Celexa when planning pregnancy
For couples trying to conceive, every chronic medication deserves a careful pre-pregnancy review. Celexa (Citalopram) at 10mg, 20mg, 40mg may need to be continued, switched, or stopped before conception, depending on the active ingredient Citalopram and the indication. The right answer is rarely the same for everyone and rarely "just stop the medication."
Pre-conception review of Celexa
According to the prescribing information for Citalopram, the pre-conception decision balances the risk of the medication during pregnancy against the consequences of leaving the underlying condition untreated. Some Anti-Depressants medications are continued safely through pregnancy; others are switched to safer alternatives before conception or in early pregnancy. Citalopram selectively inhibits the serotonin reuptake transporter, increasing synaptic serotonin availability with limited affinity for noradrenaline transporters or other receptors.
Effect on fertility itself
Some medications affect fertility directly — by altering ovulation, sperm parameters, hormonal balance or libido. Whether Celexa has any documented effect on fertility depends on Citalopram; the prescribing information notes any data. Anyone trying to conceive should discuss Celexa with the prescriber and a fertility specialist if conception is taking longer than expected.
Frequently asked questions
Should I stop Celexa before trying to conceive? ▾
It depends on Citalopram and the indication. For some medications the answer is yes — switch to a safer alternative weeks before conception. For others, continuation is safe and preferable. The prescriber decides based on the full clinical picture.
Does Celexa affect male fertility? ▾
Effects on male fertility depend on the active ingredient. Some medications in Anti-Depressants affect sperm parameters or libido; others have no documented effect. The prescribing information for Citalopram states what is known. If conception is delayed, a semen analysis can clarify whether Celexa is contributing.
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.