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What the FDA labels say about taking them together

Citalopram and esomeprazole

Esomeprazole's FDA label of March 19, 2024 names citalopram in its drug interactions (prescription label) section; the citalopram labels PlainMeds reads (2) do not name esomeprazole. The esomeprazole label: “Increased exposure of citalopram leading to an increased risk of QT prolongation.”

Check it at the source: the citalopram FDA label on DailyMed (effective October 9, 2023, Allergan, Inc.); the esomeprazole FDA label on DailyMed (effective March 19, 2024, Haleon US Holdings LLC).

What does the citalopram label say about esomeprazole?

Citalopram's label (effective October 9, 2023) and its 1 other brand-application label do not name esomeprazole in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Celexa), NDA020822 (Abbvie), as published by Allergan, Inc., effective October 9, 2023 (SPL set 4259d9b1-de34-43a4-85a8-41dd214e9177), via openFDA; the full label on DailyMed

What does the esomeprazole label say about citalopram?

Esomeprazole label, drug interactions (prescription label)

Citalopram Clinical Impact: Increased exposure of citalopram leading to an increased risk of QT prolongation. Intervention: Limit the dose of citalopram to a maximum of 20 mg per day. See prescribing information for citalopram.

Source: FDA drug label (Nexium 24HR), NDA204655 (Astrazeneca Lp), as published by Haleon US Holdings LLC, effective March 19, 2024 (SPL set 4513934d-0cf0-40fc-a348-b4e75a33b094), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

35Citalopram generic labelers
116Esomeprazole generic labelers
CitalopramEsomeprazole
Labeled forDepressionAcid reflux and ulcers
Boxed warningYesNo
Pharmacy cost (NADAC)$0.026 per tablet 10 mg tablet$0.145 per capsule 20 mg capsule
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?