A member asked:

I was prescribed citalopram, 20mg daily. but i was taking 80mg of ginkgo biloba for just 3 days, prior to this. when can i safely start citalopram?

3 doctors weighed in across 2 answers
Dr. Pamela Pappas answered

Specializes in Psychiatry

Gingko biloba: The elimination half-lives of the most active constituents in gingko (gingkolide a ; b, and bilobalide) are 2-7 hours. This means they would be effectively gone from your system in 24-35 hours. You could probably start your prescription citalopram today, if you want to. http://www.mskcc.org/cancer-care/herb/ginkgo.

Answered 12/10/2013

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5x7hours: Gingolideb has the longest half life of the constituents tested. It's half-life is seven hours. Therefore we calculate five half-lives as the clearance point for the medication. You should then safely be able to start citalopram 35 hours after your last dose of ginkgo biloba.

Answered 11/17/2013

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