Generally regarded as a "safe" medication (meaning that it is less likely than average to cause unwanted side effects), citalopram is primarily indicated for the treatment of depressive affective disorders but is also used to treat anxiety related disorders (including panic disorders) and body dysmorphic disorder. The medication is also thought to be beneficial in the treatment of diabetic neuropathy, post-stroke pathological crying and premature ejaculation.
Off label uses include the treatment of Autism, Panic Disorder, General Anxiety Disorder, Bipolar Disorder, ADD, ADHD, Chronic Fatigue, Obsessive-Compulsive Disorder, Fibromyalgia, Arthritis, Lupus, Irritable Bowel Syndrome, Premenstrual Dysphoric Disorder and various eating disorders.
Main side effects associated with this drug include drowsiness, fatigue, tremor, headaches, dizziness, Arrhythmia, nausea, weight gain (pretty bad compared to other SSRIs), changes in blood pressure, hyperhidrosis, sleep disturbances, loss of libido, diarrhoea or constipation, Xerostomia and/or ejaculatory problems. Rarer side effects include confusion, convulsions, anxiety, significant mood changes and/or allergic reactions, tremor, acne and disruption to the menstrual cycle. In extremely rare cases, it can cause unending hiccups and rectal haemorrhage.