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Can Fluoxetine Be Taken Together With Mirtazapine Without Any Side Effects For Clinical Depression And Anxiety?

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Posted on Fri, 6 Oct 2023
Question: I have severe arthritis and clinical depression with anxiety. I have taken XXXXXXX E plus my meds in the past without having side effects. XXXXXXX E now has Warning to not take if you are on antidepressants such as Prozac. I took XXXXXXX E
with Prozac and felt better mentally and physically after 2- 3 weeks. I went off of XXXXXXX E because of price , but price now lower. I want to go back on XXXXXXX E but would like your opinion of combining Prozac and Remeron with it. Again,
I felt better on it without any side effects.
doctor
Answered by Dr. Dr. Praveen Tayal (34 minutes later)
Brief Answer:
Not recommended .

Detailed Answer:

Hello,
Thanks for posting your query.
I have gone through your query and health concerns in detail ,both combination not recommended because
Using FLUoxetine together with mirtazapine can increase the risk of a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Severe cases may result in coma and even death. You should seek immediate medical attention if you experience these symptoms while taking the medications. Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (16 minutes later)
I was asking about adding XXXXXXX E .
doctor
Answered by Dr. Dr. Praveen Tayal (20 minutes later)
Brief Answer:
SAM-e could be dangerous when combined with antidepressants.

Detailed Answer:

Hello.
Thanks for writing again.
SAM-e has good evidence as a treatment for osteoarthritis pain. Some studies have found that oral SAM-e is as effective as NSAID painkillers, such as ibuprofen and Celebrex. SAM-e takes longer to act than drugs do, but it also has fewer side effects than NSAIDs.

SAM-e has also been used to treat depression for many years. Some studies have found that SAM-e might work as well as tricyclic antidepressants in relieving symptoms.
SAM-E enhance effects and side effects of Prozac ,so combination not recommended .
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Can Fluoxetine Be Taken Together With Mirtazapine Without Any Side Effects For Clinical Depression And Anxiety?

Brief Answer: Not recommended . Detailed Answer: Hello, Thanks for posting your query. I have gone through your query and health concerns in detail ,both combination not recommended because Using FLUoxetine together with mirtazapine can increase the risk of a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Severe cases may result in coma and even death. You should seek immediate medical attention if you experience these symptoms while taking the medications. Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal