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Can I take Alcohol and Citalopram together?

Guía de interacción de medicamentos

Drinking alcohol while taking citalopram can make you feel much more drowsy, dizzy, or sleepy than usual. It can also impair your coordination, reaction times, and judgement. Additionally, alcohol can worsen the symptoms of depression or anxiety that the citalopram is meant to treat, potentially making the medication less effective over time.

It is best to avoid alcohol, especially when you first start taking citalopram or if your dose has recently increased as both alcohol and citalopram affect the central nervous system (the brain).

When used together, they have an 'additive effect,' meaning they combine to increase the sedative (calming/sleepy) impact on the brain. While alcohol does not significantly change the levels of citalopram in your blood, it changes how your brain responds to the drug.

It is best to avoid or strictly limit alcohol while taking citalopram. If you do choose to drink, keep it to a very small amount and do not drive or operate machinery, as your reactions will be much slower. Be aware that it is illegal to drive if your driving is impaired by any substance, including a combination of prescription medicine and alcohol.

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Precauciones importantes

Trastornos de depresión y ansiedad

You may experience an increase in suicidal thoughts or the urge to self-harm when first starting this medicine or changing the dose. This is more common in young adults under 25. Contact your doctor or go to hospital immediately if this happens.

Trastornos del ritmo cardíaco (Síndrome de QT largo)

Citalopram can affect your heart rhythm. You must not take it if you have a known heart rhythm problem or are taking other medicines that affect the heart's electrical cycle.

Trastornos de la coagulación

Citalopram increases your risk of bleeding, particularly in the stomach. Use with caution if you take blood-thinning medicines (like warfarin) or anti-inflammatory painkillers (like ibuprofen or aspirin).

Síndrome de serotonina

Taking citalopram with other medicines that increase serotonin (such as St John’s Wort, tramadol, or other antidepressants) can cause a life-threatening condition called serotonin syndrome. Symptoms include high fever, agitation, confusion, and muscle twitching.

Low sodium levels (Hyponatraemia)

Citalopram can cause a serious drop in blood sodium levels, especially in the elderly. Seek medical help if you experience extreme tiredness, confusion, or muscle twitching.

Cafeína (Café, Té, Bebidas Energéticas)

Citalopram can sometimes cause feelings of restlessness or jitteriness, especially when you first start taking it. Caffeine is a stimulant that can worsen these side effects and may increase feelings of anxiety. It is advisable to monitor your caffeine intake.

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Taking multiple medicines? Our Verificador de Interacciones de Medicamentos helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Descargo de responsabilidad

Esta información es solo para fines educativos generales y no debe considerarse como un sustituto del consejo médico profesional. Siempre consulte a su médico de cabecera, farmacéutico u otro profesional de la salud calificado antes de tomar decisiones sobre sus medicamentos. Las circunstancias individuales pueden variar, y solo un profesional de la salud que conozca su historial médico puede proporcionar orientación personalizada.

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Historial del artículo

La información en esta página está escrita y revisada por pares por clínicos calificados.

  • 25 Ene 2026 | Publicado originalmente
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