SAFE — No Known Interaction
🟢 SAFE — Citalopram and Fluvoxamine can be taken together safely.
Evidence level: STRONG
Citalopram and Fluvoxamine are safe to take together. No adverse interactions have been reported in medical literature.
No clinically significant interaction between Citalopram and Fluvoxamine has been identified in FDA drug labeling or major drug interaction databases.
No documented interaction between Citalopram and Fluvoxamine. Your pharmacist checks for interactions every time you fill a prescription. If you experience any new symptoms after starting Fluvoxamine, let your doctor know — they can help determine if it's related to your medication combination.
Two SSRIs together is unusual and carries significant serotonin syndrome risk. Confirm this combination with your prescriber immediately. If confirmed, take both at the same time each day, preferably morning. Watch for agitation, tremor, rapid heartbeat, or confusion.
Higher risk for: elderly, those on multiple serotonergic drugs, people with liver impairment, CYP2D6 poor metabolizers, recent dose changes, or concurrent use of MAOIs or triptans.
Serotonin syndrome risk: Monitor for agitation, restlessness, rapid heartbeat, dilated pupils, muscle twitching or stiffness, heavy sweating, diarrhea, or elevated body temperature when combining Citalopram with Fluvoxamine. Milder signs include nervousness, insomnia, nausea, or tremors. When to seek emergency help: High fever (above 103°F), seizures, irregular heartbeat, severe muscle rigidity, or loss of consciousness require immediate emergency care. Symptoms can develop within hours of changing doses or adding new serotonergic agents.
No urgent need to discuss, but always keep your doctor informed of your full supplement and medication list. An up-to-date list helps them make the best treatment decisions.
These medications are safe to take together at standard doses. Continue taking as prescribed and keep your pharmacist informed of your complete medication list.
Citalopram and Fluvoxamine are safe to take together. No adverse interactions have been reported in medical literature.
Two SSRIs together is unusual and carries significant serotonin syndrome risk. Confirm this combination with your prescriber immediately. If confirmed, take both at the same time each day, preferably morning. Watch for agitation, tremor, rapid heartbeat, or confusion.
Serotonin syndrome risk: Monitor for agitation, restlessness, rapid heartbeat, dilated pupils, muscle twitching or stiffness, heavy sweating, diarrhea, or elevated body temperature when combining Citalopram with Fluvoxamine. Milder signs include nervousness, insomnia, nausea, or tremors. When to seek emergency help: High fever (above 103°F), seizures, irregular heartbeat, severe muscle rigidity, or loss of consciousness require immediate emergency care. Symptoms can develop within hours of changing doses or adding new serotonergic agents.
These medications are safe to take together at standard doses. Continue taking as prescribed and keep your pharmacist informed of your complete medication list.
No urgent need to discuss, but always keep your doctor informed of your full supplement and medication list. An up-to-date list helps them make the best treatment decisions.
Or browse the full interaction database (121,000+ pairs).