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Selective serotonin reuptake inhibitor (SSRI)

What to do if Citalopram is in shortage

Drug shortages happen periodically — manufacturing issues, supply chain disruptions, regulatory holds — and Citalopram (Citalopram) may become temporarily unavailable in some pharmacies or countries. For chronic users at 10mg, 20mg, 40mg, knowing how to handle a shortage prevents unnecessary treatment interruption.

How shortages work for Citalopram

When Citalopram is in shortage, the pharmacist usually has several options: dispense an authorised generic of Citalopram, source from a different manufacturer of the same active ingredient, suggest a different formulation (e.g. liquid, dispersible) or, in extended shortages, ask the prescriber to consider an alternative Selective serotonin reuptake inhibitor (SSRI) agent. Citalopram selectively inhibits the serotonin reuptake transporter, increasing synaptic serotonin availability with limited affinity for noradrenaline transporters or other receptors.

Practical steps

According to general pharmacy practice, the first step in a Citalopram shortage is to ask the pharmacist about authorised generic availability — most shortages affect a single brand or strength, not the entire supply of Citalopram at 10mg, 20mg, 40mg. The prescriber should be informed if the pharmacist needs to substitute or change formulation. Stockpiling or buying extra outside regulated channels is not the right response.

Frequently asked questions

What do I do if my pharmacy doesn't have Citalopram?

Ask the pharmacist whether an authorised generic of Citalopram is available — usually yes — or whether another pharmacy in the area has stock of Citalopram at 10mg, 20mg, 40mg. The pharmacist can also contact the prescriber if a formulation switch is needed.

Will Citalopram come back in stock?

Most shortages are resolved within weeks to months as manufacturing or supply issues are fixed. Until then, the authorised generic of Citalopram is the standard alternative and is clinically equivalent to Citalopram at the same 10mg, 20mg, 40mg strength.

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