Citalopram is a type of drug called a selective serotonin reuptake inhibitor. It is commonly used to treat depression and anxiety disorders.

Citalopram is commonly used to treat anxiety disorders and depression. It can also be used to treat phobias, OCD and post traumatic stress disorder.

It is a class of drug called an selective serotonin reuptake inhibitor. It is thought that these drugs block the re absorption of a neurotransmitter called serotonin in the brain, therefore increasing the amount of serotonin in the brain which has a positive effect on the symptoms of anxiety and depression.

This drug is usually started at a dose of 10-20mg. It can be increased (only if required) to a maximum dose of 40mg.

It is important to be aware that if your doctor recommends starting an antidepressant we would aim to treat for at least 6 months(provided the medication has a positive benefit for you and no intolerable side effects). Stopping the medication before this period, even if you are feeling better, increases the risk of relapse.

Citalopram can also enhance the effects of caffeine which can cause some people to experience symptoms of nausea or palpitations. Therefore large amounts of caffeine should be avoided.

This is a common herbal remedy that is sometimes used for the treatment of depression. St John’s wort is believed to contain active ingredients just like medications. However, it is sold as a supplement so it is not regulated in the same way medications are. Therefore we are not sure how it will react with other medications and should be avoided.

Anti inflammatory drugs- Using medication such ibuprofen with citalopram increases the risk you will have stomach problems.

Other antidepressants-These can have dangerous side effects when taking with citalopram so it is important your doctor have a full list of your prescribed medications.

Antiplatelet drugs such as aspirin- Taking with citalopram these can increase the risk of bleeding from your stomach. The risk and benefit of each medication needs to be weighted up.

Alcohol itself may increase the symptoms of anxiety and depression and therefore should be avoided.

It is not usually recommended to start citalopram during pregnancy especially in the first 3 months due to possible risks to the baby. However if you are already taking this then don't stop it until you have seen a doctor.

It is generally advised that citalopram is avoided during breastfeeding , in case the medication is passed through the milk to the baby. Please speak to your doctor before stopping this medication though.