Before taking amitriptyline, tell your doctor if you have used an ssri antidepressant in the past 5 weeks , such as citalopram celexa , escitalopram lexapro , fluoxetine prozac, sarafem, symbyax , fluvoxamine luvox , paroxetine paxil , or sertraline zoloft .

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Patients should be advised to notify their physician if they become pregnant or intend to become pregnant during therapy.

Take the missed dose as soon as you rememberSkip the missed dose if it is almost time for your next scheduled doseDo not take extra medicine to make up the missed dose.

Electrolyte and/or ECG monitoring is recommended in certain circumstancesPatients being considered for citalopram treatment who are at risk for significant electrolyte disturbances should have baseline serum potassium and magnesium measurements with periodic monitoringHypokalemiaand/or hypomagnesemiamay increase the risk of QTc prolongation and arrhythmiaand should be corrected prior to initiation of treatment and periodically monitoredECG monitoring is recommended in patients for whom citalopram use is not recommendedsee abovebutneverthelessconsidered essentialThese include those patients with the cardiac conditions noted aboveand those taking other drugs that may prolong the QTc interval.

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an antidepressant – citalopram, desvenlafaxine, duloxetine, escitalopram, fluoxetine prozac , fluvoxamine, milnacipran, paroxetine, sertraline zoloft , trazodone, venlafaxine, vilazodone, and others.