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What other drugs will affect citalopram?

Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with citalopram may cause you to bruise or bleed easily.

Before taking citalopram, tell your doctor if you are using any of the following medicines:

• carbamazepine (Tegretol);

• cimetidine (Tagamet);

• lithium (Lithobid, Eskalith);

• a blood thinner such as warfarin (Coumadin);

• any other antidepressants such as amitriptyline (Elavil), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), or sertraline (Zoloft); or

• almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig).

If you are using any of these drugs, you may not be able to use citalopram, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect citalopram. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist has information about citalopram written for health professionals that you may read.

What does my medication look like?

Citalopram is available with a prescription under the brand name Celexa. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

• Celexa 20 mg--pink, oval, scored tablets

• Celexa 40 mg-white, oval, scored tablets

• Celexa Oral Solution 10 mg per teaspoon (5 mL)-peppermint-flavored solution

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.