Citalopram Safety: What You Need to Know About Side Effects, Interactions, and Risks

When you take citalopram, a selective serotonin reuptake inhibitor (SSRI) used to treat depression and anxiety. Also known as Celexa, it helps balance brain chemicals—but it’s not harmless. Many people use it without issues, but safety isn’t about whether it works—it’s about whether it’s right for you right now.

One of the biggest concerns with citalopram is QT prolongation, a heart rhythm change that can lead to dangerous arrhythmias. The FDA warns against doses over 40 mg per day because of this risk. It’s not just about dosage, though. Mixing citalopram with other drugs like warfarin, certain antibiotics, or even some herbal supplements can spike your risk of bleeding, serotonin syndrome, or heart problems. You might not feel anything wrong until it’s too late.

Side effects aren’t always obvious. Nausea, sleep changes, or sexual dysfunction are common—but what about sudden mood shifts, increased anxiety at first, or unexplained muscle stiffness? These can be early signs something’s off. People over 65, those with liver problems, or anyone on multiple medications need extra caution. And if you’ve ever had a heart condition or an abnormal EKG, citalopram might not be the best fit. It’s not about fear—it’s about awareness.

There’s no one-size-fits-all when it comes to antidepressants. What works for someone else might not work for you—or could even be risky. That’s why understanding how citalopram interacts with other meds, how your body processes it, and what symptoms demand a doctor’s call matters more than any brochure. The posts below break down real cases, hidden risks, and what to ask your provider before you start—or keep taking—citalopram. You’ll find practical advice on spotting trouble, managing interactions, and knowing when to switch. No fluff. Just what you need to stay safe.

Citalopram and Escitalopram: QT Prolongation Risks and Safe Dose Limits

Citalopram and escitalopram are effective antidepressants but carry QT prolongation risks, especially at high doses. Learn the safe dose limits, who’s at risk, and how to choose the safest option for your heart.

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