Drug Comparison

Citalopram vs. Pindolol

Compare Citalopram and Pindolol: mechanism of action, indications, side effects, cost, and which may be right for you.

Quick Comparison

CategoryCitalopramPindolol
Drug ClassSSRIs (Selective Serotonin Reuptake Inhibitors)Beta-Blockers
Rx StatusRxRx
Generic AvailableNoNo
Typical Cost$4–$25/month$200–$400/month

Citalopram Overview

Citalopram is a medication called a selective serotonin reuptake inhibitor (SSRI) used to treat major depressive disorder in adults. It works by helping to restore the balance of a natural substance called serotonin in the brain, which can improve mood and feelings of well-being.

Full Citalopram guide →

Pindolol Overview

Pindolol is a type of medicine called a beta-blocker, used to treat high blood pressure (hypertension). It works by helping to relax blood vessels and slow the heart rate, making it easier for your heart to pump blood. This helps to lower your blood pressure and reduce the strain on your heart.

Full Pindolol guide →

How Each Drug Works

Citalopram

The mechanism of action of citalopram is unclear, but is presumed to be related to potentiation of serotonergic activity in the central nervous system (CNS) resulting from its inhibition of CNS neuronal reuptake of serotonin (5-HT).

Approved Uses (Indications)

Citalopram

Citalopram is indicated for the treatment of major depressive disorder (MDD) in adults [see Clinical Studies ] . Citalopram is a selective serotonin reuptake inhibitor (SSRI) indicated for the treatment of major depressive disorder (MDD) in adults .

Pindolol

INDICATIONS AND USAGE Pindolol tablets are indicated in the management of hypertension. It may be used alone or concomitantly with other antihypertensive agents, particularly with a thiazide-type diuretic.

Side Effects

Citalopram

Pindolol

Cost Comparison

Citalopram

$4–$25/month

As a widely available generic, Citalopram is very affordable. Using discount cards like GoodRx can further reduce the cost to just a few dollars per month.

Pindolol

$200–$400/month

Since Pindolol is only available as a brand-name drug, look for manufacturer coupons or patient assistance programs to help reduce the cost. Discount cards may also offer some savings.

Drug Interaction: Moderate

The combination of pindolol and citalopram may lead to an increased risk of bradycardia and hypotension due to additive pharmacodynamic effects. While citalopram is not a strong CYP2D6 inhibitor, pindolol is metabolized by CYP2D6, so a pharmacokinetic interaction is possible, though less pronounced than with other SSRIs.

Mechanism: Both pindolol (a beta-blocker) and citalopram (an SSRI) can independently cause bradycardia, leading to an additive pharmacodynamic effect. Additionally, pindolol is metabolized by CYP2D6, and citalopram is a weak inhibitor of CYP2D6, which could potentially increase pindolol plasma concentrations.

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Medical Disclaimer

The information on RxGuide is intended for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, pharmacist, or other qualified health provider with any questions you may have regarding a medical condition or medication. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.