Citalopram — Drug Interactions, Alcohol & Pregnancy Guide
Last reviewed: · Source: US FDA drug label database · 247CanITakeWith Editorial Team
- Citalopram is a SSRI used for Depression.
- Alcohol: Avoid alcohol with citalopram — it worsens depression, may increase sedation, and both affect heart rhythm at higher levels.
- Pregnancy: Citalopram can be continued in pregnancy when needed — the risks of stopping antidepressants suddenly usually outweigh the small medication risks.
- This page covers 1 specific drug combination with Citalopram.
About Citalopram
Citalopram is an SSRI antidepressant used for depression and panic disorder. It has a specific maximum dose limit (40mg/day) due to dose-dependent QT interval prolongation risk.
Also sold as: Cipramil
Citalopram at a glance
Citalopram is classed as ssri and is used for depression, panic disorder. It is a prescription medicine, so doses and combinations should always be agreed with your prescriber or pharmacist.
Typical adult dosing guidance: 20-40mg once daily (maximum 20mg in elderly and liver impairment). Your own label or prescription always takes priority over general figures.
Interactions most often flagged
- Alcohol
- Pregnancy
Before you combine Citalopram with anything new
- Read the patient information leaflet for both products.
- Keep one up-to-date list of every medicine and supplement you take.
- Ask a pharmacist — it is free and takes a couple of minutes.
- Seek urgent medical help if you feel seriously unwell after combining medicines.
Citalopram and Alcohol
Avoid alcohol with citalopram — it worsens depression, may increase sedation, and both affect heart rhythm at higher levels.
Full guide →Citalopram in Pregnancy
Citalopram can be continued in pregnancy when needed — the risks of stopping antidepressants suddenly usually outweigh the small medication risks.
Full guide →Citalopram — Drug Combinations
More in this category: antidepressants
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Frequently Asked Questions
What is Citalopram used for?
Citalopram is a SSRI used for Depression, Panic disorder.
What is the maximum adult dose of Citalopram?
The maximum adult dose is 20-40mg once daily (maximum 20mg in elderly and liver impairment). This is general guidance — always follow the dose on your prescription or product label, and check with a pharmacist if you're unsure.
Can I drink alcohol with Citalopram?
Avoid alcohol with citalopram — it worsens depression, may increase sedation, and both affect heart rhythm at higher levels.
Is Citalopram safe to take during pregnancy?
Citalopram can be continued in pregnancy when needed — the risks of stopping antidepressants suddenly usually outweigh the small medication risks.
Is Citalopram available over the counter in the UK?
Citalopram is prescription-only in the UK.
What should I check before taking Citalopram with other medicines?
The interactions most often flagged for Citalopram are: alcohol, pregnancy. Tell your pharmacist or prescriber about everything you take, including over-the-counter products, supplements and herbal remedies, before combining it with anything new.
What are the brand names for Citalopram?
Citalopram is sold under brand names including Cipramil. The active ingredient is the same, so check labels carefully to avoid doubling up on it.
Do I need a prescription for Citalopram?
Citalopram is a prescription medicine, so take it exactly as your prescriber directed and ask them before changing the dose.
Not sure if Citalopram is safe with your other medications?
HealthLabs.com lets you check liver enzyme or kidney function levels before combining medications long-term — no GP referral needed.
Check your levels at HealthLabs →Always speak to your pharmacist or GP for personalised medical advice. Affiliate link — we may earn a commission.