Hi Is any one taking methotrexate sulfasalazine and c... - NRAS
Hi Is any one taking methotrexate sulfasalazine and citalopram dr has given me 10mg a day he says ok to use thanks xxxx
citalopram is an anti depressant.. it is quite a low dose.. it is a ssri anti depressant and this one is not used off licence for pain.. some degree of depression is quite common with RA some times it is transient.. there is no problem/ shame in taking an anti depressant.. at the end of the day if a medicene can help you feel better that is its purpose! the three meds are all ok together
I've been taking Citalopram for 6 months now (previously on Paroxtine) and have found it helps enormously. RA definitely can cause or exacerbate the symptoms of depression - don't worry! I', sure your GP wouldn't haveprescribed the three drugs together if there were a problem, but you can always check up agan with your surgery if you are at all worried.
thank you very much for both of yours advice i am finding things a little hard at the moment . i had back surgery in nov the 2nd one in for years to release nerves that a disc had fell onto consultant says ostoarthritis but now i wonder if ra i was diagnosed with ra in june and it just seems a bit over powering at times but i am sure i will get there
thanks again xx
Hiya,
I was speaking to an oesteopath yesterday, he made me look at anti-depressants in a different more positive way, he said that because we have this inflammation and the body/immune system fights all the harder; thus causing more inflammation, we must do all we can besides taking the dmard's to reduce it ie; anti inflams, diet, steroids ect, .......but he also said that being down, stressed and/or depressed will caused the body to again fight back and add to inflammation and by taking these anti-depressants will also help reduce inflammation allowing the dmard's ect do there job, I'm sorry but I do waffle and am not so good at getting to the point! 
but it made sense to me who has been toying wether or not to take them..
Trish (helpful member here) posted this site a while ago uk.mediguard.org
this allows you to put in your medications and it will check for drug interactions for you, very helpful, I check it whenever a new drug is mentioned (along with our Alison aka summer)
Hope this helps!
thankyou every one for your replys i now feel more confident about taking anti depressant and i do agree . i have noticed when i am more stressed that my ra is definatley worse and i think we have enough to deal with so i am going to give them a try also thanks for the meds web site i will check that out xxx
Hi ! I am taking methetrexate injectiom and 20 mg citralopam, folic acid 10 mg ,plaquinel and adcal . Once a week i also take alendronic acid for my bones. Its a wonder i dont rattle when i walk.
I would rather not take the antideppresant but i know it helps me to lead a better life and cope with R A.
I am on indometacin, sulfasaliazine, methotrexate, folic acid tramadol, citalopram and recently started using hydroxychloroquine and will be considering azathioprine if things dont improve 
.. I have to say the hydroxychloroquine has made a big difference to thr swelling in just 3 days of taking, so I am keepingmy fingers crossed :). Life has been terrible latesly I lose more and nore independance day by day
soory to hear that turbo gols.. fingers crossed x
