Common Side Effects

• Approximately 20 to 21 percent of hydrobromide users report dry mouth and nausea, making these the most common side effects of the drug. Drowsiness and insomnia are also common, occurring in at least 15 percent of users. More than 5 percent of patients who take Celexa experience tremors, diarrhea, indigestion, fatigue, runny nose and increased incidence of upper respiratory infections. Six percent of men who take hydrobromide experience difficult ejaculating.
  
  

Other Side Effects

• Celexa also has the potential to cause a number of other troublesome or annoying, but not dangerous, side effects. Some patients experience gastrointestinal side effects from the drug, such as nausea and abdominal pain. In addition, some Celexa users report joint or muscle pain, an increased incidence of sinus infections and fever. Neurologic and hormonal side effects of hydrobromide include anxiety, agitation, yawning, menstrual cramps in women and impotence in men.
  
  

Drug Interactions

• There are some medications that produce unwanted side effects when used in conjunction with hydrobromide. In order to prevent an imbalance of chemicals in the brain, doctors typically do not prescribe other medications that increase serotonin levels, such as lithium, tramadol and St. John's Wort. When taken with MAOI inhibitors, Celexa has the potential to cause, delirium, coma or even death. The use of non-steroidal anti-inflammatory drugs like Tylenol and Advil or blood thinners like warfarin increase the risk of uncontrollable bleeding.
  
  

Risks

• In addition to minor side effects and the risk of interactions, hydrobromide has the potential to cause serious medical complications. Cardiovascular side effects of Celexa include irregular heartbeat, increased blood pressure, angina, heart failure, heart attack and stroke. There is also a risk of neurological effects, such as vertigo, involuntary muscle contractions and lack of coordination. Hormonal complications of hydrobromide under-active thyroid and swelling of the swelling of the breasts in men.
  
  

Suicide

• Like other antidepressants, hydrobromide presents a risk for an increased incidence or the onset of suicidal thoughts or actions. This is most common in young adults aged 18 to 24. In many cases, this is only a temporary occurrence, which fades during the first 12 weeks of Celexa usage. During this time, doctors usually conduct regular check ups to monitor patients for any signs of suicide. Over all, suicide occurs in less than 1 percent of patients who take hydrobromide for depression.