What is Citol 20 mg 10 mg, what does it do and how is it used?

What is Citol, How is It Used? What are its Side Effects?
Citol; It is a drug used for the treatment of depression and is prescribed to prevent the patient from worsening when the condition starts to improve. Citol is effective in long-term treatments to prevent depressive attacks from occurring in individuals with recurrent depression. 
Citol is included in the category of antidepressants and increases the level of serotonin by affecting the functioning of the happiness hormone serotonin secreted from the brain. Damages occurring in the serotonin system are the main causes that trigger depression and related ailments. Citol contributes to the reduction of symptoms in those who are prone to panic attacks and those who have obsessive compulsive (obsessive-compulsive) disorder, briefly defined as OCD.
How to Use Citol?
Citol can be used with meals or alone at any time. Tablets should be taken with enough water. Tablets should not be chewed, they have a bitter taste.
Use in adults;
In Depression Treatment;
It is recommended to take 20 mg daily as a standard. The amount of the dose can be increased to a maximum of 40 mg per day if the doctor deems it necessary.
In the Treatment of Panic Disorder;
In the first week of treatment, the initial dose is determined as 10 mg per day, before increasing the dose to 20-30 mg daily. The rate of dose can be increased up to a maximum of 40 mg per day depending on the course of treatment.
In the Treatment of Obsessive Compulsive Disorder (OCD);
The recommended dose at the beginning of treatment is 20 mg per day. If necessary, your physician can increase the dose up to a maximum of 40 mg per day.
What are the effects that may occur when treatment with Citol is terminated?
Do not end your treatment without doctor's approval. When the treatment cycle is over, the dose of Citol should be reduced slowly over several weeks. Aborting the treatment suddenly can cause tingling or numbness in the skin, dizziness and anxious mood. Also, stopping your medication suddenly may lead to some other symptoms of temporary and mild severity. For example; trouble falling asleep, realistic nightmares and dreams, vomiting, nausea, body discomfort, headache, excitement or restlessness, sweating, confusion or dizziness, tremor, soft defecation (diarrhea), emotional or hypersensitivity, hitting or palpitations (palpitations), visual disturbances and similar complaints may occur in the form of palpitations. Therefore, Citol should not be stopped suddenly when the treatment cycle is over,
What are the side effects of Citol?
Like all medicines, side effects can occur in people sensitive to the ingredients of Citol. Side effects usually disappear a few weeks after the start of treatment. You should know that the effects may also be symptoms of your disease and they will improve as you begin to heal.
If you have any of the following, stop using CITOL and tell your doctor IMMEDIATELY or contact the emergency department of the nearest hospital:
High fever, restlessness, confusion, chills, and sudden muscle contractions; this may be a sign of a rare condition called serotonin syndrome, which has been reported with concomitant use of different antidepressants.
If you feel swelling or difficulty breathing or swallowing on the skin, tongue, lips or face (allergic reaction).
Unusual bleeding (including gastrointestinal (stomach, intestinal) bleeding) These are all very serious side effects. If you have one of these, you have a serious allergy to CITOL. You may need an emergency medical intervention or hospitalization.
All of these very serious side effects are very rare.
If you notice any of the following, tell your doctor right away or contact the emergency department of the nearest hospital:
Hyponatremia (fatigue, confusion and muscle twitching due to low sodium levels in the blood)
Rapid, irregular heartbeat, fainting: these can be symptoms of a life-threatening condition known as Torsades de Pointes.
These are serious side effects. Emergency medical attention may be required. Serious side effects are very rare.
Tell your doctor if you notice any of the following:
Very common side effects
Feeling sleepy
Difficulty sleeping
Increased sweating
Dry mouth (You should brush your teeth more often than usual, as it increases the risk of tooth decay)
Nausea (feeling sick)
Common side effects
Decreased appetite
Unrest
Decreased sex drive
Worry / Anxiety
Irritability
Confusion state
Abnormal dreams
Shake
Tingling or numbness in the hands or feet
Dizziness
Attention disorder
Ringing in the ears
Stretch
Diarrhea
Vomiting
Constipation
Itching
Pain in muscles and joints
Ejaculation and erection problems in men
Not having orgasm in women
Fatigue
Fire
A stinging sensation on the skin
Weight reduction
Uncommon side effects
Bleeding disorders in the skin (easy bruising)
Increased appetite
Aggression
Depersonalization (entering a different perception in the form of alienation of the person to all or part of his body)
hallucinations
slashing
Faint
Enlarged eyeballs
Rapid heartbeat
Slow heartbeat
Hives
Hair loss
Debris
Sensitivity to light
Difficulty in voiding
Excessive menstrual bleeding
Swelling in the arms or feet
Weight gain
Rare side effects
Contraction attacks
Involuntary movements
Taste disorders
Bleeding
Hepatitis (jaundice; manifested by yellowing of the white part of the eyes and skin)
Unknown:
Thoughts of harming or killing yourself (see 'USE CITOL CAREFULLY in the following cases')
Low blood droplet (platelet) level that increases the risk of bleeding or bruising
Hypersensitivity (rash)
Serious allergic reaction that causes dizziness or difficulty breathing
Increased amount of urine
Hypokalaemia (low levels of potassium in the blood, which can lead to muscle weakness, twitching or abnormal heart rhythm)
Panic attack
Teeth grinding
Discomfort
Unusual muscle movements or muscle stiffness;
Akathisia (involuntary movement of muscles)
Vision disorders
Hypotension
Nose bleeding
Bleeding disorders including skin and mucous bleeding (ecchymosis)
Sudden swelling of the skin or mucosa
Painful erection
Milk in men and women who are not breastfeeding
Abnormal liver function tests
Abnormal heart rhythm
An increased risk of bone fractures has been reported in patients taking this type of medication.
These are mild side effects of CITOL. If you encounter any side effects not mentioned in this leaflet, inform your doctor or pharmacist.

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