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Drug interactions

Citalopram + Deutetrabenazine

Severity: Moderate

Citalopram and Deutetrabenazine: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Both drugs can prolong the QTc interval, although deutetrabenazine does so only modestly at recommended doses. Risk of torsades de pointes is higher with bradycardia, electrolyte disturbances or additional QT-prolonging drugs.

What this interaction means in plain words

Citalopram and Deutetrabenazine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Citalopram belongs to Central Nervous System; Deutetrabenazine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive QT prolongation through delayed cardiac repolarization.

What to do

Obtain a baseline ECG and correct potassium and magnesium before combining. Keep citalopram within its maximum labeled dose and monitor the QTc in at-risk patients.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Citalopram with Deutetrabenazine?

MediHelp rates the interaction as moderate. Citalopram and Deutetrabenazine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Both drugs can prolong the QTc interval, although deutetrabenazine does so only modestly at recommended doses. Risk of torsades de pointes is higher with bradycardia, electrolyte disturbances or additional QT-prolonging drugs.

How serious is the interaction between Citalopram and Deutetrabenazine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and correct potassium and magnesium before combining. Keep citalopram within its maximum labeled dose and monitor the QTc in at-risk patients.

What other medicines interact with Citalopram?

MediHelp also lists interactions of Citalopram with, for example, Cisapride, Dronedarone, Escitalopram. The full list is on the Citalopram page.

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