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Citalopram is an extremely potent inhibitor and highly selective bicyclic serotonin-reuptake inhibitor (SSRIs) with IC50 value of 275 nM1. The SSRIs selectively potentiate 5-HT neurotransmission by inhibiting serotonin reuptake. Citalopram competes with serotonin and imipramine for a common binding site. The high specificity results in minimal effects on other neurotransmitter receptors and uptake. Thus citalopram shows fewer of the anticholinergic or adrenolytic side effects associated with other psychotropic agents and it has minimal cardiotoxic side effects. Citalopram is structurally unrelated to other antidepressants, but it contains the chemical features associated with reversal of drug resistance2. Citalopram is used for the management of depression. Citalopram is also used for treating obsessive compulsive disorder (OCD), panic disorder, premenstrual dysphoric syndrome (PMDD), anxiety disorder, and posttraumatic stress disorder.
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