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Amlodipine vs Citalopram: side-by-side comparison

Amlodipine (Dihydropyridine calcium-channel blocker) and Citalopram (Selective serotonin reuptake inhibitor (SSRI)) belong to different therapeutic classes and are rarely substitutes for each other. The comparison is useful when a single patient is weighing both options for adjacent or overlapping needs.

Property Amlodipine Citalopram
Therapeutic class Dihydropyridine calcium-channel blocker Selective serotonin reuptake inhibitor (SSRI)
CAS 88150-42-9 59729-33-8
ATC C08CA01 N06AB04
Molecular weight 408.88 g/mol 324.39 g/mol
Brands with this active ingredient 1 1

What they share

Amlodipine and Citalopram share the common regulatory framework for prescription active ingredients, bioequivalence standards for generics, and pharmacist oversight. Beyond that, points in common are limited.

Key differences

Amlodipine acts by a different mechanism than Citalopram, with indications that barely overlap. Comparing the two is useful when a clinician has mentioned both in the same context or the patient wants to understand why one was prescribed instead of the other.

Mechanisms compared

Amlodipine: Amlodipine selectively blocks L-type calcium channels in vascular smooth muscle, reducing transmembrane calcium influx and producing peripheral arterial vasodilation. Citalopram: Citalopram selectively inhibits the serotonin reuptake transporter, increasing synaptic serotonin availability with limited affinity for noradrenaline transporters or other receptors.

Indications compared

Amlodipine: Amlodipine is approved in adults for the treatment of essential hypertension and chronic stable angina, and for vasospastic (Prinzmetal's) angina. Citalopram: Citalopram is approved for major depressive disorder.

Safety profile

Amlodipine: Common adverse effects include peripheral oedema (typically ankle), flushing, headache, palpitations and fatigue, mostly dose-related. Citalopram: Common adverse effects include nausea, dry mouth, headache, sexual dysfunction, sleep disturbance and increased sweating.

Frequently asked questions

Is Amlodipine better than Citalopram?

Amlodipine and Citalopram are not "better or worse" — they treat different things. The sensible question is which fits your specific need.

Can Amlodipine and Citalopram be combined?

Whether they can be combined depends on the indications and the interaction profile of each. If both are in a single prescription, the prescriber has weighed it; in self-medication they should never be combined.

Do they have the same side-effect profile?

No — they belong to different classes and have distinct side-effect profiles. Each has its own prescribing information.

Products with Amlodipine

Products with Citalopram

The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.