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The clearance of alcohol from the body is not affected by citalopram. SSRIs like citalopram work on serotonin- and norepinephrine- synthesizing neurons and slowly cause an increase in the synaptic availability of both of these neurotransmitters. The role of serotonin in the brain is modulatory, i.e., it facilitates the release of other neurotransmitters in cerebral cortex; whereas alcohol is a CNS depressant. It binds to and and opens GABA-gated channels enhancing inhibitory synaptic transmission. Alcohol is therefore counterproductive to the effects of SSRIs - but depending on the amount consumed this may not necessarily a bad thing during the acute phase of SSRI therapy when anxiety is often briefly exacerbated.

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Q: What happens pharmacologically when alcohol is mixed with traditional antidepressants eg cilatopram?
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