Hello, thanks for using health care magic. Ciparalex contains the active ingredient escitalopram which is in the group of medications called selective serotonin reuptake inhibitors (SSRIs). It is used to treat depression, and generalized anxiety disorder. Like most psychiatric drugs, it has a wide range of drug interactions including the following; alcohol, tramadol, nonsteroidal anti-inflammatory drugs including aspirin, paracetamol and naproxen, cimetidine, erythromycin, fluconazole, imipramine, ketoconazole, lithium, MAO inhibitors (e.g., selegiline, moclobemide, phenelzine, tranylcypromine), tricyclic antidepressants, omeprazole, etc. Prescription of drugs should be done by a doctor and you always let the doctor to know that you are on ciparalex and depending on your situation, he might adapt the way you will take both drugs or allow you to take them. Hope this helps you. Dr Achuo