Does Gaviscon Interact with Citalopram? (9+ Tips)

In this article, we will answer the question, “Does Gaviscon interact with Citalopram?” and explain some critical aspects. We will also present alternative options to ensure safe use.

Does Gaviscon interact with Citalopram?

There is no substantial evidence to suggest an interaction between Gaviscon and Citalopram. In general, antacids like Gaviscon help to treat mild and occasional symptoms. If you are going to take an antacid once in a while, that is fine and probably safe to take with Citalopram.

When it comes to chronic use of any medicine, interactions can happen. Therefore, it is important to be aware of potential risks and precautions. While such interactions are uncommon, Like between Citalopram and Gaviscon, it’s essential to stay informed for safe use (4).

Potential benefits and risks when taking Gaviscon with Citalopram

Gaviscon is an antacid brand that contains – sodium alginate, aluminium hydroxide, and magnesium carbonate – in different combinations. It is frequently used to alleviate indigestion, heartburn, sour stomach, and symptoms of gastroesophageal reflux disease (GERD) (2).

Gaviscon’s mechanism of action is straightforward. It forms a resilient and protective barrier, that shields the stomach from the corrosive contents within.

These contents predominantly consist of stomach acid, along with pepsin and bile. While it is generally safe for occasional use, understanding its potential interactions with other medications is crucial (2).

Furthermore, Gaviscon’s formula actively counteracts excessive acidity in the stomach, providing relief from acid reflux and heartburn discomfort.

Generally, antacids do not exhibit significant interactions with Citalopram. However, it is crucial to monitor the consumption of certain products with laxative properties, particularly those containing magnesium hydroxide (1).

Overuse of laxatives may lead to electrolyte loss, potentially exacerbating the risk of torsade de pointes ventricular arrhythmia in patients receiving QT interval-prolonging drugs like Citalopram (1, 3).

What does research suggest?

A phase IV clinical study has been conducted to monitor and analyze potential interactions individuals may experience when taking Citalopram (Celexa) alongside Gaviscon.

Although the incidence of interactions is sporadic, the reported interactions include bursitis, more commonly seen in females, and somnolence, which tends to affect more males (4).

Maintaining vigilance and seeking professional advice when combining Citalopram with other medications can help mitigate potential risks and ensure a safe and effective treatment regimen.

Alternatives to Gaviscon while taking Citalopram

You can take some over-the-counter (OTC) medicines for heartburn, indigestion, and reflux if Gaviscon fails to help your symptoms or if it’s not available at your local pharmacy. These include:

Antacids: Mylanta, Tums, Di-Gel, Gelusil, and Maalox(3) are considered safe. However, caution should be exercised as they may impede the absorption of specific medications, potentially affecting their efficacy. To ensure safety, consult your physician or pharmacist before taking antacids alongside other prescription drugs like antibiotics, blood pressure, or cholesterol medications.

H2 receptor antagonists – Zantac (ranitidine) and Pepcid (famotidine) are generally considered safe to be used with Citalopram. However, the H2 receptor antagonist Tagamet (cimetidine) should be avoided, as it inhibits the CYP2C19 enzyme responsible for metabolizing Citalopram (3).

Such inhibition can escalate Citalopram levels in your system, amplifying the risk of adverse effects (1, 3). Therefore, when you demand to take an H2 receptor antagonist during Citalopram treatment, opt exclusively for Zantac or Pepcid (3).

Proton pump inhibitors (PPIs) – these medications are widely used to manage acid reflux and related conditions but also inhibit CYP2C19 to some degree. As a result, individuals taking Citalopram should approach PPIs cautiously (3).

Opting for specific PPIs, such as Protonix and Dexilant, is advisable as they are less likely to cause significant interactions with CYP2C19. To ensure safe use simultaneously, it is advisable to monitor. (1, 3).

While interactions are not commonly reported, caution is particularly important in individuals with a history of gastrointestinal complications or those taking multiple medications, as these factors may increase the risk of interactions (1, 4).

Non-pharmacological alternatives to Gaviscon

Heartburn, indigestion, and reflux, collectively known as gastroesophageal reflux disease (GERD), can be quite discomforting. While pharmacological treatments like Gaviscon are commonly used, non-pharmacological alternatives can also be effective in managing these conditions (5).

• Dietary Modifications: Certain foods and beverages can trigger heartburn and reflux. Avoid spicy, acidic, fatty, and citrus-based foods, as well as alcohol, caffeine, and carbonated drinks as possible.

• Meal Timing and Portion Control: Eating smaller, more frequent meals can reduce pressure on the lower esophageal sphincter (LES) and prevent stomach contents from flowing back into the esophagus.

• Posture and Eating Habits: Maintain an upright posture during and after meals to promote proper digestion and prevent acid reflux.

• Weight Management: Excess body weight can put pressure on the LES, leading to reflux. Losing weight through a balanced diet and regular exercise can alleviate symptoms.

• Avoid Tight Clothing: Wearing tight clothing around the waist can squeeze the abdomen, potentially causing reflux. Opt for loose-fitting attire.

• Elevating the Head of the Bed: Raise the head of your bed by 6-8 inches to ensure gravity helps keep stomach acid down during sleep.

• Chewing Gum: Chewing sugar-free gum after meals can increase saliva production, which helps neutralize stomach acid.

• Stress Management: High stress levels can exacerbate heartburn and indigestion. Engage in relaxation techniques such as deep breathing, yoga, or meditation.

• Lifestyle Habits: Avoid smoking and limit alcohol consumption, as both can contribute to acid reflux.

• Herbal Remedies and Supplements: Some individuals find relief with natural remedies like ginger, chamomile, or liquorice supplements. Consult a healthcare professional before use.

These non-pharmacological alternatives provide valuable options for managing heartburn, indigestion, and reflux. Keep in mind that individual responses may vary, and consulting a healthcare provider for a personalized approach is advisable (5).

Conclusion

This article has addressed the question of whether Gaviscon interacts with Citalopram. It has also explored potential interactions and precautions to ensure the safe use of antacids like Gaviscon alongside Citalopram.

By staying informed and following these guidelines, individuals can make well-informed decision-making when using medications in combination.

In summary, it’s essential to remember the following key points regarding the interaction between Gaviscon and Citalopram. Interactions between these two drugs are rare but not impossible.

References