Avoid combining citalopram with MAO inhibitors. This combination can lead to a potentially life-threatening condition called serotonin syndrome. Allow at least two weeks between stopping an MAO inhibitor and starting citalopram, and vice-versa.
Be cautious when using citalopram with other serotonergic drugs, such as St. John’s Wort, tramadol, or triptans. Increased risk of serotonin syndrome exists. Discuss alternative pain management strategies with your doctor if you use triptans for migraines.
Citalopram can interact with anticoagulants like warfarin. This can affect your bleeding risk. Regular blood monitoring might be necessary. Closely monitor for any unusual bleeding or bruising.
Certain medications used to treat irregular heartbeats can interact with citalopram and increase the risk of QT interval prolongation. This requires careful monitoring, especially in individuals with pre-existing heart conditions. Your doctor may adjust your dosage accordingly.
Inform your doctor of all medications, including over-the-counter drugs and supplements, before starting citalopram. This includes herbal remedies, as some may interact unpredictably.
Alcohol consumption while taking citalopram can intensify side effects like drowsiness and dizziness. Limit or avoid alcohol completely.
Be aware of potential side effects, including nausea, insomnia, and sexual dysfunction. These can often improve over time. Contact your doctor if side effects are bothersome or persistent.
Pregnancy and breastfeeding require specific considerations. Consult your physician before taking citalopram if pregnant, planning pregnancy, or breastfeeding. They will weigh the benefits against potential risks.
Citalopram can cause drowsiness. Avoid driving or operating machinery until you know how it affects you.
Sudden discontinuation of citalopram can cause withdrawal symptoms. Gradually reduce your dosage under your doctor’s guidance to minimize withdrawal effects.
