Does Citalopram cause lightheadedness? (3+ strategies)
By
Ivan Kahwa
Author bio
Mr Ivan Kahwa is a chemist and phytopharmaceutical scientist with expertise in chemistry, pharmacology, phytochemistry, and Nanobiotechnology. He writes and reviews content on these topics.
Mr Ivan Kahwa’s Highlights:
Guest Researcher at the University of Leipzig, Senior Research Fellow/Scientist, and Lecturer at the Department of Pharmacy, Faculty of Medicine, Mbarara University of Science and Technology.
Professional Experience:
Mr Ivan joined PHARMBIOTRAC as a research fellow/scientist during his master of science tenure. He contributed to the development of most of the phytopharmaceutical products in the project. Furthermore, he participated in carrying out the pharmacological activities of the developed products in laboratory animals such as mice and rats in order to develop proper doses hence leading to pre-clinical studies.
With the above relevant research experience, Ivan started to work with the University of Leipzig on collaborative projects with Mbarara University to develop the chemistry of Ugandan Medicinal plants and their pharmacological activities. This was coupled with several consultative positions by different German NGOs. Mr. Kahwa is also a supporting in the teaching and learning at the Departments of Pharmacy and Pharmaceutical Sciences, Faculty of Medicine, Mbarara University of Science and Technology.
With the increase in antimicrobial resistance globally, Ivan retooled his thinking towards developing new naturally derived antibiotic regimens from Ugandan propolis with the assistance of nanotechnology to improve their delivery to microbial cells. Kahwa has also published over 28 articles in peer-reviewed journals and he is currently reviewing for many journals.
Education:
2023-2027: PhD in Pharmaceutical Sciences (ongoing) with a focus on Pharmaceutical Microbiology and Nanobiology at Mbarara University of Science and Technology.
2022: 2Msc. in Pharmacognosy and Natural Medicine Science at Mbarara University of Science and Technology.
2018: Bachelor of Science (Chemistry) at Mbarara University of Science and Technology.
Publications:
▪ Iqbal, S., Jabeen, F., Kahwa, I., & Omara, T. 2023. Suberosin Alleviates Thiazolidinedione-Induced Cardiomyopathy in Diabetic Rats by Inhibiting Ferroptosis via Modulation of ACSL4-LPCAT3 and PI3K-AKT Signaling Pathways. Cardiovascular Toxicology. https://doi.org/10.1007/s12012-023-09804-7
▪ Gupta, A. K., Yadav, R., Sharma, S., Sawale, J., & Kahwa, I. 2023. Anti-ageing Activity and Antioxidant Activity of Methanol Extracts of Leaves and Flowers of Salvia officinalis and Rosmarinus officinalis. Journal of Young Pharmacists, 15(3), 448–455. https://doi.org/10.5530/jyp.2023.15.60
▪ Tolo, C.U., Kahwa, I., Nuwagira, U., Weisheit, A. and Ikiriza, H., 2023. Medicinal plants used in treatment of various diseases in the Rwenzori Region, Western Uganda. Ethnobotany Research and Applications, 25, pp.1-16.
https://ethnobotanyjournal.org/index.php/era/article/view/4683
▪ Kahwa, I., Ajayi, C.O., Yadav, R., Chauhan, N.S., Shah, K., Abdelgadir, A.A., Shegena, E.A., Daniel, S., Omara, T., Asiimwe, J.B. and Ikiriza, H., 2023. Pharmacognostic and phytochemical studies as an invaluable approach for correct identification of medicinal plants: The case of Artemisia vulgaris L. substituted for Artemisia annua L. in Western Uganda. TMR Integr Med, 7, p.e23004.
https://doi.org/10.53388/TMRIM202307004
▪ Nalimu, F., Oloro, J., Kahwa, I. and Ogwang, P.E., 2021. Review on the phytochemistry and toxicological profiles of Aloe vera and Aloe ferox. Future Journal of Pharmaceutical Sciences, 7, pp.1-21.
https://doi.org/10.1186/s43094-021-00296-2
▪ Elamin, O.H.S., Ali, M.A., Elgezuli, I.A.A., Bashir, M.A. and Kahwa, I., 2021. Diagnosis of pre-and post-treatment of echinococcus granulosus with counter current immune electrophoresis and bacterial co-agglutination. Journal of Microbiology and Infectious Diseases, 11(02), pp.88-94.
https://doi.org/10.5799/jmid.951600
Published book Chapter
▪ Kahwa, I., Ayesiga, I., Nakalema, S., Alinaiswe, R., Mbabazi, R. and Iqbal, S., 2023. Natural products in the management of onchocerciasis. In Natural Products in Vector-Borne Disease Management (pp. 63-80). Academic Press. Book Chapter.
https://doi.org/10.1016/B978-0-323-91942-5.00012-4
Submitted manuscripts Under Review:
▪ Comparison of the Wound Healing Activity of the Leaf and Leaf Ash Extracts of Vernonia amygdalina in Rats. Journal name: Clinical Phytoscience
▪ Ethnobotanical Survey of Medicinal plants used in the management of cancer in Uganda. Journal name: Journal of Herbal Medicine
▪ Ethnobotanical survey and phytochemical screening of medicinal plants used in treatment of epilepsy by PROMETRA-Uganda Traditional Health Practitioners in Mpigi District, Uganda. Journal name: Journal of Ethnopharmacology
Submitted book chapters under review
1.Book title: Algae as a Natural Solution for Water-Food-Energy Nexus, Section 4: Microalgae and cyanobacteria for food applications, Chapter 4.6: Safety, toxicological and allergenic aspects of using algae for food. Authors: Christine Kyarimpa, Tom Omute, Caroline K. Nakiguli, Alice V. Khanakwa4, Christopher Angiro, Ivan Kahwa, Fortunate Ahumuza, Timothy Omara*. Publisher: Springer Nature Singapore Pte Ltd. 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore.
2.Book title: Nutraceuticals Inspiring the Contemporary Therapy for Lifestyle Diseases. Chapter: Nutraceutical applications of Seaweeds and their Phytocompounds in Nutrition and Treatment of Diseases. Authors: Ivan Kahwa, Timothy Omara , Innocent Ayesiga , Gael Noel Neh Neba Ambe , Zehbanaz Javidbhai Panwala , Rachel Mbabazi , Shabnoor Iqbal , Christine Kyarimpa , Christine Betty Nagawa , Kamal Shah ,Nagendra Singh Chauhan* Publisher: CRC Press
You can view my works on the following professional sites:
Research Gate: https://www.researchgate.net/profile/Ivan-Kahwa
Google Scholar: https://scholar.google.com/citations?user=tOwrvqoAAAAJ&hl=en
ORCID: https://orcid.org/0000-0002-6440-3437
Linkedin: https://de.linkedin.com/in/ivan-kahwa-865450159
In this article, we will discuss lightheadedness associated with Citalopram. We will also discuss how Citalopram can cause lightheadedness and what you should do if this side effect occurs.
Does Citalopram cause lightheadedness?
Yes, Citalopram does cause lightheadedness. It is one of the common early side effects of many antidepressants, especially selective serotonin reuptake inhibitors (SSRIs) like Citalopram.
Citalopram, a selective serotonin reuptake inhibitor, is a commonly prescribed antidepressant used for treating anxiety and depression (1).
Some people may experience lightheadedness or dizziness when they first start taking the medication, which is considered normal and is not something to be worried about (2).
Some may feel dizzy when they lie down or stand up too quickly. In any case, this side effect does not stay for too long, and it gets better within a few weeks.
Lightheadedness can also be produced as a side effect of sudden antidepressant withdrawal.
What does research suggest?
Lightheadedness or dizziness are known side effects of Citalopram. Several studies and case reports have suggested a potential connection between Citalopram use and the occurrence of lightheadedness.
In one study, patients taking Citalopram reported higher rates of nausea, drowsiness, dry mouth, dizziness and increased sweating during the early course of their treatment with Citalopram (3).
It is important to note that lightheadedness often occurs as an early side effect of treatment when your body is adjusting to the medication.
Lightheadedness caused by Citalopram is generally not a health concern and it starts to get better with time. It may also be triggered because of Citalopram-induced insomnia.
However, some people may experience lightheadedness during the daytime which can affect their daily activities.
Why does Citalopram cause lightheadedness?
The exact mechanism of why Citalopram causes lightheadedness is unclear. One possible mechanism is related to how Citalopram works. When you take Citalopram, it affects serotonin (a chemical) in your brain (1).
Serotonin plays an important role in mood and balance. This chemical is closely related to depression and other affective disorders. Citalopram increases the level of serotonin in the brain and this can sometimes lead to lightheadedness (1).
However, not everyone experiences lightheadedness while taking Citalopram. People are different and they respond differently to medications.
Always remember, if you experience lightheadedness or any other side effect of Citalopram, it is advisable to talk to your healthcare provider. They can help you figure out the best way to manage these side effects and make sure the medication is safe for you.
What to do if Citalopram causes lightheadedness?
If Citalopram causes lightheadedness you should take the following steps:
Talk to your healthcare provider
If Citalopram-induced lightheadedness does not go away on its own it is better to reach out to your healthcare provider. They can give appropriate solutions that can help you with this side effect.
Your doctor may recommend an over-the-counter (OTC) medication for lightheadedness. Always consult your doctor before taking any new medication, even OTC ones, to ensure they do not interact negatively with Citalopram.
Your healthcare provider may consider dose adjustment. If you are new to Citalopram or had a dose increase, your doctor might consider decreasing your dosage to see if it works. Sometimes, lower doses can minimize the side effects including lightheadedness (4).
If dose adjustment does not work, your doctor may switch to another medication with minimum possible side effects. Always remember not to discontinue antidepressants on your own as it can cause discontinuation syndrome, characterized by symptoms such as increased blood pressure, agitation, hallucination, vomiting, diarrhoea etc.
Exercise caution
If you are experiencing lightheadedness after taking Citalopram, be cautious when engaging in activities that require full mental attention like driving or operating heavy machinery. This is crucial to avoid accidents.
If you are susceptible to dizziness due to Citalopram, it is advisable to avoid abrupt changes in posture or sudden movements, especially by older adults, as these actions may lead to unexpected falls or fainting episodes.
Stay hydrated
Keep yourself adequately hydrated as dehydration can worsen Citalopram-induced lightheadedness. Hydration lowers your blood pressure because of reduced blood volume. It can also help your body recover more quickly.
Eat balanced diet
Eating a balanced diet can reduce dizziness by ensuring your body receives essential nutrients, such as vitamins, minerals and carbohydrates. A diet rich in whole grains, fruits, vegetables and adequate fluids helps regulate blood pressure and sugar levels, reducing the likelihood of lightheadedness.
A balanced diet is vital. Eating nutritious foods and healthy meals can contribute to your overall well-being and reduce the severity of side effects.
Conclusion
In conclusion, Citalopram can cause lightheadedness as a potential side effect but its occurrence varies among individuals. If you are experiencing persistent or severe lightheadedness while taking Citalopram, it is important to consult with your healthcare provider. They can assess your specific situation and make appropriate adjustments to your treatment to your treatment plan.
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References
2.-
AHF, Patient Medication Information; Citalopramhttps://medlineplus.gov/druginfo/meds/a699001.html
3.-
Mendels J, Kiev A, Fabre LF. Double-blind comparison of citalopram and placebo in depressed outpatients with melancholia. Depress Anxiety. 1999;9(2):54-60. PMID: 10207659.https://pubmed.ncbi.nlm.nih.gov/10207659/
4.-
Gabriel M, Sharma V. Antidepressant discontinuation syndrome. CMAJ. 2017 May 29;189(21):E747. doi: 10.1503/cmaj.160991. PMID: 28554948; PMCID: PMC5449237.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5449237/#:~:text=The%20mnemonic%20FINISH%20summarizes%20the,disturbances%20(%E2%80%9Cburning%2C%E2%80%9D%20%E2%80%9C
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