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Combining Kamagra 50 mg (which contains sildenafil) with citalopram, a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression and anxiety, can potentially lead to interactions. Both medications can affect blood pressure, and combining them may increase the risk of side effects such as low blood pressure, dizziness, fainting, and even serotonin syndrome in rare cases. Serotonin syndrome is a potentially life-threatening condition characterized by an excess of serotonin in the body, which can lead to symptoms such as confusion, agitation, rapid heart rate, high blood pressure, dilated pupils, loss of muscle coordination, sweating, shivering, tremors, and in severe cases, seizures or coma. Therefore, it's crucial to consult with a healthcare professional before taking Kamagra 50 mg (or any medication containing sildenafil) with citalopram or any other SSRI. They can provide personalized advice based on the individual's medical history and current medications to ensure safety and minimize the risk of adverse interactions.