Citalopram and Ibuprofen: Drug Interaction Guide
Quick answer: This combination requires caution. Citalopram and Ibuprofen can be used together with adjustments and monitoring.
How Citalopram interacts with Ibuprofen
Citalopram reduces platelet serotonin uptake and impairs platelet aggregation, while ibuprofen can injure gastrointestinal mucosa and inhibit platelet function. Together they increase gastrointestinal bleeding risk.
What you should do
Assess bleeding risk before co-prescribing and consider gastroprotection in high-risk patients. Advise patients to report melena, hematemesis, or unusual bruising.
Key facts
Severity
Moderate — caution required
Mechanism
Citalopram reduces platelet serotonin uptake and impairs platelet aggregation, while ibuprofen can injure gastrointestin...
Action
Assess bleeding risk before co-prescribing and consider gastroprotection in high-risk patients. Advise patients to repor...
Frequently asked questions
Can I take Citalopram and Ibuprofen together?
With caution. Assess bleeding risk before co-prescribing and consider gastroprotection in high-risk patients. Advise patients to report melena, hematemesis, or unusual bruising.
What is the severity of this interaction?
The interaction between Citalopram and Ibuprofen is classified as Moderate — caution required. Citalopram reduces platelet serotonin uptake and impairs platelet aggregation, while ibuprofen can injure gastrointestinal mucosa and inhibit platelet function. Together they increase gastrointestinal bleeding risk.
What should I do if I'm prescribed both?
Assess bleeding risk before co-prescribing and consider gastroprotection in high-risk patients. Advise patients to report melena, hematemesis, or unusual bruising. Always consult your prescribing clinician — do not stop or change medications without medical guidance.
Last reviewed: by iMedic Medical Editorial Team. Our editorial process.