See Contraindications. Do not give with citalopram. Increased risk of serotonin syndrome with other serotonergic drugs (eg, triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, St. John's Wort) or with drugs that impair serotonin metabolism (eg, MAOIs, linezolid, IV methylene blue). Avoid alcohol.
If you are an adult and have suffered from chronic hives your whole life, you may want to have your blood checked for these issues or other related conditions. What Causes Hives in Adults-The Food You Consume: We also know that the food you eat might be the culprit of an adult hives breakout.hat Causes Hives in Adults-The Immune System: What we do know is that hives in adults has a great deal to do with the immune system.
One group of plants in particular that causes toxin mediated urticaria (hives) is stinging nettle plants, which have sharp hairs that produce irritants. These irritants are chemicals, such as histamine or acetylcholine, which usually cause an immediate outbreak of hives within 30 to 60 minutes upon exposure.