FDA Adds Warnings to Celexa’s Label

Kermit Cole

Following up on last August’s warning that high doses of Celexa can cause potentially fatal heart rhythm abnormalities, the FDA has added clarification to the drug’s label that it should not be used at doses greater than 40 milligrams, and is not recommended for patients with congenital long QT syndrome, bradycardia, hypokalemia, hypomagnesemia, recent heart attack, or uncompensated heart failure. The maximum recommended dose is 20 mg per day for patients with liver impairment, who are older than 60, or patients who take Tagamet of are otherwise impaired metabolizers of CYP 2C19.

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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected]