Not advisable: It is not advisable to use citalopram and Elavil (amitriptyline) together since there is an increased risk of serotonin syndrome, which although quite rare can happen. A more important issue however is that citalopram and Amitriptyline can both prolong your qtc interval on your ekg. This can lead to a fatal arrhythmia. It would require ongoing ekg monitoring. Please discuss these issues with your prescribing physician.
Answered 11/17/2020
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