - Pakistan
- Depran - Jordan, Oman, Saudi Arabia
- Depretal - Greece
- Deproxam - Sweden
- Desital - Denmark, Finland, Norway, Slovakia/Slovak Republic, Sweden
- Ecloram - Greece
- Elopram - Italy
- Emaxo - Denmark
- Emocal - Finland
- Eostar - Austria
- Eradep - Pakistan
- Erlicon - Greece
- Eslopram - Turkey
- Estabel - Spain
- Etapiam - Greece
- Evepram - Pakistan
- Exenadil - Greece
- Exipram - Iran
- Ezicit - Pakistan
- Felip - Pakistan
- Felipram - Italy
- Feliximir - Italy
- Feliz - India, Philippines, Sri Lanka
- Finap - Chile
- Frepram - India
- Frimaind - Albania, Italy, Kazakhstan
- Futuril - Germany
- Galopran - Greece
- Geksal - Kazakhstan, Russia, Ukraine
- Genprol - Spain
- Goldamit - Greece
- Hapicit - Pakistan
- Humorap - Argentina, Bolivia, Parguay
- Hydertan - Peru
- Iprin - Pakistan
- Kaidor - Italy
- Kelexa 9 - Pakistan
- Kingdom - Taiwan
- Kitapram - Taiwan
- Kylipram - Greece
- Laira - Turkey
- Lampopram - Italy
- Lecital - Jordan, Lebanon, Saudi Arabia
- Lexapram - Pakistan
- Linisan - Romania
- Locitafer - Greece
- Lodeprem - Greece
- Lontax - Italy, Netherlands
- Lopcit - Pakistan
- Lopra - Algeria, Saudi Arabia
- Lopracil - Greece
- Lopram - Oman, Pakistan, Saudi Arabia, Sri Lanka
- Lopraxer - Greece
- Loptar - Greece
- Loxpram - Paraguay
- Loxopram - Denmark
- Lupram - Spain, Philippines
- Madam 10 - India
- Màikè wěi - China
- Malicon - Greece
- Manipram - Pakistan
- Marpram - Italy
- Maxapran - Brazil
- Megafors - Germany
- Mitra - Pakistan
- Mooylec - Poland
- Nitalapram - Sweden
- Norescsero - Mexico
- Novipram - Pakistan
- Opra - Russia
- Opram - UAE
- Optimure - Colombia
- Oropram - Bulgaria, Hungary, Iceland, Malta, Poland, Slovenia, Ukraine
- Osalopram - Iran
- Pasilopram - Turkey
- Pocital - India
- Percitale - Italy
- Pralotam - Greece
- Pram - Austria, Czech Republic, Estonia, Latvia, Lithuania, Poland, Russia, Slovakia/Slovak Republic, Ukraine
- Pramexyl - Italy
- Pramital - Greece
- Pramcil - Chile
- Pramcit - India, Pakistan, Sri Lanka
- Pramtec - Pakistan
- Prefucet - Greece
- Prepram - Mexico
- Presar - Spain
- Pricital - Greece
- Prisdal - Spain
- Prisma - Chile
- Procimax - Brazil
- Psiconor - Argentina
- Puracit - Egypt
- Ramdeep 11 - Egypt
- Recital - Israel
- Redoxamin - Norway
- Rejkapram - Denmark
- Relapaz - Spain
- Relaxol 12 - Turkey
- Remicital - Mexico
- Renevil - Greece
- Return - Italy
- Ricap - Italy
- Ronol - Slovakia/Slovak Republic
- Ropramin - Greece
- Sedopram - Egypt
- Selon - Greece
- Semax - Chile
- Sepram - Czech Republic, Finland, Germany, Hungary, Norway
- Seproc - Greece
- Seregra - Spain
- Serital - Germany
- Serocel - Greece
- Seropram - Argentina, EU, Mexico, Switzerland, Venezuela
- Seror - Greece
- Serotor - Hungary, Slovakia/Slovak Republic
- Serotover - Greece
- Setapam - Pakistan
- Setronil - Chile
- Siloam - Greece
- Sintab - Turkey
- Sintopram - Italy
- Sitaleau - Taiwan
- Sitaleu - Greece
- Sitalo - Taiwan
- Smilopram - Pakistan
- Somac - Spain
- Sotovon - Greece
- S-Pram - Pakistan
- Starcitin - Belarus, Bosnia-Herzegovina, Croatia, Serbia
- Stilopic - Pakistan
- Styloprim - Pakistan
- Talam - Australia
- Talocit - Sweden
- Talohexal - Australia
- Talopram - Egypt, Greece, Jordan
- Talopron - Greece
- Taloram - Greece
- Talosin - Greece
- Tasonade - Greece
- Taxopar - Pakistan
- Tè lín nà - China
- Temperax - Chile, Uruguay
- Tenosil - Pakistan
- Tidipram - Iran
- Timopram - Serbia
- Topdep - India
- Tranquit - Pakistan
- Ultidep - India, Sri Lanka, Taiwan
- Unstress 13 - Greece
- Wàng yōu 14 - China
- Varom - Greece
- Verisan - Italy
- Verus - Greece
- Vesema - Greece
- Vodelax - Turkey
- Xadorek - Greece
- Yalpram - Pakistan
- Yī tài nà - China
- Yì tè ān 15 - China
- Zalopram - Dominican Republic, Haiti
- Zanipram - Greece
- Zebrak - Chile
- Zeclicid - Greece
- Zentius - Argentina, Chile, Colombia, Peru, Paraguay
- Zetalo - India
- Zinetron - Mexico
- Zitolex - Portugal
- Zoxipan - Brazil
- Zyloram - Czech Republic, Hungary, Latvia, Lithuania, Serbia, Slovakia/Slovak Republic
- רסיטל - Israel
- Антидепреса - Bulgaria
- Гексал - Kazakhstan, Russia, Ukraine
- Опра - Russia
- Оропрам - Bulgaria
- прам - Russia, Ukraine
- Старцитин - Belarus, Serbia
- Фримайнд - Kazakhstan
- Цитагексал - Ukraine
- Циталек - Bulgaria
- Циталон - Bulgaria, македонија, Russia
- Цитол - Kazakhstan, Russia
- ديبرام - Egypt, Saudi Arabia
- تالوبرام - Egypt, Jordan
- سيبرام - Egypt, Lebanon, Saudi Arabia, UAE
- سيتالوجين - Saudi Arabia, UAE
- سيبراماكس - Egypt
- ديبران - Jordan
- ليسيتال - Jordan, Lebanon, Saudi Arabia
- سيروبرام - Egypt
- لوبرام اقراص - Saudi Arabia
- سيدوبرام - Egypt
- سيبراتال - Jordan
- سيتابرام - Jordan, Lebanon, Oman, Saudi Arabia
- بيواسيت - Egypt
- Συσχέτιση - Greece
- 喜普妙 - China
- 迈克伟 - China
- 特林那 - China
- 望悠 - China
- 易特安 - China
- 一泰纳 - China
because one is never enough
- tsitalopraam - Estonian
- citalopramum - Latin
- citalopramul - Romanian
- cytalopram - Swedish16
- sitalopram - Turkish
- سیتالوپرام - citalopram transliterated into Arabic
- 西酞普兰 - citalopram transliterated into Chinese
- циталопрам - citalopram transliterated into Cyrillic
- ციტომაქსი - citalopram transliterated into Georgian, y’all
- σιταλοπράμη - citalopram transliterated into Greek
- ציפרמיל - citalopram transliterated into Hebrew
Shapes & Sizes (How Supplied)
- 10 mg tablets
- 20 mg tablets
- 40 mg tablets
- 10 mg / 5 mL oral solution
Celexa 20 mg Tablets
Comments, PI Sheet, Ratings, Reviews and More
CommentsIts efficacy, lack of drug-drug interactions with anything involving CYP2D6 & CYP3A4/5 (i.e. half the meds on the planet) and, now that it’s available as a generic practically everywhere, cost, makes it one of, if not the most-prescribed antidepressant on the planet. It’s certainly the most-prescribed, and usually the first-prescribed for MDD wherever it’s available. Unless your symptoms scream something else (e.g. anhedonia and the inability to figure out how to go about getting out of bed, in which case Wellbutrin would probably work better), citalopram should be the first antidepressant you’re prescribed. Unless your insurance covers Lexapro and you’re not taking a drug that interacts with it, you may as well get the med that sometimes works a little faster and sucks a little less.
Currently the only SSRI-class antidepressant that is approved by the FDA for depression and nothing else.17 Although that may change as it is undergoing phase III tests to treat hot flashes in women who experience them frequently long after menopause or during breast cancer therapy. In the latter it manages to do so without messing with tamoxifen, which is critical.
Get all critical about Celexa
Rating 232 criticisms.
Vote Distribution: 35 – 16 – 15 – 27 – 77 – 62
Rate this article
If you’re still feeling judgmental as well as just mental18, please boost or destroy my self-confidence by honestly (and anonymously) rating this article on a scale of 0 to 5. The more value-judgments the better, even if you can criticize my work only once.
Get all judgmental about the Celexa (citalopram) Synopsis
Rates 3.9 out of 5 from 100 value judgments.
Vote Distribution: 8 – 1 – 2 – 10 – 38 – 41
Medication Time clock
Merry RxMas Cards
You don’t need to buy anything. Browse and share if you have nothing better to do.
Full US PI sheet, Global SPCs & PILs, Other Consumer Review & Rating Sites, and Other Sites that may be of Interest
Prescribing Information & Information for Patients from Around the World
- Argentinian Zentius Prospectus
- Australian Cipramil Product Information (PI)
- Australian Cipramil Consumer Medicine Information (CMI)
- Bangledeshi Arpolax Drug Information in English
- Boliviano Información Farmacológica
- Brasileiro Città Informações Técnicas aos Profissionais de Saúde Brazilian Città Technical Information for Healthcare Professionals
- Brasileiro Città Informações ao Paciente (PIL)
- Български Oропрам Лекарствен справочник Bulgarian Oropram Patient Medical Guide
- Български Серопрам Кратка Характеристика на Продукта Bulgarian Seropram Summary of Product Characteristics (SPC)
- Canadian Product Monograph
- Chileno citalopram folleto Chilean generic citalopram PIL
- Chileno Zenitus Información Farmacológica Chilean Zenitus SPC
- 中国 西酞普兰 SPC Chinese Citalopram SPC. I think it’s an SPC
- 中国 易特安 说明书 Chinese Yì tè ān manual (PIL)
- Hrvatski Starcitin Uputa o Lijeku Croatian Starcitin PIL
- Čeština Citalon Příbalová Informace: Informace pro Uživatele Czech Citalon PIL
- República Dominicana Zalopram Información Farmacológica Dominican Zalopram SPC
- Nederlands Cipramil Samenvatting van de Productkenmerken Dutch Cipramil SPC
- Eesti Ciral Ravimi Omaduste Kokkuvõte Estonian Ciral SPC
- Français Seropram Résumés des Caractéristiques du Produit French Seropram SPC
- ქართული ციტომაქსი ანოტაცია Georgian Citomax SPC (Google translates it as “annotation”). If you’re unfamiliar with Georgian or Armenian: your computer did not catch a virus. Unless every other site you looks like they’re written in Georgian or Cambodian when they shouldn’t be.
- Deutsch (German) Citalogamma PIL
- Ελληνικά Seretover Περίληψη των Χαρακτηριστικών του Προϊόντος Greek Seretover SPC
- Magyar Dalsan Betegtájékoztató Hungarian Dalsan PIL
- Íslensku Oropram Samantekt á Eiginleikum Lyfs Icelandic Oropram SPC
- Íslensku Oropram Fylgiseðill: Upplýsingar Fyrir Notanda Lyfsins Icelandic Oropram Package Leaflet (PL): PIL
- ایرانی citalopram اطلاعات دارویی Iranian SPC
- Irish Cipramil SPC
- מידע סמים ישראלי רסיטל Israeli Recital drug information
- Italiano Ricap Riassunto delle Caratteristiche del Prodotto Italian Ricap SPC
- казахский Гексал Инструкция по медицинскому применению лекарственного средства Khazak Geksal Prescribing Instructions (PI) in Russian
- Lietuvos Citalanorm Informacinis Lapelis Lithuanian Citalanorm Package Insert (PI). This PI is supposed to be the equivalent of a PIL, and for a PIL it’s a pretty amazing document as it’s more comprehensive than a lot of the SPCs.
- Maltese Oropram SPC in English
- Mexicano Citox Información Farmacológica SPC
- Mexicano Prepram Información Farmacológica SPC
- Mexicano Zinetron Información Farmacológica SPC
- New Zealand Cipramil MDS
- Paraguayo Zenitus Información Farmacológica
- Peruano (Peruvian) citalopram Información Farmacológica SPC
- Polski Oropram Ulotka dla Pacjenta: Informacja dla Użytkownika Polish Oropram PL: PIL
- Român Dalsan Rezumatul Caracteristicilor Produsului Romanian Dalsan SPC
- South African Citalohexal Patient Information
- Slovenski Citalox Navodilo za uporabo Slovene Citalox Instructions for Use (PIL)
- Español citalopram Prospecto: Información para el Usuario Spanish citalopram PIL
- Svenska citalopram Produktresumé Swedish citalopram SPC
- 台灣 西酞普兰 藥品信息 Taiwanese citalopram drug information
- Tunisie Celopram Fiche Technique Tunisian Celopram Data Sheet - In French. Winner of the most useless technical specs a drug company has published for one of their meds. Ever.
- Türk Vodelax Prospektüs Turkish Vodelax SPC
- украинский Описание препарата Ukrainian Citahexal Product Description in Russian
- Український Цитол Загальна характеристика Ukrainian Citol SPC
- UK Cipramil SPC
- Everyday Health Reviews
- AskaPatient Drug Ratings
- PatientsLikeMe Treatment Report
- DailyStrength User Reviews
- WebMD User Reviews & Ratings
- Drugs.com User Reviews
Other Sites of Interest
||Keep Crazymeds on the air.
Donate some spare electronic currency
you have floating around The Cloud
|Display your mad pride. ||Tell your imaginary friends about Crazymeds. |
Shirts & Other Clothing
Totes & Other Bags
Magnets & More
- Citalopram controls phobic symptoms in patients with panic disorder: randomized controlled trial. J Psychiatry Neurosci. Jan 2000; 25(1): 25–32. E Leinonen, U Lepola, H Koponen, J Turtonen, A Wade, and H Lehto
- Response of symptom dimensions in obsessive-compulsive disorder to treatment with citalopram or placebo Rev. Bras. Psiquiatr. vol.29 no.4 São Paulo Dec. 2007 Dan J Stein, Elisabeth W Andersen, Kerstin Fredricson Overo
- Efficacy and Tolerability of Citalopram in the Treatment of Late-Life Anxiety Disorders: Results From an 8-Week Randomized, Placebo-Controlled Trial Am J Psychiatry 2005;162:146-150 January 01, 2005 Eric J. Lenze, M.D.; Benoit H. Mulsant, M.D.; M. Katherine Shear, M.D.; Mary Amanda Dew, Ph.D.; Mark D. Miller, M.D.; Bruce G. Pollock, M.D., Ph.D.; Patricia Houck, M.S.; Barbara Tracey, M.S.N.; Charles F. Reynolds, III, M.D.
- A Single Dose of the Selective Serotonin Reuptake Inhibitor Citalopram Exacerbates Anxiety in Humans: A Fear-Potentiated Startle Study Neuropsychopharmacology (2007) 32, 225–231. Published online 13 September 2006 Christian Grillon, Jessica Levenson and Daniel S Pine
- Phase III, Placebo-Controlled Trial of Three Doses of Citalopram for the Treatment of Hot Flashes: NCCTG Trial N05C9 J Clin Oncol. Jul 10, 2010; 28(20): 3278–3283. Debra L. Barton, Beth I. LaVasseur, Jeff A. Sloan, Allen N. Stawis, Kathleen A. Flynn, Missy Dyar, David B. Johnson, Pamela J. Atherton, Brent Diekmann, and Charles L. Loprinzi
- A controlled crossover study of the selective serotonin reuptake inhibitor citalopram in irritable bowel syndrome Gut. Aug 2006; 55(8): 1095–1103. J Tack, D Broekaert, B Fischler, L Van Oudenhove, A M Gevers, and J Janssens
- The role of the selective serotonin reuptake inhibitor citalopram in irritable bowel syndrome Gut. May 2007; 56(5): 733. L A S van Kerkhoven, R J F Laheij, and J B M J Jansen
- Citalopram is not Effective Therapy for Non-Depressed Patients with Irritable Bowel Syndrome Clin Gastroenterol Hepatol. Jan 2010; 8(1): 42. Published online 16 September 2009. Uri Ladabaum, M.D., M.S. Annie Sharabidze, M.D., Theodore R. Levin, M.D., Wei K. Zhao, Elaine Chung, Peter Bacchetti, Ph.D., Chengshi Jin, PhD, Barbara Grimes, PhD, and Craig J. Pepin, M.D.
- Citalopram Intervention for Hostility: Results of a Randomized Clinical Trial J Consult Clin Psychol. Feb 2009; 77(1): 174–188. Thomas W. Kamarck, Roger F. Haskett, Matthew Muldoon, Janine D. Flory, Barbara Anderson, Rob Bies, Bruce Pollock, and Stephen B. Manuck
- The efficacy of citalopram in the treatment of premature ejaculation: a placebo-controlled study International Journal of Impotence Research (2002) 14, 502-505. December 2002, Volume 14, Number 6 M Atmaca, M Kuloglu, E Tezcan, and A Semercioz
- Evaluation of Outcomes With Citalopram for Depression Using Measurement-Based Care in STAR*D: Implications for Clinical Practice. Am J Psychiatry 2006;163:28-40. January 01, 2006 Madhukar H. Trivedi, M.D.; A. John Rush, M.D.; Stephen R. Wisniewski, Ph.D.; Andrew A. Nierenberg, M.D.; Diane Warden, Ph.D., M.B.A.; Louise Ritz, M.B.A.; Grayson Norquist, M.D.; Robert H. Howland, M.D.; Barry Lebowitz, Ph.D.; Patrick J. McGrath, M.D.; Kathy Shores-Wilson, Ph.D.; Melanie M. Biggs, Ph.D.; G. K. Balasubramani, Ph.D.; Maurizio Fava, M.D.; STAR*D Study Team
- Sex Differences in Response to Citalopram: A STAR*D Report J Psychiatr Res. Feb 2009; 43(5): 503–511. Published online Aug 26, 2008. Elizabeth A Young, M.D., Susan G Kornstein, M.D., Sheila M Marcus, M.D., Anne T Harvey, Ph.D., Diane Warden, Ph.D., Stephen R. Wisniewski, Ph.D., G. K. Balasubramani, Ph.D., Maurizio Fava, M.D., Madhukar H Trivedi, M.D., and A John Rush, M.D.
- A Proton MRSI Study of Brain N-Acetylaspartate Level After 12 Weeks of Citalopram Treatment in Drug-Naive Patients With Obsessive-Compulsive Disorder. Am J Psychiatry 2006;163:1202-1207 July 01, 2006 Joon Hwan Jang, M.D.; Jun Soo Kwon, M.D., Ph.D.; Dong Pyo Jang, Ph.D.; Won-Jin Moon, M.D., Ph.D.; Jong-Min Lee, Ph.D.; Tae Hyun Ha, M.D.; Eun Chul Chung, M.D., Ph.D.; In Young Kim, M.D., Ph.D.; Sun I. Kim, Ph.D.
- Single photon emission computed tomography (SPECT) of anxiety disorders before and after treatment with citalopram. BMC Psychiatry. 2004; 4: 30. Published online Oct 14, 2004. Paul D Carey, James Warwick, Dana JH Niehaus, Geoffrey van der Linden, Barend B van Heerden, Brian H Harvey, Soraya Seedat, and Dan J Stein
- Tamoxifen’s protection against breast cancer recurrence is not reduced by concurrent use of the SSRI citalopram. Br J Cancer. Aug 19, 2008; 99(4): 616–621. Published online Jul 29, 2008 T L Lash, L Pedersen, D Cronin-Fenton, T P Ahern, C L Rosenberg, K L Lunetta, R A Silliman, S Hamilton-Dutoit, J P Garne, M Ewertz, and H T Sørensen
- Salvage Use of Citalopram for Treatment of Fluoxetine-Resistant Premature Ejaculation in Recently Married Men Urol J. 2010;7:40-4. Mohammad Reza Dadfar, Mahmood Reza Baghinia
- Warfarin and Superwarfarin Toxicity emedicine.medscape.com Kent R Olson, MD, FACEP, Michael A Miller, MD, et al. Updated: May 14, 2013
- Celexa Full US Prescribing Information
- Stahl, Stephen M. Stahl’s Essential Psychopharmacology: Neuroscientific Basis and Practical Applications (Essential Psychopharmacology Series) Third edition Cambridge University Press 2008. ISBN:978–0521673761
- Julien, Robert M. Ph.D, Claire D. Advokat, and Joseph Comaty Primer of Drug Action: A comprehensive guide to the actions, uses, and side effects of psychoactive drugs 12th edition Worth Publishers 2011. ISBN:978–1429233439
- Stahl, Stephen M. The Prescriber’s Guide (Essential Psychopharmacology Series) Third edition Cambridge University Press 2009. ISBN:978–0521743990
- Virani, Adil S., K. Bezchlibnyk-Butler, and J. Jeffries Clinical Handbook of Psychotropic Drugs 18th edition Hogrefe & Huber Publishers 2009. ISBN:978–0889373693
- Mosby’s Drug Consult 2007 (Generic Prescription Physician’s Reference Book Series) © 2007 ISBN:978-0323040587 An imprint of Elsevier
- Instant Psychopharmacology 2nd Edition Ronald J. Diamond MD © 2002. ISBN:978-0393703917 Published by W.W. Norton.
- The Complete Guide to Psychiatric Drugs Edward Drummond, MD © 2000. ISBN:0471353701 Published by John Wiley & Sons, Inc.
- PDR: Physicians’ Desk Reference 2010 64th edition
- Healing Anxiety & Depression Daniel G. Amen, M.D., and Lisa C. Routh, M.D. © 2003. Published by G.P. Putnam’s Sons.
- Irish Cipramil Summary of Product Characteristics
- South African Citalohexal Patient Information
- UK Cipramil Summary of Product Characteristics
Studies and trials referenced:
- Citalopram for the Treatment of Hot Flashes: NCCTG Trial N05C9
Totes & Other Bags
2 Based on Julien's calculations from A Primer of Drug Action, the half-life multiplied by five is the generally accepted estimate of how long it takes a single dose of any given drug to be eliminated from the blood stream/plasma of someone with a normal metabolism. That's also the rough estimate for steady state if they can't get, or won't provide a number for that.
3 For crazy meds. I have no idea what the average complete clearance is for other types of medications. For all I know there are drugs that utterly vanish from your system in under five passes, and others that won't let go of your squishy bits for years after you stop taking them.
4 What has to be the most literal drug name on the planet.
5 Almost as literal as the Greek equivalent.
6 Finally, a drug company comes right out and says, "It's a mystery how these meds work." Hats off to Arcana Arzneimittel GmbH!
7 You'll have to talk to an Australian intellectual property lawyer to find out how an antidepressant and a Toyota are able to have the same brand name. Actually, I'd appreciate it if someone would talk to an intellectual property lawyer or somebody in Australia who knows why the hell the same brand name is being used for both products.
8 Looks like somebody really does consider Celexa to be a happy pill.
9 The intellectual property laws in South Asia are only slightly better than those in China.
10 Manufactured by, I shit ye not, Panacea Biotec. Whoever named that company has balls of titanium. Especially since most of their products deal with cancer, organ transplants, and assorted supplements. And their logo is easily mistaken for Lundbeck's.
11 Which also sounds like the name of a Cairo gay bar.
12 This could also be the name of a parody med.
13 I bet American drug companies would love it if they could name meds like they can in Greece.
14 Yeah, well wang you too, buddy! No, don't wang me, wang you! Wang you very much! According to Google Wàng (望) translates to "hope", so that's one more incidence of naming drug companies wish they could do in America.
15 Google translates this name to "Easy Tean", which sounds like a pr0n site.
16 I've also seen cytalopram used on academic, government, and pharmaceutical Polish sites. But I've also seen both the standard and Latin INNs, so there doesn't appear to be a consensus on what the generic name is in Poland.
17 Luvox is approved to treat OCD and nothing else, making it the redheaded stepchild of SSRIs.
18 Thank you! I'll be here all weak. Be sure to tip your content provider. And don't try the veal, it's cruelicious!
If you have any questions not answered here, please see the Crazymeds Celexa discussion board. We welcome criticisms of the articles, notifications of bad links, site problems, consumer experiences with medications, etc. I’m not always able to write back. Hence I never answer questions about meds via e-mail that are answered by this or other articles. Especially if they have been repeatedly asked on the forum. That’s why we write these damn things. Questions about which meds are best for your condition should also be asked on the forum; because this is a free site, so the price of admission is making things easier for somebody else searching for the same answer. We don’t deal with children on the forum or in private because after doing this for ten years I don’t have the emotional stamina to deal with kids who have brain cooties. How to contact Crazymeds. — Jerod Poore, CME, Publisher Crazymeds (crazymeds.us)
|Last modified on Monday, 10 November, 2014 at 18:01:45 by JerodPoore||Page Author Jerod Poore||Date created Monday, 28 January 2013 at 17:14:56|
|“Celexa (citalopram): a Synopsis for the Educated Consumer.” by Jerod Poore is copyright © 2013 Jerod Poore||Published online 2013/01/28|
|Citation options to copy & paste into your article:|
|Plain text:||Poore, Jerod. “Celexa (citalopram): a Synopsis for the Educated Consumer.” Crazymeds (crazymeds.us). (2013).|
Celexa, and all other drug names on this page and used throughout the site, are a trademark of someone else.
Page design and explanatory material by Jerod Poore, copyright © 2004 - 2014. All rights reserved.
Keep up with Crazymeds and and/or my
slow descent into irreparable madness boring life. Pick your preferred social media target(s):
Follow me for site updates,
and research & pharm news.
|Wear my Straitjacket||Batshit Crazy Blog|
Crazymeds | Promote Your Page Too||
Follow for site updates and
retweets to cheer you the hell up.
|Play Dress-Up with your Imaginary Friends||Crazymeds: The Blog|
Almost all of the material on this site is by Jerod Poore and is copyright © 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, and 2014 Jerod Poore. Except, of course, the PI sheets - those are the property of the drug companies who developed the drugs the sheets are about - and any documents that are written by other people which may be posted to this site will remain the property of the original authors. You cannot reproduce this page or any other material on this site outside of the boundaries of fair use copying without the express permission of the copyright holder. That’s usually me, so just ask first. That means if want to print out a few pages to take to your doctor, therapist, counselor, support group, non-understanding family members or something like that - then that’s OK to just do. Go for it! Please. As long as you include this copyright notice and something along the lines of following disclaimer, I’m usually cool with it.
All rights reserved. No warranty is expressed or implied in this information. Consult one or more doctors and/or pharmacists before taking, or changing how you take any neurological and/or psychiatric medication. Your mileage may vary. What happened to us won’t necessarily happen to you. If you still have questions about a medication or condition that were not answered on any of the pages you read, please ask them on Crazy Talk: the Crazymeds Forum.
The information on Crazymeds pertains to and is intended for adults. While some information about children and adolescents is occasionally presented (e.g. US FDA approvals), pediatric-specific data such as dosages, side effects, off-label applications, etc. are rarely included in the articles on drugs or discussed on the forum. If you are looking for information regarding meds for children you’ll have to go somewhere else. Plus we are big pottymouths and talk about S-E-X a lot.
Know your sources!
Nobody on this site is a doctor, a therapist, or a pharmacist. We don’t portray them either here or on TV. Only doctors can diagnose and treat an illness. While it’s not as bad as it used to be, some doctors still get pissed off by patients who know too much about medications, so tread lightly when and where appropriate. Diagnosing yourself from a website is like defending yourself in court, you suddenly have a fool for a doctor. Don’t be a cyberchondriac, thinking you have every disease you see a website about, or that you’ll get every side effect from every medication1. Self-prescribing is as dangerous as buying meds from fraudulent online pharmacies that promise you medications without prescriptions.
All information on this site has been obtained through our personal experience and the experiences family, friends, what people have reported on various reputable sites all over teh intergoogles, the medications’ product information / summary of product characteristic (PI/SPC) sheets, and from sources that are referenced throughout the site. As such the information presented here is not intended as a substitute for real medical advice from your real doctor, just a compliment to it. You should never, ever, replace what a real doctor tells you with something from a website on the Internet. The farthest you should ever take it is getting a second opinion from another real doctor. Educate yourself - always read the PI/SPC sheet or patient information leaflet (PIL) that comes with your medications and never ever throw them away. OK, you can throw away duplicate copies, but keep at least one, as that’s your proof of purchase of having taken a med in case a doctor doubts your medical history. Plus they take up less space than a bottle, although keeping one inside of a pill bottle is even better.
Crazymeds is not responsible for the content of sites we provide links to. We like them, or they’re paid advertisements, or they’re something else we think you should read to help you make an informed decision about a particular med. Sometimes they’re more than one of those things. But what’s on those sites is their business, not ours.
Crazymeds is optimized for the browser you’re not using on the platform you wish you had. Between you and me, it all looks a lot cleaner using Safari or Chrome, although more than half of the visitors to this site use either Safari or Internet Explorer, so I’m doing my best to make things look nice for IE as well. I’m using Firefox and running Windows 72. On a computer that sits on top of my desk. With a 23 inch monitor. Hey, at least you can make the text larger or smaller by clicking on the + or - buttons in the upper right hand corner. If you have Java enabled. Like 99% of the websites on the planet, Crazymeds is hosted on domain running an open source operating system with a variety of open source applications, including the software used to display what you’ve been reading. As such Crazymeds is not responsible for whatever weird shit your browser does or does not do when you read this site3.
No neurologists, psychiatrists, therapists or pharmacists were harmed in the production of this website. Use only as directed. Void where prohibited. Contains nuts. Certain restrictions may apply. All data are subject to availability. Not available on all mobile devices, in the 12 Galaxies Guiltied to a Zegnatronic Rocket Society, or in all dimensions of reality. Hail Xenu!
‘Everything is true, nothing is permitted.’ - Jerod Poore
1 While there are plenty of books to help you with hypochondria, for some reason there’s not much in the way of websites. Then again, staying off of the Internet is a large part of curing/managing the disorder.
2 Remember kids, Microsloth operating systems are like TOS Star Trek movies with in that every other one sucks way, way more. With TOS Star Trek movies you don’t want to bother watching the odd-numbered ones. With Microsloth OS you don’t want to buy and install the even-numbered ones. Anyone who remembers ME and Vista knows what I mean.
3 Have I mentioned how open source operating systems for commercial applications is one of the dumbest ideas in the history of dumb ideas? I don’t even need my big-ass rant any more. Heartbleed has made my case for me. And that’s just the one that got all the media attention. The very nature of an open source operating system makes security as much of an illusion of anonymity. Before you flip out too much: the domain Crazymeds is hosted on uses a version of SSL that is not affected by the Heartbleed bug. That’s one of the many reasons why I pay a lot of money and keep this site on Lunarpages.