Always inform your doctor about all medications you are taking, including over-the-counter drugs, supplements, and herbal remedies, before starting Citalopram. Some combinations can lead to dangerous interactions.
Here are some key medication classes that can interact significantly with Citalopram:
- Monoamine Oxidase Inhibitors (MAOIs): Combining Citalopram with MAOIs can cause a life-threatening condition called serotonin syndrome. A significant time gap (usually several weeks) is required between stopping one and starting the other. Serotonin-norepinephrine reuptake inhibitors (SNRIs): Concurrent use with SNRIs increases the risk of serotonin syndrome. Close monitoring is necessary. Tricyclic antidepressants (TCAs): Combining Citalopram with TCAs can heighten the risk of side effects, particularly cardiac issues. Your doctor will carefully consider the risks and benefits. St. John’s Wort: This herbal supplement can interact negatively, potentially reducing Citalopram’s effectiveness or increasing side effects. Avoid use together. Warfarin and other anticoagulants: Citalopram can affect how your body processes these blood thinners. Regular blood monitoring is needed to adjust dosage appropriately. Lithium: This medication for bipolar disorder can have increased side effects when combined with Citalopram. Careful dose adjustments may be required.
This list isn’t exhaustive. Many other medications can interact with Citalopram. Your doctor or pharmacist can provide more detailed information tailored to your individual circumstances and medication profile. Always check for potential interactions before starting any new medication while taking Citalopram.
Never start or stop any medication without consulting your doctor. Keep a complete list of all your medications. Inform all your healthcare providers about your medications.