<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, I wonder if Citalopram or escitalopram medication for depression treatment can be used for cavanous angioma in spinal cord ,had hamorrage 2 years ago patient? will them cause or increase CA hamorrage or bleeding? What antidepresant treat major depressionwould you suggestion for CA patient 18 years old? Thank you very much!  <response>: I read your question carefully, and I understand your concern. Regarding the relation with the cavernous Angola you shouldnt worry much as there is no harmful effect on the cavernous, no increased risk of bleeding. As for the choice SSRI citalopram are a good choice, but they have frequent effects on loss of sexual Chat Doctor. It should be discussed with a psychiatrist though, especially in an 18-year-old, because there is worry about potential increased suicide risk in use of these antidepressants before the age of 21. I hope to have been of help. 