509 Pill — WHITE OVAL, 13mm — Citalopram

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Imprint	509
Colour	WHITE
Shape	OVAL
Size	13
Strength	CITALOPRAM HYDROBROMIDE 40 mg
Dosage form	Tablet
Manufacturer	DIRECT RX
NDC	61919-480
Schedule	—
Availability	—
Ingredients	CITALOPRAM HYDROBROMIDE[CITALOPRAM]

What does this imprint mean?

The imprint "509" is a code stamped or printed on the tablet or capsule by the manufacturer, used to identify the drug, its strength and the maker.

Active ingredient

Citalopram

Uses and warnings

BOXED WARNING - Suicidal Thoughts and Behaviors: "Antidepressants increased the risk of suicidal thoughts and behaviors in pediatric and young adult patients in short-term studies." Close monitoring is required, especially during initial treatment phases and dosage changes. Key Warnings Include: - QT Prolongation: Dose-dependent risk of QTc interval prolongation potentially causing dangerous heart rhythms; maximum dose limited to 40 mg daily - Serotonin Syndrome: Risk increases with concurrent serotonergic drugs; symptoms include mental status changes, autonomic instability, and neuromuscular effects - Bleeding Risk: SSRIs increase bleeding risk when combined with anticoagulants or antiplatelet medications - Mania Activation: May trigger manic episodes in bipolar disorder patients - Hyponatremia: Low sodium levels possible, especially in elderly patients - Sexual Dysfunction: Common adverse effect affecting both sexes - Discontinuation Syndrome: Gradual dose reduction recommended to avoid withdrawal symptoms

"Citalopram tablets are indicated for the treatment of major depressive disorder (MDD) in adults." The medication is not approved for pediatric use.

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