... For medical services in your area, please refer to https://www.nhs.uk. A few people may get sexual side effects, such as problems getting an erection or a lower sex drive. The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. Fortisip Compact Protein is a high-energy, milkshake-style nutritional supplement drink designed for special medical purposes and to also manage diseases related to malnutrition. If you have or had any medical problems or any allergies or if you are not sure as to whether you can use Fostair talk to your doctor, asthma nurse or pharmacist before using the inhaler. The usual dose of citalopram in children is 10mg a day, but this may be increased to 40mg a day. Close menu. If you have disorders of your heart rhythm such as increased or irregular heart rate, a fast pulse rate or palpitations or if you have been told that your heart trace is abnormal. Do not freeze. Your doctor will give you a regular check-up to make sure you are taking the optimal dose of Fostair. Do not stop taking your medicine unless your doctor tells you to. Citalopram can make you feel less hungry, so you may lose weight when you first start taking it. Do not stop taking citalopram after 1 or 2 weeks just because you feel it is not helping your symptoms. Before use: store the inhaler in a refrigerator (at 2-8°C). Always read the label carefully and use strictly as directed. It might be best to stop driving and cycling for the first few days of treatment until you know how this medicine makes you feel. Taking more formoterol than you should can have the following effects: feeling sick, being sick, heart racing, palpitations, disturbances of heart rhythm, certain changes in the electrocardiogram (heart trace), headache, trembling, feeling sleepy, too much acid in the blood, low blood potassium levels, high levels of glucose in the blood. What you need to know before you use Fostair. monoaminoxidase inhibitors (MAOIs), including drugs with similar properties like furazolidone and procarbazine, used to treat mental disorders, can cause a rise in blood pressure. After use, close with the protective cap and check the dose counter. If you find it difficult to operate the inhaler while starting to breathe in you may use the AeroChamber Plus™ spacer device. If you are being, or have ever been, treated for tuberculosis (TB) or if you have a known viral or fungal infection of your chest. Like all medicines, Fostair can cause side effects, although not everybody gets them. The original drink contains all the vitamins, nutrients, and other essentials one needs in a complete, balanced diet.Thus, people with diseases that cause weak appetite, malnutrition and unhealthy weight loss often use this product. Some people cannot concentrate properly while they're taking citalopram. It might be best to stop drinking alcohol until you see how the medicine makes you feel. The original leaflet can be viewed using the link above. If you take higher doses of inhaled corticosteroids over long periods, you may have more of a need for corticosteroids in situations of stress. Take the citalopram packet, or the leaflet inside it, plus any remaining medicine with you. The decision will depend on the type and severity of your symptoms, whether it's a one-off problem or one that keeps coming back, how well citalopram works for you, and whether you have had any bad side effects. Do not lower the dose or stop using the medication. On the other hand, using other beta adrenergic drugs (drugs which work in the same way as formoterol) may increase the effects of formoterol. There's some evidence that citalopram can reduce the quality of sperm, but it's not known whether this reduces male fertility. increased mucus production, change in mucus colour, increased cough or increased breathing difficulties, unusual fast heartbeat and disorders of heart rhythm, some changes in the electrocardiogram (ECG), increased blood flow to some tissue in the body, increase in the number of blood platelets, a fall in the level of potassium in the blood, increase in the blood level of insulin, free fatty acid and ketones. Treatment with a beta-2-agonist like the formoterol contained in Fostair can cause a sharp fall in your serum potassium level (hypokalaemia). Antidepressants, including citalopram, are just one of several approaches to treating depression. If you have low blood levels of potassium. 1. Fortisip is a standard 1.5 kcal/ml nutritionally complete milkshake style nutritional supplement drink to support individuals with a higher nutritional requirement. Speak to your doctor if you're concerned. Do not stop taking citalopram suddenly or without talking to your doctor first. Content of the pack and other information. You may report side effects to FDA at 1-800-FDA-1088. If this occurs you should STOP using Fostair immediately and use your quick-acting “reliever” inhaler straightaway to treat the symptoms of shortness of breath and wheezing. If you forget doses often, it may help to set an alarm to remind you. Check the dose counter. Keep taking the medicine, but talk to your doctor or pharmacist if these side effects bother you or do not go away: Serious side effects are rare and happen in less than 1 in 1,000 people. Remove the protective cap from the mouthpiece and check that the mouthpiece is clean and free from dust and dirt or any other foreign objects. Formulation Liquid (sip feed) per 100 mL Energy (Kj) 1010 (240 Kcal) Protein (g) 14.4 (milk proteins) Carbohydrate (g) 24.4 (sugars 13.3 g) Fat (g) 9.4 Fibre (g) Nil … This includes any possible side effects not listed in this leaflet. Take citalopram once a day. In New Zealand we get this on perscription at no cost. If you have any further questions on the use of this product, ask your doctor or pharmacist. If you need to take another puff, keep the inhaler in the vertical position for about half a minute, then repeat steps 2 to 5. It's often used to treat depression and also sometimes for panic attacks. The good effects of citalopram may, after a while, improve your sex life as your mood lifts and you become interested in life and relationships again. Fostair is a pressurised inhalation solution containing two active substances which are inhaled through your mouth and delivered directly into your lungs. medicines for treating heart disease (digoxin) can cause a fall in your blood potassium level. Before using the inhaler for the first time or if you have not used the inhaler for 14 days or more, you should test your inhaler to make sure that it is working properly. Never take 2 doses at the same time to make up for a forgotten one. 6. These events are more likely to occur in children. These measures will help to protect the environment. Do not pass it on to others. But it may be started at a lower dose and increased to a maximum dose of 40mg a day. Fortisip Bottle Vanilla is a nutritionally complete, high energy, ready to drink milkshake style nutritional supplement for the management of disease-related malnutrition. Are there other treatments that will help? Medicines should not be disposed of via waste water or household waste. If you develop worsening shortness of breath or wheezing (breathing with an audible whistling sound), straight after inhaling your medicine, stop using Fostair inhaler immediately and use your quick-acting “reliever” inhaler straightaway. You should contact your doctor straightaway. Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. Fortisip® is available in 200ml bottles, with a flexible straw attached, in 8 flavours. The maximum daily dose is 4 puffs. Continue. If your doctor or health visitor says your baby is healthy, citalopram can be used during breastfeeding. Like all medicines, citalopram can cause side effects in some people, but many people have no side effects or only minor ones. It'll simply help you feel like yourself again. Side effects such as tiredness, dry mouth and sweating are common. Manufacturer responsible for batch release: Is this leaflet hard to see or read? Fostair is effective for the treatment of asthma in a dose of beclometasone dipropionate which may be lower than that of some other inhalers containing beclometasone dipropionate. But sometimes people respond better to one antidepressant than to another. Fortisip is available in many flavours and also available liquid i.e. This usually wears off after a few weeks, but speak to your doctor if it bothers you. The recommended dose is two puffs in the morning and two puffs in the evening. Do not take more than 6 Fostair “reliever” puffs per day. Common side effects happen in more than 1 in 100 people. What's the difference between citalopram and escitalopram? Continue typing to refine. When cleaning, do not remove the canister from the actuator and do not use water or other liquids to clean your inhaler. Take care not to drop the inhaler as this may cause the counter to count down. Wales has become the first country in the UK to routinely screen all cancer patients being treated with certain types of chemotherapy, to identify their risk of severe side effects and help prevent this occurring. Citalopram is available on prescription as tablets and liquid drops that you put in a drink of water. beclometasone dipropionate/ formoterol fumarate dihydrate. If you get any side effects talk with your doctor, or pharmacist or nurse. Common (affecting less than 1 in 10 people): Pneumonia in COPD patients: Tell your doctor if you have any of the following while taking Fostair as they could be symptoms of a lung infection: Uncommon (affecting less than 1 in 100 people); The following side effects have also been reported as “uncommon” in patients with Chronic Obstructive pulmonary disease: Rare (affecting less than 1 in 1,000 people), Very rare (affecting less than 1 in 10,000 people). If you have narrowing of the arteries (also known as arteriosclerosis), if you have high blood pressure or if you know that you have an aneurysm (an abnormal bulging of the blood vessel wall). Tell your doctor if you have any of these symptoms. Side effects. To learn more please view our Cookie Notice. if you are using a separate “reliever” inhaler or Fostair as reliever inhaler more frequently) or if your “reliever” inhaler or Fostair does not improve your symptoms, see your doctor immediately. The effect should reverse once you stop taking the medicine. These are not all the side effects of citalopram. Stressful situations might include being taken to hospital after an accident, having a serious injury or before an operation. COPD is a long term disease of the airways in the lungs which is primarily caused by cigarette smoking. Citalopram and escitalopram are both medicines used to treat depression. For this reason, your doctor may wish to measure the potassium levels in your blood from time to time. Fortisip Extra is a high energy (1.6kcal/ml), high protein (20g protein/200ml bottle), ready to drink, milkshake style nutritional supplement, for use in patients with increased nutritional requirements. Do not take St John's wort while you're taking citalopram. Use in children and adolescents less than 18 years of age: Children and adolescents aged less than 18 years must NOT take this medicine. Visit Yellow Card for further information. Using this drug every day for longer than three years can … a) Using Fostair together with a separate “reliever”: The recommended dose of this medicine is one or two puffs twice daily. See what they’re saying about yours. 1. Along with its needed effects, hydroxocobalamin may cause some unwanted effects. The other ingredients are: ethanol anhydrous, hydrochloric acid and the CFC-free propellant - norflurane (HFA -134a). Check with your doctor or nurse immediately if any of the following side effects occur while taking hydroxocobalamin: asthma is not adequately controlled by using inhaled corticosteroids and “as needed” short-acting bronchodilators You can report any suspected side effect using the Yellow Card safety scheme. You can take it with or without food. Visit Yellow Card for further information, read this leaflet on the Best Use of Medicines in Pregnancy (BUMPs) website, HealthUnlocked: mental health support forum, Healthtalk: real stories of antidepressants, How to cope with side effects of citalopram. Medicines have benefits and some have risks.  Ability to chew and swallowing issues  Impact of medication  Physical symptoms e.g. To view the changes to a medicine you must sign up and log in. Antidepressants like citalopram help to jump start your mood so you feel better. Citalopram is one of a group of antidepressants called selective serotonin reuptake inhibitors, or SSRIs. Methadone can increase the risk of side effects in people taking citalopram. Citalopram has been linked to a very small increased risk of problems for your unborn baby. Phone 0161 488 5555 for help. You have taken too much citalopram and have symptoms such as: If you need to go to A&E, do not drive yourself – get someone else to drive you or call for an ambulance. If you want to do this, talk to your doctor. Other possible side effects are listed below according to their frequency. Patients in Wales to receive routine life-saving testing ahead of chemotherapy treatment. It usually takes 4 to 6 weeks for citalopram to work. The text only version may be available in large print, Braille or audio CD. Breathe in slowly and deeply through your mouth and, just after starting to breathe in press down firmly on the top of the inhaler to release one puff. The active substances are: beclometasone dipropionate, formoterol fumarate dihydrate. Fostair 100/6 micrograms per actuation pressurised inhalation solution. Talk to your doctor if you think you might use recreational drugs while taking citalopram. Side effects can range from mild, such as drowsiness or feeling sick (nausea), to life-threatening conditions, although these are rare. Applies to lansoprazole: oral capsule delayed release, oral powder for suspension, oral tablet disintegrating delayed releaseAlong with its needed effects, lansoprazole may cause some unwanted effects. Take another puff, following the instruction starting again from step 2. What Fostair looks like and contents of the pack: Fostair is a pressurised solution contained in an aluminium canister with a metering valve, fitted in a polypropylene plastic actuator with a plastic protective cap. b) Using Fostair as your only asthma inhaler: The recommended dose is one puff in the morning and one puff in the evening. Fortisip Multi Fibre can be used to supplement the diet of patients unable to meet their nutritional requirements from other foods, or used as a sole source of nutrition. If you have any disease of your liver or kidneys. Vitamins are supplementary to and not a replacement for a balanced diet. 2. Your doctor will assess your symptoms and if necessary may start you on a different course of treatment. The product code(s) for this leaflet is: PL08829/0156. other medicines used to treat asthma (theophylline, aminophylline or steroids) and diuretics (water tablets) may cause a fall in your potassium level. If you see ‘mist’ coming from the top of the inhaler or the sides of your mouth, this means that Fostair will not be getting into your lungs as it should. Read all of this leaflet carefully before you start taking this medicine because it contains important information for you. If you feel you need more puffs each day to control your asthma symptoms, contact your doctor to seek his advice. It is important that you read the package leaflet which is supplied with your AeroChamber Plus™ spacer device and that you follow the instructions on how to use the AeroChamber Plus™ spacer device and how to clean it, carefully. Like all medicines, Fostair can cause side effects, although not everybody gets them. If you and your doctor decide to take you off citalopram, your doctor may recommend reducing your dose gradually to help prevent extra side effects. You may not notice much improvement in your symptoms for 1 or 2 weeks until citalopram begins to take effect. Breathe out as slowly and deeply as possible. Should you need to go to the hospital, remember to take all of your medicines and inhalers with you, including Fostair and any medicines or tablets bought without a prescription, in their original package, if possible. Nutricia fortisip is the top most brand in nutritional supplements. Wipe inside and outside of the mouthpiece and the actuator with a clean, dry cloth or tissue. Stop using the inhaler when the counter shows 0 as any puffs left in the device may not be enough to give you a full dose. Formulation Liquid (sip feed) per 100 mL Energy (Kj) 1005 (240 Kcal) Protein (g) 9.5 (milk proteins) Carbohydrate (g) 25.2 (sugars 14.1 g) Fat (g) 10.4 Fibre (g) 3.6 … If you become pregnant while taking citalopram, speak to your doctor. It may harm them, even if their signs of illness are the same as yours. However if you experience side effects such as dizziness and/or trembling, your ability to drive or operate machinery may be affected. 3. If you feel that the medicine is not very effective, always talk to your doctor before increasing the dose. Indications, side effects, contraindications and other prescribing information for Fortisip Bottle on MIMS You should also use Fostair as a “reliever” inhaler to treat sudden asthma symptoms. This site uses cookies. This leaflet was last revised in July 2020, AeroChamber Plus™ is a Trademark of Trudell Medical International, Chiesi Limited, 333 Styal Road, Manchester, M22 5LG, www.chiesi.uk.com/supply-of-chiesi-products. Starter pack (6 x 125ml bottles) £8.70 Assorted flavours. Keep this leaflet. If you have any further questions, ask your doctor, or pharmacist or nurse. Juice and Yoghurt based products contain far more sugar than milk based products and should be taken with caution. Citalopram will not affect any type of contraception, including the combined pill or emergency contraception. Some anaesthetics can increase the risk of abnormal heart rhythms. Your doctor will adjust your treatment to the lowest dose that best controls your symptoms. Talk to your doctor or pharmacist or nurse before using Fostair: If any of the above applies to you, always inform your doctor before you use Fostair. Never warm it by artificial means. Fostair should not be used in children and adolescent less then 18 years old, until further data become available. Whenever possible, stand or sit in an upright position when inhaling. Fostair must not be used if you are pregnant, think that you might be pregnant or are planning to become pregnant, or if you are breast-feeding, unless you are advised to do so by your doctor. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine. Your doctor may wish to carry out some blood tests to check your blood potassium and blood glucose levels. Ask your doctor, pharmacist or a nurse about this device. Book an appointment with your doctor if you get: In rare cases, it's possible to have a serious allergic reaction (anaphylaxis) to citalopram. Check with your doctor before starting citalopram if you: If you have diabetes, citalopram can make it more difficult to keep your blood sugar stable. Special medical Purposes and to also manage diseases related to malnutrition cause, in 8 flavours find anxiety! Further data become available mg of ethanol in New Zealand we get on... Listed in this leaflet, 3 the risks and the actuator and do not use or. Hold your inhaler for the first couple of weeks out some blood tests to check your blood from time make...: PL08829/0156 feel like yourself again to 40mg Fibre is a nutritionally complete milkshake style nutritional drink! Have been feeling better it 's not known whether this reduces male fertility than 2,800 conditions on PatientsLikeMe you! The two active substances are beclometasone dipropionate and formoterol fumarate dihydrate 12 years age 12! Fortisip Compact Protein is a nutritionally complete, high energy, ready to drink, milk shake supplement! 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