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What the FDA labels say about taking them together

Citalopram and ivacaftor/lumacaftor

Ivacaftor/lumacaftor's FDA label of March 24, 2026 names citalopram in its drug interactions section; the citalopram labels PlainMeds reads (2) do not name ivacaftor/lumacaftor. The ivacaftor/lumacaftor label: “Concomitant use of ORKAMBI may reduce the exposure and effectiveness of citalopram, escitalopram, and sertraline.”

Check it at the source: the citalopram FDA label on DailyMed (effective October 9, 2023, Allergan, Inc.); the ivacaftor/lumacaftor FDA label on DailyMed (effective March 24, 2026, Vertex Pharmaceuticals Incorporated).

What does the citalopram label say about ivacaftor/lumacaftor?

Citalopram's label (effective October 9, 2023) and its 1 other brand-application label do not name ivacaftor/lumacaftor 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 ivacaftor/lumacaftor label say about citalopram?

Ivacaftor/lumacaftor label, drug interactions

Concomitant use of ORKAMBI may reduce the exposure and effectiveness of citalopram, escitalopram, and sertraline.

Source: FDA drug label (ORKAMBI), Vertex Pharmaceuticals Incorporated, effective March 24, 2026 (SPL set 3fc1c40e-cfac-47a1-9e1a-61ead3570600), 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
0Ivacaftor/lumacaftor generic labelers
CitalopramIvacaftor/lumacaftor
Labeled forDepressionn/a
Boxed warningYesNo
Pharmacy cost (NADAC)$0.026 per tablet 10 mg tabletn/a
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?