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Furosemide vs Citalopram: side-by-side comparison

Furosemide (Loop diuretic) 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 Furosemide Citalopram
Therapeutic class Loop diuretic Selective serotonin reuptake inhibitor (SSRI)
CAS 54-31-9 59729-33-8
ATC C03CA01 N06AB04
Molecular weight 330.7 g/mol 324.39 g/mol
Brands with this active ingredient 1 1

What they share

Furosemide 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

Furosemide 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

Furosemide: Furosemide acts on the thick ascending limb of the loop of Henle in the kidney, where it inhibits the Na+/K+/2Cl- co-transporter (NKCC2). Citalopram: Citalopram selectively inhibits the serotonin reuptake transporter, increasing synaptic serotonin availability with limited affinity for noradrenaline transporters or other receptors.

Indications compared

Furosemide: Furosemide is approved for the treatment of fluid overload due to heart failure, chronic kidney disease and liver cirrhosis (with or without ascites), as well as for acute pulmonary oedema. Citalopram: Citalopram is approved for major depressive disorder.

Safety profile

Furosemide: Common adverse effects include electrolyte imbalances (low potassium, magnesium, sodium, calcium), volume depletion, dizziness on standing, and increased serum uric acid (with potential gout flares). Citalopram: Common adverse effects include nausea, dry mouth, headache, sexual dysfunction, sleep disturbance and increased sweating.

Frequently asked questions

Is Furosemide better than Citalopram?

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

Can Furosemide 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 Furosemide

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.