Systematic review and review evidence indicate citalopram reduces the frequency and severity of menopausal vasomotor symptoms by approximately 40-65%.
Studied as a therapy for perimenopause & menopause in 2 interventional trials · highest reached no phase listed · completed.
Source: ClinicalTrials.gov (U.S. National Library of Medicine).
Off-label. The drug has an FDA-approved label, but for a different indication, so using it for this condition would be off-label.
Generic available. A live ANDA lists this active ingredient, so the basic molecule is available as a generic (off-patent in its basic form).
This is where the candidate sits in the regulatory landscape: descriptive context, not a 505(b)(2) viability assessment or regulatory advice.
Sources: FDA Orange Book; DailyMed (U.S. National Library of Medicine).