Pregnancy

There are risks of persistent pulmonary hypertension of the newborn (PPHN) and/or poor neonatal adaptation with exposure to SSRIs, including citalopram, during pregnancy

Lactation

There is no information about effects of citalopram on milk production. The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for citalopram and any potential adverse effects on the breastfed child from citalopram or from the underlying maternal condition

Warnings

Black Box Warning: Increased risk of suicidal thoughts in children and adolescents. Closely monitor for clinical worsening or emergency of suicidal thoughts or behaviors ; Contraindicated: concomitant use of MAOI, concomitant use of pimozide, hypersensitivity ; Warnings: serotonin syndrome, increased risk of bleeding with NSAIDS, seizures, angle closure glaucoma, activation of mania/hypomania