Interactions of cipralex/escitalopram

Medications that might interact with this drug

Blood thinners

Escitalopram can thin your blood a little. If you take escitalopram with blood thinners, your risk of bleeding is increased. These blood thinning drugs include:

  • warfarin
  • nonsteroidal anti-inflammatory drugs:
    • diclofenac
    • etodolac
    • ibuprofen
    • indomethacin
    • ketorolac
    • meloxicam
    • naproxen
  • apixaban
  • dabigatran
  • edoxaban
  • rivaroxaban

Psychiatric drugs

Certain psychiatric drugs may work similarly to escitalopram. Taking them together may increase your risk of side effects. These drugs include:

  • Monoamine oxidase inhibitors (MAOIs). Don’t take an MAOI with escitalopram or within 2 weeks of stopping escitalopram unless your doctor tells you. Don’t start escitalopram if you stopped taking an MAOI in the last 2 weeks unless directed to do so by your doctor. Taking them within 2 weeks of each other increases your risk of serotonin syndrome. These drugs include:
  • isocarboxazid
  • phenelzine
  • tranylcypromine
  • Antidepressant drugs. These drugs include:
    • citalopram
    • fluoxetine
    • fluvoxamine
    • paroxetine
    • sertraline
  • Drugs that affect the central nervous system. These drugs include:
    • benzodiazepines
    • gabapentin
    • sleeping pills, such as estazolam, temazepam, triazolam, and zolpidem

Drugs to reduce stomach acid

Taking these drugs with escitalopram may increase levels of escitalopram in your body and increase your risk of side effects. These drugs include:

  • cimetidine

 Alcohol interaction

Drinking alcohol while taking escitalopram can increase your risk of sleepiness or dizziness. If you drink alcohol, talk to your doctor.


Pregnancy Warnings of cipralex/escitalopram



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