Citalopram Warnings & Precautions

Before taking Citalopram, inform your doctor of all your medical conditions and medications. Certain conditions and patient groups require special precautions or may make Citalopram unsuitable.

Key Warnings

→Monitor for increased suicidal ideation especially in the first weeks of treatment in patients under 25
→Do not start or stop SSRIs without medical supervision
→Discontinuation syndrome — must be tapered gradually
→Risk of serotonin syndrome with multiple serotonergic agents

Pregnancy and Breastfeeding

→SSRIs are among the most studied antidepressants in pregnancy. Benefits often outweigh risks for moderate to severe depression. Paroxetine has a marginally higher cardiac defect risk and is usually avoided. Neonatal adaptation syndrome may occur. Discuss risks and benefits with your doctor.

Older Adults

→Increased risk of hyponatraemia, falls (dizziness), and QT prolongation (especially citalopram). Start at lower doses. Monitor sodium levels in first weeks of treatment.

Chronic Conditions

→Use with caution in bleeding disorders, epilepsy (lowers seizure threshold slightly), or cardiac conduction abnormalities (particularly citalopram/escitalopram and QT interval).

When Not to Use

→Concurrent MAOI use (14-day washout required)
→Citalopram/escitalopram: concurrent QT-prolonging drugs or long QT syndrome

Safety Note

Citalopram should only be taken as prescribed. If you have any concerns about whether Citalopram is suitable for you, consult your doctor or pharmacist.

Frequently Asked Questions

Is Citalopram safe for everyone?

Citalopram is not suitable for everyone. Monitor for increased suicidal ideation especially in the first weeks of treatment in patients under 25 Always inform your doctor of all medical conditions before starting Citalopram.

What is discontinuation syndrome?

Stopping SSRIs abruptly can cause flu-like symptoms, dizziness, electric shock sensations (brain zaps), anxiety, and insomnia. This is not addiction but physical adjustment. Always taper the dose gradually over several weeks under medical supervision.

More About Citalopram

Dosage & Administration

Side Effects

Drug Interactions

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Medical Disclaimer: This drug reference is provided for informational purposes only and is not a substitute for professional medical advice. Always consult your physician or pharmacist before changing your medication. Information reviewed by the vHospital Editorial Team · Sources: WHO, BNF, FDA prescribing information.