NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Citalopram and SAMe: what the published research says

PubMed indexes 3 records that name Citalopram and SAMe together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Citalopram and SAMe. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

3 studies naming Citalopram and SAMe.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Probiotics for adults with major depressive disorder compared with antidepressants: a systematic review and network meta-analysis.

Nutrition reviews · 2025 · PMID 38219239

Systematic ReviewComparative StudyNetwork Meta-AnalysisHuman subjects

“Probiotics, compared with antidepressants and placebo, may be efficacious as an adjunct or standalone therapy for treating MDD.”

Zhao et al. · Authors' conclusion

Names Citalopram and SAMe together in an interaction, co-administration, or pharmacokinetic context.

Citalopram and demethylcitalopram in human milk; distribution, excretion and effects in breast fed infants.

British journal of clinical pharmacology · 2000 · PMID 10971311

Clinical Trial

“The mean combined dose of citalopram and demethylcitalopram (4.4-5.1% as citalopram equivalents) transmitted to infants via breast milk is below the 10% notional level of concern. Plasma concentrations of these drugs in the infants were very low or absent and there were no adverse effects. These data support the safety of the use of citalopram in breast feeding women. Nevertheless, each decision to breast feed should always be made as an individual risk:benefit analysis.”

Rampono et al. · Authors' conclusion

Names Citalopram and SAMe together in an interaction, co-administration, or pharmacokinetic context.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Citalopram, SAMe, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.