Selective serotonin reuptake inhibitor (SSRI)
Citalopram and surgery: what to do before and after
Surgery raises specific medication-management questions, and getting the answer right matters because both unintended drug interactions during anaesthesia and abrupt discontinuation of important chronic therapies carry risk. Whether Citalopram (Citalopram) needs to be stopped before surgery, continued through, or paused for a defined window depends on Citalopram and the type of procedure.
Before-surgery decision
For most chronic medications including many Selective serotonin reuptake inhibitor (SSRI) agents, the surgical team or anaesthetist makes the stop-or-continue decision during pre-op assessment. Considerations include bleeding risk, anaesthesia interactions, the urgency of the underlying condition and the type of procedure. According to most guidelines, surprises are avoided by listing all medications including Citalopram at 10mg, 20mg, 40mg on the pre-op form.
After surgery
Post-operative resumption of Citalopram depends on the surgical course, the medication's impact on recovery (e.g. wound healing, gastric tolerance, mobility) and any new prescriptions added after surgery. Citalopram selectively inhibits the serotonin reuptake transporter, increasing synaptic serotonin availability with limited affinity for noradrenaline transporters or other receptors. Resuming on schedule is usually the goal as soon as oral intake and clinical stability allow.
Frequently asked questions
Do I need to stop Citalopram before surgery? ▾
It depends on Citalopram and the procedure. The pre-op assessment is where this is decided, ideally a week or more before surgery. Bring the full medication list including Citalopram at 10mg, 20mg, 40mg so the team can advise.
When can I restart Citalopram after surgery? ▾
Resumption timing depends on the procedure, the recovery course and any interactions with new postoperative medications. Many patients restart Citalopram on the day of discharge or earlier; some need a longer pause. The surgical team or prescriber confirms the timing.
Products containing Citalopram
More on Citalopram
- With alcoholCitalopram and alcohol — is it safe to drink?
- With foodShould Citalopram be taken with food?
- Side effectsCitalopram side effects: common, rare and warning signs
- Dosage guideCitalopram dosage guide: how much to take and when
- OnsetHow fast does Citalopram start working?
- DurationHow long does Citalopram last?
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.