Does Celexa affect blood pressure? (+3 options)

In this article, we will discuss whether Celexa can affect blood pressure. We will delve further into research findings on this topic and explore factors that can influence blood pressure while taking Celexa.

Does Celexa affect blood pressure?

Celexa (Citalopram), may or may not affect blood pressure in some individuals. Studies examining the relationship between Celexa and blood pressure have produced mixed results. However, it is important to understand that individuals exhibit varying responses to medications, and not everyone may experience changes in blood pressure while taking this medication.

Changes in blood pressure associated with Celexa are generally modest and are typically not considered clinically significant. However, the extent of these changes is dependent on the dose and frequency of dose administration of this medication (1,4).

Some studies also suggest that underlying health conditions may modify the effects of Celexa in some individuals. Therefore, it is advisable to consult your healthcare provider if you notice any changes in blood pressure while taking this medication.

What does research suggest?

Research suggests that Celexa raises serotonin levels in the body, potentially affecting blood pressure. Serotonin regulates blood pressure by binding to 5HT1 receptors, acting as a sympatholytic to inhibit norepinephrine release, resulting in decreased cardiac output and lower blood pressure (4,5,8).

However, serotonin can also bind to 5HT4 receptors increasing, increasing heart rate and blood pressure (4,5).

A study on an 87-year-old patient who took  20mg of Citalopram showed an acute increase in blood pressure in geriatric individuals with a history of hypertension (2). Conversely, other studies associate Citalopram with decreased blood pressure and heart rate (2,3,4,7).

Newer research suggests that abrupt withdrawal of Citalopram could hyperactivate noradrenergic neurons, potentially causing hypertension in some individuals (8).

Additionally, Citalopram is associated with dehydration which may lead to hypertension in some individuals.

What factors can influence blood pressure while taking Celexa?

As earlier mentioned, various factors can influence how Celexa affects your blood pressure, including (2,3,5):

Individual responses

The way Celexa affects each individual’s body may vary. Changes in blood pressure may occur in some people, while others may experience any significant effects. These variations could be influenced by an individual’s genetics and sensitivity to medications.

Dosage and duration of use

The prescribed dosage of Celexa can impact its effect on blood pressure. Higher doses of this medication have a higher potential to cause blood pressure changes. Your healthcare provider should determine the appropriate dosage based on your specific condition and needs.

Additionally, Long-term use of this medication predisposes an individual to changes in blood pressure.

Concurrent medications and pre-existing health conditions

The combination of Celexa with other medications, such as antihypertensive medications, can affect blood pressure levels. It is important to inform your healthcare provider about all the medications you’re taking to ensure they are aware of potential interactions.

Moreover, underlying medical conditions, such as hypertension or cardiovascular problems, may influence blood pressure while taking Celexa. It is essential to discuss your medical history with your healthcare provider.

What to do if your blood pressure fluctuates when taking Celexa?

If you observe fluctuations in your blood pressure while taking Celexa, you should take the following steps:

You should regularly monitor and record your blood pressure to help you keep track of any changes while using this medication. Providing this information to your healthcare provider is valuable in determining the appropriate course of action.

Additionally, you should reach out to your doctor as soon as possible if you notice fluctuations in your blood pressure while taking this medication. They will perform a comprehensive assessment of your situation and provide appropriate guidance.

If your healthcare provider suspects that Celexa is responsible for changes in your blood pressure, they may recommend adjustments to your medication dosage or prescribe additional medications to help manage your blood pressure.

Furthermore, adopting a healthy lifestyle, including maintaining a balanced diet, managing stress, engaging in regular physical activity, and limiting alcohol consumption, can support overall blood pressure management.

Conclusion

In this article, we have discussed the potential link between Celexa and blood pressure fluctuations. Additionally, we have also discussed factors that can influence blood pressure while taking Celexa and what to do if you experience changes in blood pressure while taking this medication.

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References

1.-

Sharbaf Shoar N, Fariba K, Padhy RK. Citalopram [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2021 [cited 2023 Oct 12]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482222/

 

2.-

Afşin Sağduyu, Vesile Şentürk. Hypertension Associated with Citalopram. The Journal of pharmacy technology [Internet]. 2004 Jan 1 [cited 2023 Oct 13]; Available from: https://doi.org/10.1177/875512250402000105

 

3.-

Bhanu C, Nimmons D, Petersen I, Orlu M, Davis D, Hussain H, et al. Drug-induced orthostatic hypotension: A systematic review and meta-analysis of randomised controlled trials. PLoS Medicine [Internet]. 2021 Nov 9 [cited 2023 Oct 13];18(11):e1003821. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8577726/

 

4.-

Watts SW, Morrison SF, Davis RP, Barman SM. Serotonin and Blood Pressure Regulation. Pharmacological Reviews [Internet]. 2012 Apr 1 [cited 2023 Oct 13];64(2):359–88. Available from: https://pharmrev.aspetjournals.org/content/64/2/359.short

 

5.-

Calvi A, Fischetti I, Verzicco I, Belvederi Murri M, Zanetidou S, Volpi R, et al. Antidepressant Drugs Effects on Blood Pressure. Frontiers in Cardiovascular Medicine [Internet]. 2021 Aug 3 [cited 2023 Oct 13];8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8370473/

 

6.-

Pogosova GV, Gudkova OA, Iufereva IM, Tikhomirova EA. [Clinical efficacy of citalopram in patients with hypertension and concomitant depression]. Kardiologiia [Internet]. 2004 [cited 2023 Oct 13];44(10):49–53. Available from: https://pubmed.ncbi.nlm.nih.gov/15477790/

 

7.-

Christensen P, Thomsen HY, Pedersen OL, Gram LF, Kragh-S�rensen P. Orthostatic side effects of clomipramine and citalopram during treatment for depression. Psychopharmacology [Internet]. 1985 Aug [cited 2023 Oct 13];86(4):383–5. Available from: https://link.springer.com/article/10.1007/BF00427895

 

8.-

Astorne Figari WJ, Herrmann S, Akogyeram C, Qian Q. New onset hypertension following abrupt discontinuation of citalopram. Clinical Nephrology [Internet]. 2014 Sep 1 [cited 2023 Oct 13];82(3):202–4. Available from: https://pubmed.ncbi.nlm.nih.gov/23320970/

 

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