*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or see this week's feature O: Orthodontics.

Taking Citalopram With Other Medicines And Herbal Supplements

NHS medicines information on possible interactions with citalopram and other medicines, herbal remedies and supplements.

Cautions with other medicines

Some medicines can be affected by citalopram, and other medicines can affect the way citalopram works. Using citalopram with other medicines can increase the chances of you having side effects.

Before you start taking citalopram, tell your doctor if you're taking:

any medicines that affect your heartbeat - citalopram can make your heart beat faster or cause an irregular heartbeat
(arrhythmia)
any other medicines for depression - some rarely used antidepressants can affect citalopram and cause very high blood pressure even if you have not taken them for a few weeks

Mixing citalopram with herbal remedies and supplements

Do not take St John's wort, the herbal remedy for depression, while you're being treated with citalopram because it increases your risk of side effects.

It's not possible to say that other herbal remedies or supplements are safe to take with citalopram. They're not tested in the same way as pharmacy and prescription medicines. They're generally not tested for the effect they have on other medicines.

OutUK's A to Z of Gay Health continues and you can read this week's feature O: Orthodontics. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this particular topic you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
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