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Citalopram And Hypoglycemia

Celexa Induced Hypoglycemia

Celexa Induced Hypoglycemia

Abstract: 56-year-old African-American male from nursing home was admitted to the hospital with an acute drop in his hemoglobin concentration to 5.6 mg/dL (baseline Hgb of 10 mg/dL). His past medical history was notable for type 2 diabetes controlled with diet, end-stage renal disease on hemodialysis (HD), hepatitis B and C, HIV (last viral load undetectable), hypertension and depression. His nursing home medications included aspirin, hydralazine, lisinopril, lamivudine, zidovudine, raltegravir and sertraline. Patient received packed red cell transfusion and an upper endoscopy/colonoscopy showed clean shallow ulcer at ileocecal valve. During his hospital course, patient became increasingly somnolent and sertraline was switched to citalopram 20 mg oral daily. A week later, he started complaining of sweating, tremors, anxiety and agitation with random glucose values ranging from 37 to 56 mg/dL (both before and after meals) that were confirmed with venous blood samples. Hypoglycemia was relieved with meals. Common causes of hypoglycemia were ruled out by thyroid and liver related tests, anti-insulin antibodies, adrenal insufficiency, insulinoma and surreptious abuse of sulfonylureas or insulin. His 72-hour fast was aborted, as he had low glucose of 45 at the end of 36 hours. Patient was experiencing new onset hypoglycemia and the only change made was addition of citalopram. Hence, because of rare reports of citalopram induced hypoglycemia this medication was discontinued, and within 24 hours patient's daily hypoglycemia episodes ceased. Citalopram (Celexa) is a selective serotonin reuptake inhibitor (SSRI) commonly used in the treatment of depression in diabetics. Within the class of SSRI's hypoglycemia is rarely reported. We found 2 case reports of citalopram causing hypo Continue reading >>

Conquering Anxiety, Depression And Fatigue Without Drugs – The Role Of Hypoglycemia

Conquering Anxiety, Depression And Fatigue Without Drugs – The Role Of Hypoglycemia

The Anxiety & Hypoglycemia Relief Institute e-mail:[email protected] voice-mail:212-479-7805 (For questions regarding anxiety & hypoglycemia and New York City classes, contact Prof. Joel H. Levitt [email protected]) Stress is often blamed as the root cause for anxiety, depression and fatigue, but, although stress can make any problem worse, the source of such problems is often physical in nature. And hypoglycemia is one of the major physical causes. This article covers the following: What is Hypoglycemia? – the cause of hypoglycemia and its effects. Typical Hypoglycemia Symptoms – the wide range of mental, emotional and physical symptoms. Testing for Hypoglycemia – standard medical testing and why it is often unreliable. The Solution to Hypoglycemia – a list of dietary and nutrient recommendations, with special notes and cautions. Recommended Reading – books and other references that will give you a more complete understanding. What is Hypoglycemia? First of all, let’s be clear on one major point – hypoglycemia is not a “disease” in that you either have it or don’t, it is a condition, and, in most cases, it is fully reversible. Some types of hypoglycemia are caused by a tumor or other physical damage to a gland. However, that is rare, and not the focus of this article. The more common type of hypoglycemia – called “functional,” “reactive,” or “fasting” – is your body’s reaction to what you put in it. Hypoglycemia is the body’s inability to properly regulate blood sugar levels, causing the level of sugar in the blood to be too low or to fall too rapidly. Blood sugar, in the form of glucose, is the basic fuel for all brain operation and physical activity, including muscular. If the available fuel is too inadequate, any marginal phys Continue reading >>

Serotonin Effects Blood Sugar - Celexa - Serotonin » Glendean

Serotonin Effects Blood Sugar - Celexa - Serotonin » Glendean

> I was on 40mg of Celexa for a year. Doc gave me Klonopin to help ease anxiety while coming off of celexa. I took it once and fell asleep at work. that was the end of that. I've been off of the celexa for one week. I have this feeling of "medicine head" like you get when you have a really bad cold or something. Is this from withdrawl? Also I've been on a no carb diet for 3 weeks. Could this head in the clouds feeling be from that? Is there any benefit for my depression and anxiety from this diet? Is there something else I should try, because my depression is easing back. PMS this month nearly took me out! Not sure what to do next? I have an appointment with my doc in two weeks. > P.S. Sorry I'm all over the place here. *********************************************** I've done a little more research. Celexa is designed to effect serotonin, and Serotonin is definitely connected to blood sugar levels. I think what you are experincing is a double hit of low serotonin. Going off of the Celexa, you body is losing the increased serotonin you were getting from the Celexa - it will take your body a little time to get use to producing the required amount again. But as well, since you omitted all carbs from your diet - you further reduced your serotinin levels (carbs increase this - be careful though - the wrong type of carbs can send you in a vicious cycle). If you are looking for a diet to make you feel better - try a hypoglycemic one - there are several on-line or ask your local hospital for a copy of theirs. It will help you naturally increase your serotonin and blood sugar without over doing it. As well, this is probably the reason for your PMS problems as well - here's an interesting site to help explain that, and some suggestions to make it better: www.healthatoz.com/atoz/ Continue reading >>

Severe Hypoglycaemia In Citalopram Overdose.

Severe Hypoglycaemia In Citalopram Overdose.

Abstract We present two episodes of poisoning with citalopram in which the main feature was profound hypoglycaemia. Citalopram has been regarded as the most toxic of the selective serotonin reuptake inhibitors in overdose; however, hypoglycaemia is not one of the documented features of overdose. This is an important component of the toxicological profile of citalopram and a treatable cause of seizure activity that should be reported in poisoning information references. Continue reading >>

Brand Name Mar-citalopram Common Name Citalopram

Brand Name Mar-citalopram Common Name Citalopram

The content of this page: How does this medication work? What will it do for me? Citalopram belongs to a group of medications called selective serotonin reuptake inhibitors (SSRIs). It is used to treat depression. SSRIs improve depression by increasing the amount of serotonin (a neurotransmitter) in certain areas of the brain, which in turn improves the ability of the brain to transmit messages from one nerve cell to another. Although you may start feeling better within a few weeks of treatment, the full effects of the medication may not be evident until several weeks of treatment have passed. This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here. Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor. Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it. How should I use this medication? The usual recommended starting dose is 20 mg daily. Your doctor may increase the dose as appropriate, based on how well it is working for you and whether you are experiencing side effects. Continue to take the medication regularly, even if you don’t feel as though the medication is working. It may take several weeks to see a noticeable i Continue reading >>

Co Citalopram

Co Citalopram

How does this medication work? What will it do for me? Citalopram belongs to a group of medications called selective serotonin reuptake inhibitors (SSRIs). It is used to treat depression. SSRIs improve depression by increasing the amount of serotonin (a neurotransmitter) in certain areas of the brain, which in turn improves the ability of the brain to transmit messages from one nerve cell to another. Although you may start feeling better within a few weeks of treatment, the full effects of the medication may not be evident until several weeks of treatment have passed. This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here. Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor. Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it. What form(s) does this medication come in? 20 mg Each oval, white, scored, film-coated tablet, marked "C | A" on one side and a logo on the other, contains citalopram 20 mg (as citalopram HBr). Nonmedicinal ingredients: maize starch, crospovidone, lactose monohydrate, magnesium stearate, microcrystalline cellulose PH101, povidone, and purified water; film coating: hypromellose, lactose monohydrate, Continue reading >>

Neonatal Adaptation In Infants Prenatally Exposed To Antidepressants- Clinical Monitoring Using Neonatal Abstinence Score

Neonatal Adaptation In Infants Prenatally Exposed To Antidepressants- Clinical Monitoring Using Neonatal Abstinence Score

Abstract Intrauterine exposure to antidepressants may lead to neonatal symptoms from the central nervous system, respiratory system and gastrointestinal system. Finnegan score (Neonatal Abstinence Score, NAS) has routinely been used to assess infants exposed to antidepressants in utero. Retrospective cohort study of women using antidepressants during pregnancy and their infants. Patients were identified from the electronic health record system at Karolinska University Hospital Huddinge containing pre-, peri- and postnatal information. Information was collected on maternal and infant health, social factors and pregnancy. NAS sheets were scrutinized. Results 220 women with reported 3rd trimester exposure to SSRIs or SNRIs and who gave birth between January 2007 and June 2009 were included. Seventy seven women (35%) used citalopram, 76 used (35%) sertraline, 34 (15%) fluoxetine and 33 (15%) other SSRI/SNRI. Twenty-nine infants (13%) were admitted to the neonatal ward, 19 were born prematurely. NAS was analyzed in 205 patients. Severe abstinence was defined as eight points or higher on at least two occasions (on a scale with maximum 40 points), mild abstinence as 4 points or higher on at least two occasions. Seven infants expressed signs of severe abstinence and 46 (22%) had mild abstinence symptoms. Hypoglycemia (plasma glucose <2.6 mmol/L) was found in 42 infants (19%). Severe abstinence in infants prenatally exposed to antidepressants was found to be rare (3%) in this study population, a slightly lower prevalence than reported in previous studies. Neonatal hypoglycemia in infants prenatally exposed to antidepressant may however be more common than previously described. Figures Citation: Forsberg L, Navér L, Gustafsson LL, Wide K (2014) Neonatal Adaptation in Infants Pre Continue reading >>

Laparoscopic Adjustable Gastric Banding And Hypoglycemia

Laparoscopic Adjustable Gastric Banding And Hypoglycemia

Copyright © 2013 Sigrid Bairdain et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Obesity is commonplace, and surgical treatment usually includes Roux-en-Y gastric bypasses (RYGBs). RYGBs have the most documented side effects including vitamin deficiencies, rebound weight gain, and symptomatic hypoglycemia; fewer series exist describing hypoglycemia following other bariatric operations. We reviewed all patients undergoing laparoscopic adjustable gastric banding (LAGB) at our institution between 2008 and 2012. Three patients were identified to have symptomatic hypoglycemia following LAGB. Mean time from surgery was 33 months (range 14–45 months), and mean weight loss was 32.7 kg (range 15.9–43.1 kg). None of the patients had preexisting diabetes. Therefore, symptomatic hypoglycemia should be investigated irrespective of bariatric operation. 1. Introduction Obesity is one of the biggest health issues facing medicine. Diet and medication programs alone are often unable to maintain durable weight loss; thus, bariatric surgery has proven to provide long-term weight loss that corresponds to reduced mortality [1, 2]. The mainstay of bariatric surgery is the Roux-en-Y gastric bypass (RYGB), which has to date the most durable, documented long-term weight loss. However, long-term complications include nutrient deficiencies, hernias, excess skin, neuropathic changes, and hyperinsulinism [3]. One of the most striking side effects of this particular surgery is postgastric bypass hypoglycemia. Theories exist regarding the underlying etiology for this postgastric bypass hypoglycemia including both pan Continue reading >>

Effects Of The Selective Serotonin Reuptake Inhibitor Fluoxetine On Counterregulatory Responses To Hypoglycemia In Individuals With Type 1 Diabetes

Effects Of The Selective Serotonin Reuptake Inhibitor Fluoxetine On Counterregulatory Responses To Hypoglycemia In Individuals With Type 1 Diabetes

Go to: Abstract OBJECTIVE—Previous work has demonstrated that chronic administration of the serotonin reuptake inhibitor (SSRI) fluoxetine augments counterregulatory responses to hypoglycemia in healthy humans. However, virtually no information exists regarding the effects of fluoxetine on integrated physiological counterregulatory responses during hypoglycemia in type 1 diabetes. Therefore, the specific aim of this study was to test the hypothesis that 6-week use of the SSRI fluoxetine would amplify autonomic nervous system (ANS) counterregulatory responses to hypoglycemia in individuals with type 1 diabetes. RESEARCH DESIGN AND METHODS—Eighteen type 1 diabetic patients (14 men/4 women aged 19–48 years with BMI 25 ± 3 kg/m2 and A1C 7.0 ± 0.4%) participated in randomized, double-blind 2-h hyperinsulinemic (9 pmol · kg−1 · min−1)-hypoglycemic clamp studies before and after 6 weeks of fluoxetine administration (n = 8) or identical placebo (n = 10). Glucose kinetics was determined by 3-tritiated glucose. Muscle sympathetic nerve activity (MSNA) was determined by microneurography. RESULTS—Hypoglycemia (2.8 ± 0.1 mmol/l) and insulinemia (646 ± 52 pmol/l) were similar during all clamp studies. ANS, neuroendocrine, and metabolic counterregulatory responses remained unchanged in the placebo group. However, fluoxetine administration significantly (P < 0.05) increased key ANS (epinephrine, norepinephrine, and MSNA), metabolic (endogenous glucose production and lipolysis), and cardiovascular (systolic blood pressure) counterregulatory responses during hypoglycemia. CONCLUSIONS—This study has demonstrated that 6-week administration of the SSRI fluoxetine can amplify ANS and metabolic counterregulatory mechanisms during moderate hypoglycemia in patients with type Continue reading >>

390 Drugs That Can Affect Blood Glucose Levels

390 Drugs That Can Affect Blood Glucose Levels

Knowing the drugs that can affect blood glucose levels is essential in properly caring for your diabetes patients. Some medicines raise blood sugar in patients while others might lower their levels. However, not all drugs affect patients the same way. 390 Drugs that Can Affect Blood Glucose Levels is also available for purchase in ebook format. 390 Drugs that can affect blood glucose Level Table of Contents: Drugs that May Cause Hyper- or Hypoglycemia Drugs That May Cause Hyperglycemia (High Blood Sugar) (GENERIC NAME | BRAND NAME) Abacavir | (Ziagen®) Abacavir + lamivudine,zidovudine | (Trizivir®) Abacavir + dolutegravir + lamivudine | (Triumeq®) Abiraterone | (Zytiga®) Acetazolamide | (Diamox®) Acitretin | (Soriatane®) Aletinib | (Alecensa®) Albuterol | (Ventolin®, Proventil®) Albuterol + ipratropium | (Combivent®) Aliskiren + amlodipine + hydrochlorothiazide | (Amturnide®) Aliskiren + amlodipine | (Tekamlo®) Ammonium chloride Amphotericin B | (Amphocin®, Fungizone®) Amphotericin B lipid formulations IV | (Abelcet®) Amprenavir | (Agenerase®) Anidulafungin | (Eraxis®) Aripiprazole | (Abilify®) Arsenic trioxide | (Trisenox®) Asparaginase | (Elspar®, Erwinaze®) Atazanavir | (Reyataz ®) Atazanavir + cobistat | (Evotaz®) Atenolol + chlorthalidone | (Tenoretic®) Atorvastatin | (Lipitor®) Atovaquone | (Mepron®) Baclofen | (Lioresal®) Belatacept | (Nulojix®) Benazepril + hydrochlorothiazide | (Lotension®) Drugs That May Cause Hyperglycemia (High Blood Sugar) – Continued (GENERIC NAME | BRAND NAME) Betamethasone topical | (Alphatrex®, Betatrex®, Beta-Val®, Diprolene®, Diprolene® AF, Diprolene® Lotion, Luxiq®, Maxivate®) Betamethasone +clotrimazole | (Lotrisone® topical) Betaxolol Betoptic® eyedrops, | (Kerlone® oral) Bexarotene | (Targ Continue reading >>

Celexa Side Effects

Celexa Side Effects

Celexa, the brand name for citalopram, a selective serotonin reuptake inhibitor, or SSRI, is prescribed for treating depression. Celexa may improve mood and energy level by “restoring the balance of certain natural substances—neurotransmitters such as serotonin—in the brain,” according to HealthCentral.com. Video of the Day Before Celexa was approved for public use, doctors conducted evaluations, observing patients and classifying adverse side effects as frequent, infrequent or rare. Although symptoms occurred during Celexa treatment, Drugs.com explains they were not necessarily caused by it. To limit side effects, doctors recommend patients start taking Celexa at low doses to be gradually increased, if necessary. Gastrointestinal side effects are infrequent and include nausea, vomiting, diarrhea, loss of appetite, indigestion and abdominal pain. Some people gain weight and some lose weight. The only frequent side effect, according to the premarketing studies, is flatulence, or gas. An epidemiologic study conducted by Susanne O. Dalton, M.D., Ph.D. and her colleagues at the Institute of Cancer Epidemiology in Copenhagen, Denmark, looked at 26,005 antidepressant users and found 3.6 times more upper GI bleeding episodes with patients taking SSRIs compared to those not taking SSRIs. Researchers observed that upper gastrointestinal tract bleeding was 4.1 percent more likely in patients receiving citalopram than people not taking SSRIs. Patients prescribed Celexa may experience respiratory conditions such as a stuffy nose, coughing and sinus or nasal inflammation. Some Celexa users report dizziness, drowsiness, as well as lightheadedness when they stand or sit up. Nervous system side effects may include headache or migraine, sweating, a dry mouth, tremors and sleep p Continue reading >>

An Unusual Case Of Hypoglycemia In A Diabetic Patient

An Unusual Case Of Hypoglycemia In A Diabetic Patient

To the Editor: An 89-year-old man was admitted to our emergency department (ED) in a comatose state. He was afebrile; physical examination was otherwise unremarkable. The patient had type 2 diabetes mellitus, which was well controlled with 5 mg/day of glibenclamide. Other chronic medications were leuprolide acetate, citalopram hydrobromide, doxazosin, atenolol, and hydrochlorothiazide/amiloride. Two days before his admission, he underwent gastroscopy with a diagnosis of duodenal ulcerations; he was prescribed “triple therapy” for Helicobacter pylori infection (1,000 mg/day of clarithromycin, 2,000 mg/day of amoxicillin, 40 mg/day of omeprazole). On his arrival to the ED, a Chemstrip (MediSense Ltd., Abingdon, United Kingdom) glucose reading was 20 mg/dL. Serum blood urea nitrogen, creatinine, and liver enzyme levels were within normal range. Other laboratory workup was also normal, except for low serum sodium levels of 123 mmol/dL and leukocytosis of 23,130 cells/μL, which resolved one day later. The patient was treated with 50% dextrose intravenous push and 5% dextrose–0.9% NaCl infusion with restoration of consciousness. Dextrose–saline solution infusion was given for 36 hours, and chronic treatment with glibenclamide was discontinued, with resultant stabilization of blood glucose levels. Serum levels of sulfonylurea were within the normal range, and the patient denied any intentional or accidental drug overdose. There was no evidence of hepatic failure, renal failure, congestive heart failure, malignancy, sepsis, or any other cause of hypoglycemia. The patient was discharged home after his anti–H pylori regimen was changed to metronidazole, amoxicillin, and omeprazole, and the disothiazide dose was reduced to 12.5 mg/day. Clarithromycin is well absorbed fr Continue reading >>

Celexa

Celexa

How does this medication work? What will it do for me? Citalopram belongs to a group of medications called selective serotonin reuptake inhibitors (SSRIs). It is used to treat depression. SSRIs improve depression by increasing the amount of serotonin (a neurotransmitter) in certain areas of the brain, which in turn improves the ability of the brain to transmit messages from one nerve cell to another. Although you may start feeling better within a few weeks of treatment, the full effects of the medication may not be evident until several weeks of treatment have passed. This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here. Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor. Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it. What form(s) does this medication come in? 10 mg Each round, white, film-coated tablet, marked "CL" on one side, contains 10 mg citalopram (as citalopram hydrobromide). Nonmedicinal ingredients: copolyvidone glycerin, cornstarch, croscarmellose sodium, lactose monohydrate, magnesium stearate, hydroxypropyl methylcellulose, microcrystalline cellulose, polyethylene glycol 400, and titanium dioxide. 2 Continue reading >>

Citalopram Hydrobromide And Hypoglycemia - From Fda Reports

Citalopram Hydrobromide And Hypoglycemia - From Fda Reports

Hypoglycemia is found among people who take Citalopram hydrobromide, especially for people who are female, 60+ old , have been taking the drug for < 1 month, also take medication Omeprazole, and have High blood pressure. This review analyzes which people have Hypoglycemia with Citalopram hydrobromide. It is created by eHealthMe based on reports of 23,116 people who have side effects when taking Citalopram hydrobromide from FDA , and is updated regularly. What to expect? If you take Citalopram hydrobromide and have Hypoglycemia, find out what symptoms you could have in 1 year or longer. You are not alone! Join a support group for people who take Citalopram hydrobromide and have Hypoglycemia Personalized health information On eHealthMe you can find out what patients like me (same gender, age) reported their drugs and conditions on FDA since 1977. Our tools are simple to use, anonymous and free. Start now >>> * Approximation only. Some reports may have incomplete information. Continue reading >>

Celexa Side Effects By Likelihood And Severity

Celexa Side Effects By Likelihood And Severity

COMMON side effects If experienced, these tend to have a Severe expression Inability To Have An Erection Problem With Ejaculation Sexual Problems If experienced, these tend to have a Less Severe expression Chronic Trouble Sleeping Diarrhea Drowsiness Dry Mouth Excessive Sweating Feel Like Throwing Up Involuntary Quivering INFREQUENT side effects If experienced, these tend to have a Severe expression Altered Interest In Having Sexual Intercourse Confused Excess Urination Feeling Agitated Fever Itching Loss Of Memory Problem With Periods Rash Trouble Breathing If experienced, these tend to have a Less Severe expression Absence Of Menstrual Periods Blood Pressure Drop Upon Standing Feeling Anxious Gas Increased Production Of Saliva Indigestion Inflammation Of The Nose Joint Pain Loss Of Appetite Low Energy Migraine Headache Muscle Pain Numbness And Tingling Sinus Irritation And Congestion Stomach Cramps Taste Problems Throwing Up Weight Loss Yawning RARE side effects If experienced, these tend to have a Severe expression A Feeling Of Restlessness With Inability To Sit Still Abnormal Heart Rhythm Abortion Acute Inflammation Of The Pancreas Acute Renal Failure Aggressive Behavior Altered Mental Status Behaving With Excessive Cheerfulness And Activity Bleeding Bleeding Of The Stomach Or Intestines Blood Clot Breast Fullness Due To Milk Production Breast Tenderness Continued Painful Erection Decrease In The Blood-Clotting Protein Prothrombin Decreased Blood Platelets Delusions Discharge Of Milk In Men Or Women When Not Breastfeeding Dyskinesia Erythema Multiforme Extrapyramidal Reaction Extreme Sense Of Well Being Giant Hives Hallucination Having Thoughts Of Suicide Hemolytic Anemia Hemorrhage Of Blood Under The Skin Life Threatening Allergic Reaction Liver Tissue Death Loss O Continue reading >>

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