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.
1 The most common causes are foods, medicines, latex or infections. 2  Insect bites and internal disease may also be responsible. 3  The most common foods that cause hives are nuts, chocolate, fish, tomatoes, eggs, fresh berries, soya, wheat and milk. 4  Fresh foods cause hives more often than cooked foods. Chronic urticaria: Hives or swelling lasting more than six weeks. 2  The cause of this type of hives is usually more difficult to identify than those causing acute urticaria. 3  The causes can be similar to those of acute urticaria but can also include autoimmunity, chronic infections, hormonal disorders and malignancy.