Hey there blbird33! I take Citalopram for depression, and it melds just great with all of our other meds. I am post liver transplant about 18 months . Good luck! I have also had a suggestion of Holy Basil tea, but I haven't tried that yet. Word from the Mayo was that it should be ok, but if it starts to affect the tacro levels, then it's a no go. Hope this helps!