What does it mean omeprazole and celexa high levels of blood afraid to take my medicine see full question.? -

omeprazole and citalopram (Moderate Drug-Drug) MONITOR: CYP450 2C19 is one of the two primary enzymes responsible for the metabolism of citalopram. Concomitant use of citalopram with drugs which inhibit CYP450 2C19 enzymes may decrease the clearance of citalopram. Caution is advised that higher citalopram blood levels may exist if citalopram is to be administered with a enzyme inhibitor. MANAGEMENT: Dosage adjustments as well as clinical and laboratory monitoring may be appropriate whenever an enzyme inhibitor is added to or withdrawn from therapy. Close monitoring is recommended for signs and symptoms of excessive serotonergic activity such as CNS irritability, altered consciousness, confusion, myoclonus, ataxia, abdominal cramping, hyperpyrexia, shivering, pupillary dilation, diaphoresis, hypertension, and tachycardia. I m taking low dose of Celexa 5 mg and 20 of omeprazole Very scared.I have very big panics, anxiety and other symptoms so I was puted on celexa also I have GERD to liner erosions and I m realy lost.

You re on effective doses but (probably) too low to worry about.