FROM OUR EXPERTS
Generic Name: CITALOPRAM - ORAL Pronounced: (sye-TAL-oh-pram) Celexa Oral Precautions
Before taking citalopram, tell your doctor or pharmacist
if you are allergic to it; or to escitalopram; or if you have any other
allergies. This product may contain inactive ingredients, which can cause
allergic reactions or other problems. Talk to your pharmacist for more
Before using this medication, tell your doctor or
pharmacist your medical history, especially of:
personal or family history of psychiatric disorders (e.g.,
personal or family history of suicide attempts
severe kidney disease
severe loss of body water (dehydration)
low sodium in the blood (hyponatremia)
Citalopram may cause a condition that affects the heart
rhythm (QT prolongation). QT prolongation can infrequently result in serious
Lisa Nelson RD #8: Please clear up the confusion about grapefruit and medication! Is it safe for individuals taking medication for heart disease, such as Lipitor, to eat grapefruit or drink grapefruit juice? When is grapefruit not allowed?
Dr. Shelby-Lane: I am including information that may help answer your question about grapefruit and a variety of nutritionals that affect statin drugs for the lowering of cholesterol.
Zocor (Simvastatin), for example, is a Statin drug, used to lower high cholesterol levels, and also known as HMG-CoA reductase inhibitor. Zocor may affect the absorption or utilization of vitamins E and coenzyme Q10. Tests showed the average concentration of coenzyme Q10 in blood plasma decreased by approximately 50% after statins were used for 30 days. Supplementation is considered beneficial.
Grapefruit and grapefruit juice may increase the effects of HMG-CoA reductase inhibitors and should not be consumed at the same time. It i...
The first thing you need to be aware of when taking lithium is that you need to drink plenty of fluids (preferably without sugar or caffeine). If you don't make sure you're flushing your system properly, lithium can build up, possibly leading to toxicity. (See Monitoring Lithium Levels - Why It's Essential .)
It's also important to get enough salt in your diet. Without this, lithium can also build up in your system.
There are a lot of medications that can cause serious problems when taken with lithium. Some of these are:
Effexor and Effexor XR (venlafaxine)
Paxil and Paxil CR(paroxetine)
Prozac and Serafem (fluoxetine)
Wellbutrin and Zyban (bupropion)
And a host of others. Advil, Motrin, Aleve and other over-the-counter medicines containing ibuprofen or naproxen can also interact badly with lithium. Bottom line: if you're going to take lithium, tell your doctor (...
You should know
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