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.
Drugs that can cause hives and angioedema include aspirin and other NSAIDs (such as ibuprofen), high blood pressure medications (such as ACE inhibitors), and painkillers such as codeine. Chronic urticaria and/or angioedema are hives or swelling that lasts more than 6 weeks. The cause is usually harder to find than in acute cases. The causes can be similar to those of acute urticaria but can also include your immune system, chronic infections, hormonal disorders, and tumors. Physical urticaria are hives caused by direct physical stimulation of the skin -- for example, cold, heat, sunlight, vibration, pressure, sweating, and exercise.