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Will taking Citalopram cause QT prolongation?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I just performed some EKGs on a portable device, and all of them showed 'not abnormal.' I would like an expert to review them to ensure they agree and the results are correct. I started taking Citalopram 10 mg about five days ago and have been on 20 mg daily for the past two days. I read that it could cause QT prolongation, so I just wanted to make sure that is not happening.

Answered by Dr. Ilir Sharka

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

After carefully reviewing your uploaded ECG (electrocardiogram) recordings (attachments removed to protect the patient’s identity), I would like to assure you that your QTc interval is not greater than 440 ms, which is not considered dangerous or life-threatening for a female patient. Based on this, you are not at an increased risk of cardiac arrhythmia with your current therapy (Citalopram). Additionally, I would recommend regularly monitoring your ECG (at least every three months), along with checking your blood electrolyte levels, to avoid any potential adverse events associated with this therapy.

Regards.

Medically reviewed by Dr. K. Shobana
Published At April 6, 2019
Reviewed At November 15, 2024

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

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