Yerba Mate + Citalopram
Citalopram brand name: Celexa.
Citalopram falls into 2 drug categories that Yerba Mate can interact with; the most serious is rated minor. Theoretically, concomitant use of CYP1A2 inhibitors and yerba mate might increase levels and adverse effects of the caffeine in yerba mate.
Read the full interaction reportYerba Mate and Citalopram
These two interact in 2 distinct ways. Each one is explained separately below.
Why Are There 2 Interactions?
Yerba Mate interacts with whole categories of medication. Citalopram falls into 2 of those categories, so it can interact with Yerba Mate in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Minor).
CYTOCHROME P450 1A2 (CYP1A2) INHIBITORS
1 of 2Why this applies to Citalopram
Citalopram falls under CYTOCHROME P450 1A2 (CYP1A2) INHIBITORS — the group Yerba Mate interacts with.
Yerba mate contains caffeine. Caffeine is metabolized by CYP1A2. Theoretically, drugs that inhibit CYP1A2 may decrease the rate of caffeine clearance and increase caffeine levels.
Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
Here's the thing to know about pairing your daily mate with citalopram (Celexa): the concern isn't really about the citalopram changing. Instead, citalopram can mildly slow down an enzyme in your liver called CYP1A2, which is the same one that breaks down the caffeine in yerba mate. So in theory, the caffeine may hang around a bit longer than usual.
What that could feel like is the familiar caffeine stuff turned up a notch: feeling jittery, a racing heart, trouble sleeping, or an upset stomach. This is rated as a minor, theory-based interaction, so most people who drink mate in moderation do fine. If you notice extra wired or anxious feelings, simply ease back on the mate and chat with your pharmacist or doctor.
- Hagg S, Spigset O, Mjorndal T, Dahlqvist R. Effect of caffeine on clozapine pharmacokinetics in healthy volunteers. Br J Clin Pharmacol 2000;49:59-63. PubMed
- Carrillo JA, Benitez J. Clinically significant pharmacokinetic interactions between dietary caffeine and medications. Clin Pharmacokinet 2000;39:127-53. PubMed
CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES
2 of 2Citalopram also falls under CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES.
In vitro research shows that yerba mate extract inhibits CYP3A4 enzymes. Theoretically, taking yerba mate may increase levels and adverse effects of CYP3A4 substrates.
Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
Here's the gist: lab studies suggest yerba mate can gently slow down a liver enzyme called CYP3A4, and your body uses that enzyme as one of the ways it clears citalopram. In theory, if that pathway slows, a bit more citalopram could linger in your system, which might nudge up side effects like drowsiness, nausea, dry mouth, or feeling jittery.
That said, I want to keep this in perspective. This is rated a minor interaction based only on test-tube research, not real people, so for most folks enjoying mate in normal amounts it's unlikely to cause trouble. One thing worth knowing: citalopram can affect heart rhythm at higher levels, and yerba mate's caffeine can add to that restless, racing-heart feeling. If you drink mate daily or notice new symptoms, check in with your pharmacist or doctor.
- Feltrin C, Farias IV, Sandjo LP, Reginatto FH, Simões CMO. Effects of Standardized Medicinal Plant Extracts on Drug Metabolism Mediated by CYP3A4 and CYP2D6 Enzymes. Chem Res Toxicol 2020;33(9):2408-2419. PubMed
What These Ratings Mean
Every interaction above is graded three ways — here’s the key to each label.
Clinically significant. Avoid the combination, or use only under close professional supervision.
Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.
Generally not serious. Be aware of it and mention it to your pharmacist.
- LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
- ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
- UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
- AHigh-quality meta-analysis (quantitative systematic review).
- BCase-control study.
- CConsensus.
- DAnecdotal evidence.
These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.
Yerba Mate Also Interacts With Other Medications
Yerba Mate has 8 major, 505 moderate, 572 minor known drug interactions in our database — the Citalopram one above is among them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Yerba Mate
We haven’t checked that one against Yerba Mate yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Yerba Mate. Pick one to open its full report.
Questions About Yerba Mate or Citalopram
These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Yerba Mate or Citalopram, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:
- Supplements for Leg Circulation Safe With Citalopram and Lisinopril ›
- Provitalize With Levothyroxine, Valacyclovir, and Citalopram ›
- Interaction Between Propranolol And Citalopram ›
Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.
See Every Supplement That Interacts With Citalopram
This page covers Yerba Mate only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Citalopram page lists 191 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), Grapefruit (major), Lithium (major), St. John's Wort (major) and 5-htp (moderate).
By severity: 4 major · 144 moderate · 43 minor.
Taking Yerba Mate as Part of a Dietary Supplement Product? Check It for Interactions
We hold 68 real supplement products containing Yerba Mate, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Yerba Mate. Your product may carry other ingredients that interact with Citalopram too, on top of Yerba Mate — and those would not show on this page. Find your product and we’ll check every ingredient on its label:
Where Yerba Mate and Citalopram Sit Against Everything Else
Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.
#1,053 of 1,452 supplements looked up here in the last 7 days
#57 of 2,830 medications looked up here in the last 7 days
Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.
About Yerba Mate
What is Yerba Mate?
- Energy and alertness
- Weight loss
- Mental focus
- Digestive support
- Antioxidant support
Yerba mate is a caffeine-containing herbal beverage from South America that is widely enjoyed for its stimulating, coffee-like effects. While it is rich in antioxidants and is being studied for weight, blood sugar, and cholesterol, strong human evidence for most health claims is limited. Drinking very hot mate over many years has been linked to higher risk of certain cancers, so enjoy it warm and in moderation.
About Citalopram
What Is Citalopram Used For?
Brand name: Celexa
Citalopram — available as tablets (including brand Celexa), oral solution, and capsules — is used to treat major depressive disorder (MDD) in adults. This includes depression that causes persistent low mood, loss of interest in everyday activities, changes in sleep or appetite, fatigue, and difficulty concentrating.
Citalopram capsules are specifically indicated for adults with MDD but are not intended for starting or stopping treatment — another citalopram product must be used for dose titration. All forms are indicated for adults only; citalopram tablets are not approved for use in children.
Other Drugs & Yerba Mate
Browse every other medication we’ve checked against Yerba Mate — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
8 interactions
- Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate ›
- Ephedrine, Guaifenesin (otc Drug) ›
- Ephedrine, Hydroxyzine, Theophylline ›
- Ephedrine, Phenobarbital, Potassium Iodide, Theophylline ›
- Aminophylline, Amobarbital, Ephedrine ›
- Dyphylline, Ephedrine, Guaifenesin, Phenobarbital ›
- Ephedrine, Guaifenesin, Phenobarbital, Theophylline ›
- Ephedrine, Phenobarbital, Theophylline ›
505 interactions
- Diclofenac Sodium ›
- Theophylline ›
- Ibuprofen ›
- Salbutamol Sulfate ›
- Phentermine ›
- Aspirin ›
- Methylphenidate ›
- Naproxen ›
- Estradiol ›
- Minocycline ›
- Hydrochlorothiazide ›
- Verapamil ›
- Phenylpropanolamine ›
- Flurazepam ›
- Triazolam ›
- Ciprofloxacin ›
- Nicotine ›
- Phenytoin ›
- Temazepam ›
- Carbamazepine ›
- Diclofenac Potassium ›
- Dipyridamole ›
- Nitrazepam ›
- Phenylephrine ›
- Pseudoephedrine ›
- Albuterol ›
- Amphetamine ›
- Conjugated Estrogens ›
- Diazepam ›
- Diethylpropion ›
- Ketoprofen ›
- Ofloxacin ›
- Selegiline ›
- Terbutaline ›
- Trichlormethiazide ›
- Adenosine (prescription Drug) ›
- Bendroflumethiazide ›
- Bivalirudin ›
- Caffeine (otc Drug) ›
- Cimetidine ›
- Clobazam ›
- Clonazepam ›
- Clorazepate ›
- Levofloxacin ›
- Metolazone ›
- Midazolam ›
- Modafinil ›
- Oxymetazoline Hydrochloride ›
- Phenobarbital ›
- Riluzole ›
- Spironolactone ›
- Valproic Acid ›
- Warfarin Sodium ›
- Acetazolamide ›
- Alprazolam ›
- Amphetamine Sulfate ›
- Bromfenac Sodium ›
- Caffeine (prescription Drug) ›
- Chlorthalidone ›
- Clozapine ›
Showing 60 of 505 moderate interactions — see all 505 on the Yerba Mate page.
572 interactions
- Diltiazem ›
- Nifedipine ›
- Hydrocortisone ›
- Insulin (rdna) ›
- Erythromycin ›
- Lidocaine ›
- Norethindrone ›
- Testosterone ›
- Levonorgestrel ›
- Prednisone ›
- Quinidine ›
- Cyclosporine ›
- Dexamethasone ›
- Glyburide ›
- Insulin (pork) ›
- Zopiclone ›
- Colchicine ›
- Fentanyl ›
- Oxybutynin ›
- Prednisolone ›
- Tacrolimus ›
- Budesonide ›
- Clindamycin ›
- Dextromethorphan ›
- Doxorubicin ›
- Fluticasone ›
- Insulin (human) ›
- Miconazole ›
- Buprenorphine ›
- Everolimus ›
- Ivabradine ›
- Medroxyprogesterone ›
- Medroxyprogesterone Acetate ›
- Rifampin ›
- Testosterone Undecanoate ›
- Acarbose ›
- Aripiprazole ›
- Ciclesonide ›
- Cyclobenzaprine ›
- Dapsone ›
- Erythromycin Ethylsuccinate ›
- Erythromycin Stearate ›
- Etoposide ›
- Fluticasone Propionate ›
- Hydroxyzine ›
- Insulin Glargine ›
- Isoniazid ›
- Itraconazole ›
- Nicardipine ›
- Omeprazole ›
- Pantoprazole ›
- Paroxetine ›
- Progesterone (prescription Drug) ›
- Semaglutide ›
- Tramadol ›
- Zolpidem ›
- Abiraterone Acetate ›
- Almotriptan ›
- Ambrisentan ›
- Amiodarone ›
Showing 60 of 572 minor interactions — see all 572 on the Yerba Mate page.
No interaction 1,744 drugs checked — show the list
We also checked Yerba Mate against these medications and found no known interaction in our sources. Open any page to confirm.
- Levothyroxine ›
- Metoprolol ›
- Ivermectin ›
- Rosuvastatin ›
- Acetaminophen ›
- Docusate ›
- Hydroxyurea ›
- Valacyclovir ›
- Sumatriptan ›
- Propranolol ›
- Bupropion ›
- Amoxicillin ›
- Lisinopril ›
- Bendamustine ›
- Acyclovir ›
- Methotrexate ›
- Doxycycline ›
- Fluoxetine ›
- Lamotrigine ›
- Acetaminophen, Codeine ›
- Gabapentin ›
- Pregabalin ›
- Azithromycin ›
- Isotretinoin ›
- Methylene Blue ›
- Duloxetine ›
- Bisoprolol ›
- Levothyroxine, Liothyronine ›
- Acetaminophen, Oxycodone ›
- Cyclopentolate ›
- Candesartan Cilexetil ›
- Acetaminophen, Dextromethorphan, Doxylamine ›
- Cephalexin ›
- Roxithromycin ›
- Pegunigalsidase Alfa-iwxj ›
- Daptomycin ›
- Valsartan ›
- Hexobarbitone ›
- Levothyroxine Sodium ›
- Levetiracetam ›
- Phentermine, Topiramate ›
- Thyroid Hormone ›
- Factor 7a ›
- Carbidopa, Levodopa ›
- Levodopa ›
- Mitomycin ›
- Minoxidil ›
- Ezetimibe ›
- Lenvatinib ›
- Cefaclor ›
- Venlafaxine ›
- Codeine Sulfate ›
- Vancomycin ›
- Amoxicillin, Clavulanate Potassium ›
- Bentoquatam ›
- Nortriptyline ›
- Triptorelin ›
- Hydroxychloroquine ›
- Dirithromycin ›
- Pizotifen ›
Showing the 60 most looked-up of 1,744 medications checked with no known interaction — see the full Yerba Mate list.
Sources & How We Checked
Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference for vitamins, herbs and supplements — the basis for our interaction data.
- MedlinePlus, U.S. National Library of Medicine — NIH consumer drug information, used for the medication overviews.
- NIH Dietary Supplement Label Database (DSLD) — Official supplement product labels.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Citalopram Is Linked to Lower Levels of One Nutrient
Natural Medicines records Citalopram as a medicine that can lower these. This is not an interaction with Yerba Mate — it is a separate effect of the medicine, and it is a reason some people are advised to supplement rather than to avoid one:
Read the full Citalopram nutrient depletion report ›
Depletion records come from the licensed Natural Medicines database. Do not start a supplement on the strength of this page — ask your pharmacist or doctor whether it applies to you.
Taking Yerba Mate and Citalopram Together: Common Questions
Can you take Yerba Mate with Citalopram?
Why are there 2 interactions listed for Yerba Mate and Citalopram?
How serious is the Yerba Mate and Citalopram interaction?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Still Have a Question About Citalopram and Yerba Mate?
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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.