While taking citalopram, pay attention to changes in your mood, energy, and sleep, especially in the first few weeks. Let your provider know if you notice worsening depression, new anxiety, or unusual thoughts.

You should also watch for side effects like dizziness, fatigue, or changes in heart rhythm (such as a racing or irregular heartbeat). If you take other medications, your provider may monitor for potential interactions. If you’re pregnant or thinking about becoming pregnant, talk to your provider before taking this drug or other antidepressants.

No, citalopram is a prescription medication. You’ll need to speak with a licensed healthcare provider to determine if it’s appropriate for you. Providers on Sesame can write a prescription or refill an existing one during a virtual or in-person visit.

Note that all prescriptions are at the discretion of your health care provider. Providers on Sesame cannot prescribe controlled substances.

You cannot buy citalopram online without a prescription, but you can get a citalopram or Celexa prescription online through Sesame. If it’s a good fit, your provider can send a prescription to your preferred pharmacy, often on the same day of your video visit.

Sesame also offers a Mental Health Rx subscription for same-day Rx refills, ongoing video visits and messaging with a provider of your choice.

SSRIs are a commonly prescribed type of antidepressant because they help raise serotonin levels in the brain, which can improve mood and ease anxiety. These include citalopram, sertraline (generic Zoloft), fluoxetine (generic Prozac), escitalopram, and paroxetine (generic Paxil).

Other options include medications that affect both serotonin and norepinephrine, such as venlafaxine extended‑release and duloxetine delayed release.

For anxiety specifically, buspirone and hydroxyzine may offer symptom relief without the sedating effects of other drug classes. Doxepin, one of several tricyclic antidepressants prescribed at low doses for certain anxiety and sleep problems, is another option.

Each of these medications work a little differently, and the right one depends on your unique symptoms. Your provider can help you find the best fit for your situation.