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before using citalopram, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions certain heart problems heart failure, slow heartbeat, recent heart attack, qt prolongation in the ekg, family history of certain heart problems qt prolongation in the ekg, sudden cardiac death.
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in studies in normal volunteers, citalopram hbr tablets in doses of 40 mg day did not produce impairment of intellectual function or psychomotor performance.
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although in controlled studies citalopram has not been shown to impair psychomotor performance, any psychoactive drug may impair judgment, thinking, or motor skills, so patients should be cautioned about operating hazardous machinery, including automobiles, until they are reasonably certain that citalopram therapy does not affect their ability to engage in such activities.
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