Who should not take Celexa
A contraindication is a condition under which Celexa (Citalopram) should not be taken because the risk outweighs the benefit. Celexa has both absolute contraindications (do not use) and relative cautions (use only after careful review). This page summarises both at the 10mg, 20mg, 40mg dosing range.
Absolute contraindications
According to the prescribing information for Citalopram, absolute contraindications typically include severe allergic reactions to the active ingredient or excipients, severe hepatic or renal impairment, certain cardiovascular conditions, and concurrent use of specific interacting medications. The exact list depends on the molecule and is detailed in the official label.
Relative cautions
Relative cautions are situations where Celexa can be used but with extra monitoring, dose reduction or alternative considered. These often include mild-to-moderate organ impairment, age extremes, multiple comorbidities, and complex medication regimens. Citalopram selectively inhibits the serotonin reuptake transporter, increasing synaptic serotonin availability with limited affinity for noradrenaline transporters or other receptors.
Frequently asked questions
Can someone with heart disease take Celexa? ▾
Some forms of heart disease are absolute contraindications for Celexa, particularly with nitrate use or recent cardiovascular events. Stable, well-controlled cardiovascular disease may allow Celexa use under specialist supervision. The prescribing information for Citalopram should be reviewed.
Is Celexa safe with kidney problems? ▾
Mild to moderate kidney impairment usually allows Celexa at adjusted lower 10mg, 20mg, 40mg doses. Severe kidney failure is often a contraindication or requires substantial dose reduction. The prescriber decides based on lab results and concurrent medications.
More on Celexa
- With alcoholCelexa and alcohol — is it safe to drink?
- With foodShould Celexa be taken with food?
- Side effectsCelexa side effects: common, rare and warning signs
- Dosage guideCelexa dosage guide: how much to take and when
- OnsetHow fast does Celexa start working?
- DurationHow long does Celexa last?
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.