This table shows all Adverse Drug Reactions reported to the FDA's Adverse Event Reporting System between 2004 and the 2nd Quarter of 2008 where the listed psychiatric drug was identified as the Primary Suspect Drug (FDA's term) deemed responsible for causing or inducing these reactions and where one or more of the Adverse Reactions reported for the Case described a congenital, prenatal or neonatal condition. Where no Age, Date of Event or Indication (the condition being treated) are shown, none were present in the FDA records.

Reported By: CN-Consumer, LW-Lawyer, MD-Physician, OT-Other Healthcare Provider, PH-Pharmacist, Blank-Not Reported in ISR (Individual Safety Report).

The Oxford English Dictionary defines a poison as "a substance that causes death or harm when introduced into or absorbed by a living organism."  This psychiatric drug fits that definition.

Akarin (citalopram), Celexa (citalopram), Cipramil (citalopram), Citalopram (citalopram), Sepram (citalopram), Seropram (citalopram)

Abdominal Distension, Abdominal Pain, Abnormal Behaviour, Abnormal Faeces, Abortion, Abortion Incomplete, Abortion Induced, Abortion Spontaneous, Abscess, Acidosis, Acquired Epileptic Aphasia, Acute Psychosis, Acute Respiratory Failure, Agitation, Agitation Neonatal, Aids Related Complex, Akathisia, Akinesia, Amenorrhoea, Ammonia Increased, Amniocentesis Abnormal, Amniorrhoea, Amniotic Cavity Disorder, Amniotic Fluid Volume Decreased, Amniotic Fluid Volume Increased, Anaemia, Anal Atresia, Anhedonia, Anomaly of External Ear Congenital, Anophthalmos, Anorexia, Anosmia, Antepartum Haemorrhage, Antidepressant Drug Level Decreased, Anxiety, Apathy, Apgar Score Low, Apnoea, Appetite Disorder, Areflexia, Arnold-Chiari Malformation, Arrested Labour, Arthropathy, Aspiration, Asthenia, Atelectasis, Atrial Septal Defect, Autism, Autonomic Nervous System Imbalance, Back Pain, Bacterial Infection, Base Excess Decreased, Base Excess Negative, Beta Haemolytic Streptococcal Infection, Bipolar Disorder, Bipolar II Disorder, Bleeding Peripartum, Blood Alkaline Phosphatase Increased, Blood Bilirubin Increased, Blood Cortisol Decreased, Blood Glucose Abnormal, Blood Glucose Increased, Blood PH Decreased, Blood Sodium Increased, Bloody Discharge, Brachial Plexopathy, Bradycardia Neonatal, Bradykinesia, Brain Damage, Breast Haemorrhage, Breast Malformation, Breast Mass, Breech Delivery, Breech Presentation, Bronchial Obstruction, Bronchopulmonary Dysplasia, Caesarean Section, Calculus Urinary, Camptodactyly Congenital, Candidiasis, Cardiac Arrest, Cardiac Murmur, Cardiomegaly, Cardiovascular Disorder, Cephalhaematoma, Cephalo-Pelvic Disproportion, Cerebral Haemorrhage, Cerebral Haemorrhage Neonatal, Cerebral Palsy, Cerebrovascular Disorder, Cervix Disorder, Cholestasis, Chorioamnionitis, Chromosomal Deletion, Chromosome Abnormality, Chronic Respiratory Failure, Cleft Lip, Cleft Lip and Palate, Cleft Palate, Clonus, Combined Immunodeficiency, Completed Suicide, Complication of Pregnancy, Complications of Maternal Exposure To Therapeutic Drugs, Condition Aggravated, Confusional State, Congenital Anomaly, Congenital Anomaly of Inner Ear, Congenital Aortic Atresia, Congenital Arterial Malformation, Congenital Atrial Septal Defect, Congenital Cardiovascular Anomaly, Congenital Central Nervous System Anomaly, Congenital Elevation of Scapula, Congenital Eye Disorder, Congenital Eyelid Malformation, Congenital Hand Malformation, Congenital Hydrocephalus, Congenital Hydronephrosis, Congenital Multiplex Arthrogryposis, Congenital Muscle Absence, Congenital Neurological Disorder, Congenital Oral Malformation, Congenital Pulmonary Hypertension, Congenital Pulmonary Valve Atresia, Congenital Scoliosis, Congenital Spinal Fusion, Congenital Torticollis, Congenital Ventricular Septal Defect, Contusion, C-Reactive Protein Increased, Convulsion, Convulsion Neonatal, Coombs Test Positive, Coordination Abnormal, Cor Pulmonale, Corneal Disorder, Crying, Culture Urine Positive, Cyanosis Neonatal, Cyclothymic Disorder, Cystic Lymphangioma, Cystocele, Dacryocystitis Infective, Deafness Congenital, Deafness Unilateral, Death Neonatal, Deformity Thorax, Dehydration, Depersonalisation, Depressed Mood, Depression, Developmental Delay, Diabetes Mellitus, Diaphragmatic Hernia, Diarrhoea, Diarrhoea Neonatal, Disease Recurrence, Disturbance In Attention, Dizziness, Drug Dose Omission, Drug Exposure Before Pregnancy, Drug Exposure During Pregnancy, Drug Exposure Via Breast Milk, Drug Ineffective, Drug Interaction, Drug Toxicity, Drug Withdrawal Syndrome, Drug Withdrawal Syndrome Neonatal, Duane's Syndrome, Dyskinesia, Dyskinesia Neonatal, Dysmorphism, Dysphoria, Dyspnoea, Dystonia, Echography Abnormal, Ectopic Pregnancy, Electric Shock, Electroencephalogram Abnormal, Emotional Disorder, Emotional Distress, Encephalitis Post Varicella, Epistaxis, Eructation, Escherichia Infection, Euphoric Mood, Exomphalos, Extrapyramidal Disorder, Eye Redness, Eye Rolling, Facial Paresis, Failure To Thrive, Fallot's Tetralogy, False Labour, Fatigue, Fear, Feeding Disorder Neonatal, Feeding Problem In Newborn, Feeding Tube Complication, Feeling Abnormal, Feeling Cold, Feeling Jittery, Fever Neonatal, Flatulence, Fluid Overload, Foetal Cardiac Disorder, Foetal Disorder, Foetal Distress Syndrome, Foetal Growth Retardation, Foetal Heart Rate Decreased, Foetal Malformation, Foetal Malposition, Foetal Movements Decreased, Frequent Bowel Movements, Galactostasis, Gastrointestinal Disorder, Gastrointestinal Malformation, Gastrointestinal Motility Disorder, Gastrooesophageal Reflux Disease, General Physical Health Deterioration, Gestational Diabetes, Grand Mal Convulsion, Growth Retardation, Grunting, Haemangioma Congenital, Haematocrit Decreased, Haematocrit Increased, Haemoglobin Decreased, Haemoglobin Increased, Haemorrhage, Haemorrhage Intracranial, Haemorrhoids, Hand Deformity, Head Circumference Abnormal, Head Deformity, Headache, Heart Disease Congenital, Heart Rate Increased, Heart Rate Irregular, Hernia Congenital, Hip Dysplasia, Homicidal Ideation, Hydrocele, Hydrocephalus, Hydronephrosis, Hyperaemia, Hyperbilirubinaemia Neonatal, Hypercapnia, Hyperemesis Gravidarum, Hyperhidrosis, Hyperthermia, Hypertonia, Hypertonia Neonatal, Hypocalcaemia, Hypoglycaemia Neonatal, Hypokinesia, Hypokinesia Neonatal, Hypomania, Hyponatraemia, Hypopnoea, Hyporeflexia, Hypothyroidism, Hypotonia, Hypotonia Neonatal, Hypoventilation, Hypoxia, Immature Respiratory System, Immobile, Inadequate Analgesia, Increased Bronchial Secretion, Induced Labour, Infantile Apnoeic Attack, Infantile Colic, Infantile Spasms, Infection, Inflammation, Influenza, Inguinal Hernia, Insomnia, Inspiratory Capacity Decreased, Intentional Overdose, Intestinal Transposition, Intracranial Aneurysm, Intra-Uterine Death, Irritability, Ischaemia, Jaundice Neonatal, Joint Hyperextension, Kidney Infection, Labour Complication, Labour Induction, Labour Pain, Lethargy, Limb Malformation, Limb Reduction Defect, Lissencephaly, Livedo Reticularis, Loss of Consciousness, Loss of Proprioception, Low Set Ears, Macrocephaly, Major Depression, Malaise, Mania, Marital Problem, Maternal Condition Affecting Foetus, Maternal Drugs Affecting Foetus, Mean Arterial Pressure Decreased, Meconium In Amniotic Fluid, Meconium Increased, Memory Impairment, Meningorrhagia, Mental Disorder, Mental Retardation Severity Unspecified, Metabolic Acidosis, Metrorrhagia, Microphthalmos, Migraine, Motor Neurone Disease, Movement Disorder, Multiple Congenital Abnormalities, Muscle Spasms, Muscle Twitching, Muscular Dystrophy, Muscular Weakness, Musculoskeletal Stiffness, Myalgia, Myasthenic Syndrome, Mydriasis, Myopathy, Nausea, Neck Pain, Neonatal Apnoeic Attack, Neonatal Asphyxia, Neonatal Aspiration, Neonatal Candida Infection, Neonatal Cholestasis, Neonatal Disorder, Neonatal Hepatomegaly, Neonatal Hypoxia, Neonatal Infection, Neonatal Pneumonia, Neonatal Respiratory Depression, Neonatal Respiratory Distress Syndrome, Neonatal Respiratory Failure, Neonatal Tachycardia, Neonatal Tachypnoea, Nephrolithiasis, Nervous System Disorder, Neuromyopathy, Nipple Disorder, Nipple Pain, Obsessive Thoughts, Obsessive-Compulsive Disorder, Obstruction, Obstructive Airways Disorder, Oculocephalogyric Reflex Absent, Oedema, Oedema Peripheral, Oligohydramnios, Ophthalmia Neonatorum, Opisthotonus, Optic Nerve Hypoplasia, Oral Candidiasis, Overdose, Oxygen Saturation Decreased, Pain, Pain In Extremity, Palatal Disorder, Pallor, Panic Attack, Paraesthesia, Paranoia, Patent Ductus Arteriosus, PCO2 Decreased, Pectus Excavatum, Perianal Abscess, Peripheral Vascular Disorder, Persistent Foetal Circulation, Pervasive Developmental Disorder, Phalangeal Hypoplasia, Physical Assault, Pierre Robin Syndrome, Placenta Praevia, Placental Disorder, Placental Insufficiency, Platelet Count Decreased, Platelet Count Increased, Pleural Haemorrhage, Pneumonia, Pneumonia Aspiration, PO2 Decreased, Poland's Syndrome, Polydactyly, Polyhydramnios, Poor Peripheral Circulation, Poor Sucking Reflex, Post Procedural Complication, Post Procedural Hypothyroidism, Post Procedural Pain, Postmature Baby, Postpartum Depression, Postpartum Haemorrhage, Posturing, Precipitate Labour, Pregnancy Induced Hypertension, Premature Baby, Premature Labour, Premature Rupture of Membranes, Premature Separation of Placenta, Progesterone Decreased, Prolonged Labour, Prominent Epicanthal Folds, Protein Urine, Protein Urine Present, Prothrombin Time Prolonged, Psychomotor Hyperactivity, Psychomotor Retardation, Pterygium, Pulmonary Hypertension, Pulmonary Oedema Neonatal, Pulse Absent, Pupillary Reflex Impaired, Pyelectasia, Pyelocaliectasis, Pyrexia, Rash, Rash Pustular, Red Blood Cells CSF Positive, Red Blood Cells Urine, Regurgitation of Food, Respiration Abnormal, Respiratory Acidosis, Respiratory Arrest, Respiratory Depth Decreased, Respiratory Disorder Neonatal, Respiratory Rate Decreased, Respiratory Rate Increased, Respiratory Tract Infection, Respiratory Tract Malformation, Restlessness, Retrognathia, Rhesus Antibodies Positive, Right Ventricular Systolic Pressure, Road Traffic Accident, Screaming, Sedation, Self-Injurious Ideation, Sepsis, Sepsis Neonatal, Sinus Tachycardia, Sinusitis, Skin Discolouration, Skull Malformation, Sleep Disorder, Small for Dates Baby, Somnolence, Somnolence Neonatal, Spinal Disorder, Spine Malformation, Splenomegaly, Sputum Abnormal, Staring, Stillbirth, Strabismus Congenital, Streptococcal Serology Positive, Stress Symptoms, Sudden Infant Death Syndrome, Suicidal Ideation, Suicide Attempt, Supraventricular Extrasystoles, Synostosis, Synovitis, Tachycardia Foetal, Talipes, Tearfulness, Temperature Regulation Disorder, Thinking Abnormal, Thrombocythaemia, Thyroid Gland Cancer, Thyroidectomy, Tocolysis, Transient Tachypnoea of the Newborn, Transmission of Drug Via Semen, Tremor, Tremor Neonatal, Tricuspid Valve Incompetence, Trisomy 18, Trisomy 21, Ultrasound Scan Abnormal, Umbilical Cord Abnormality, Umbilical Cord Around Neck, Umbilical Hernia, Uterine Contractions Abnormal, Uterine Contractions During Pregnancy, Uterine Infection, Vacuum Extractor Delivery, Vaginal Haemorrhage, Vascular Anomaly, Ventricular Septal Defect, Vertigo, Vesicoureteric Reflux, Visual Acuity Reduced, Visual Disturbance, Vomiting, Vomiting In Pregnancy, Weight Decreased, Weight Fluctuation, Weight Increased, White Blood Cell Count Decreased, White Blood Cell Count Increased, White Blood Cells Urine

Definitions
Abortion Spontaneous	Miscarriage means loss of an embryo or fetus before the 20th week of pregnancy. Most miscarriages occur during the first 14 weeks of pregnancy. The medical term for miscarriage is spontaneous abortion.
Akinesia	Loss of normal motor function, resulting in impaired muscle movement.
Apgar Score	A system of assessing the general physical condition of a newborn infant based on a rating of 0, 1, or 2 for five criteria: heart rate, respiration, muscle tone, skin color, and response to stimuli. The five scores are added together, with a perfect score being 10. (After Virginia Apgar (1909–1974), American physician)
Anal Atresia	The anus is either not present or it is in the wrong place.
Anophthalmos	A congenital absence of all tissues of the eyes.
Apgar Score	A system of assessing the general physical condition of a newborn infant based on a rating of 0, 1, or 2 for five criteria: heart rate, respiration, muscle tone, skin color, and response to stimuli. The five scores are added together, with a perfect score being 10. (After Virginia Apgar (1909–1974), American physician)
Areflexia	The absence of reflexes.
Arnold-Chiari Malformation	Arnold-Chiari malformation is a rare genetic disorder in which parts of the brain are formed abnormally. Malformations may occur in the lower portion of the brain (cerebellum) or in the brain stem.
Atelectasis	Atelectasis is a collapse of lung tissue affecting part or all of one lung. This condition prevents normal oxygen absoption to healthy tissues.
Atrial Septal Defect	An atrial septal defect is an abnormal opening in the wall separating the left and right upper changers (atria) of the heart.
Congenital	A physical abnormality that is present at birth.
Congenital Anomaly	Medical term for a birth defect which is a physical abnormality that is present at birth; they are also called congenital abnormalities. When multiple birth defects occur together and have a similar cause, they are called syndromes (e.g. Foetal Distress Syndrome, Neonatal Respiratory Distress Syndrome, Pierre Robin Syndrome).
Congenital Aortic Atresia	The congenital absence of the normal valvular orifice into the aorta.
Congenital Atrial Septal Defect	An abnormal opening in the wall separating the left and right upper chambers (atria) of the heart.
Congenital Hydrocephalus	Hydrocephalus is an abnormal expansion of cavities (ventricles) within the brain that is caused by the accumulation of cerebrospinal fluid.
Drug Withdrawal Syndrome Neonatal	Refers to the characteristic signs and symptoms that appear when a drug that causes physical dependence is regularly used for a long time and then suddenly discontinued or decreased in dosage. Also known as abstinence syndrome. A group of unpleasant symptoms produced by the abrupt termination of drug taking. These symptoms, commonly called withdrawal symptoms, include anxiety, muscle weakness, nausea, vomiting, tremor, and a rapid heart beat.
Dyspnoea	Difficulty in breathing, often associated with lung or heart disease and resulting in shortness of breath. Also called air hunger.
Fallot's Tetralogy	A congenital malformation of the heart characterized by a defect in the ventricular septum, misplacement of the origin of the aorta, narrowing of the pulmonary artery, and enlargement of the right ventricle.
Foetal Distress Syndrome	An abnormal condition of a fetus during gestation or at the time of delivery, marked by altered heart rate or rhythm and leading to compromised blood flow or changes in blood chemistry.
Hydronephrosis	Hydronephrosis is the swelling of the kidneys when urine flow is obstructed in any of part of the urinary tract. Swelling of the ureter, which always accompanies hydronephrosis, is called hydroureter. Hydronephrosis implies that a ureter and the renal pelvis (the connection of the ureter to the kidney) are overfilled with urine.
Hypercapnia	A condition marked by an unusually high concentration of carbon dioxide in the blood as a result of hypoventilation (abnormally slow and shallow respiration).
Hypertonia Neonatal	Hypertonia is a condition marked by an abnormal increase in the tightness of muscle tone and a reduced ability of a muscle to stretch (i.e. an increased stiffness).
Hypotonia Neonatal	Hypotonia is a condition of abnormally low muscle tone (the amount of tension or resistance to movement in a muscle), often involving reduced muscle strength. Hypotonia is not a specific medical disorder, but a potential manifestation of many different diseases and disorders that affect motor nerve control by the brain or muscle strength.
Hypoxia	Deficiency in the amount of oxygen reaching body tissues.
Microphthalmia	Microphthalmia refers to an abnormally small eye. Microphthalmia results from a developmental defect after formation of the optic vesicle. The developmental abnormality causes the optic vesicle to fold inwards, resulting in the formation of a cyst. The cyst will progressively swell from birth, and it may be situated along the optic nerve. The cyst may also be situated along other important eye structures.
Neonatal Respiratory Distress Syndrome	Respiratory distress syndrome (RDS) of the newborn, also known as infant RDS, is an acute lung disease present at birth, which usually affects premature babies. Layers of tissue called hyaline membranes keep the oxygen that is breathed in from passing into the blood. The lungs are said to be "airless." Without treatment, the infant will die within a few days after birth.
Persistent Foetal Circulation	The circulation of blood in the foetus is somewhat different from that of the baby after birth. This transition from foetal to neonatal circulation is one of the major physiologic changes after delivery. Before birth, the lungs are collapsed and the blood pressure in the lungs is quite high. This results in a very low blood flow through the lungs. After delivery, the lungs expand and the blood pressure in the lungs decreases.
	In some babies, although the lungs expand the blood vessels in the lungs remain constricted resulting in persistently high blood pressure in the lungs. This reduces the amount of blood that the infant can pump through the lungs. This decreased blood flow through the lungs after birth is called persistent foetal circulation because it is a persistence of the pattern of blood flow normally seen prior to birth during the foetal period.
Pierre Robin Syndrome	Pierre Robin Syndrome (PRS) is a congenital condition of facial abnormalities in humans. As PRS is not caused by a single defect gene, it is not a genetic syndrome, but rather a chain of certain developmental malformations, one entailing the next.
Pierre Robin Syndrome	Pierre Robin Syndrome (PRS) is a congenital condition of facial abnormalities in humans. As PRS is not caused by a single defect gene, it is not a genetic syndrome, but rather a chain of certain developmental malformations, one entailing the next. [images]
Pulmonary Hypertension	Pulmonary hypertension is a rare lung disorder characterized by increased pressure in the pulmonary artery. The pulmonary artery carries oxygen-poor blood from the lower chamber on the right side of the heart (right ventricle) to the lungs where it picks up oxygen ... the disorder results in thickening of the pulmonary arteries and narrowing of these blood vessels. In response, the right side of the heart works harder to move the blood through these arteries and it becomes enlarged. Eventually overworking the right side of the heart may lead to right-sided heart failure, resulting in death.
Trisomy	A condition in which an extra copy of a chromosome is present in the cell nuclei, causing developmental abnormalities.
Trisomy 18	Edwards' syndrome is caused by an extra (third) copy of chromosome 18. The extra chromosome is lethal for most babies born with this condition. It causes major physical abnormalities and severe mental retardation. Very few children afflicted with this syndrome survive beyond the first year.
Trisomy 21	Down syndrome is the most common cause of mental retardation and malformation in a newborn. It occurs because of the presence of an extra chromosome. The extra chromosome in Down syndrome is labeled number 21. For this reason, the existence of three such chromosomes is sometimes referred to as Trisomy 21.
Ventricular Septal Defect	A ventricular septal defect is a hole in the wall of the heart (septum) that separates the left lower chamber (left ventricle) from the right lower chamber (right ventricle). The hole allows blood to flow from the left ventricle to the right ventricle instead of entering the aorta for distribution throughout the body. This blood recycles through the lungs before returning to the left ventricle. This results in less oxygenated blood reaching the body. If the hole is sufficiently large, the lack of oxygen being delivered to the body can cause severe problems, including heart failure and breathlessness.
Williams Syndrome	Typical facial features seen in children with Williams syndrome include a wide mouth with full lips, a small chin, and a short, slightly upturned nose. Children with blue or green eyes often times show a starburst pattern in the colored part (iris) of the eyes. An unusual narrowing of the aorta called supravalvular aortic stenosis is often present, and hernias are often seen in the inguinal area of the abdomen. The blood vessels and abdominal wall often show weakness or altered development. Muscle tone is typically low, and children are often on the low end of birth weight, with relatively poor weight gain and growth in their early years.

MedWatch is the Food and Drug Administration's program for reporting any undesirable experience associated with the use of a medical product. If you think you or someone in your family has experienced an adverse reaction from taking Citalopram and it has not been reported to the FDA, see this page for instructions on reporting the adverse event through your doctor or directly to the FDA using an online form.

A May 2006 USA Today article states that "drug companies are required to file any reports they have to the FDA, but consumers and doctors report such events on a voluntary basis. Studies suggest the FDA's Adverse Events Reporting System database captures only 1% to 10% of drug-induced side effects and deaths, "maybe even less than 1%," says clinical pharmacologist Alastair J.J. Wood, an associate dean at Vanderbilt Medical School in Nashville. So the real number of cases is almost certainly much higher".