Can trazodone be taken with Paxil or Zoloft. On 150 mg trazodone helps with sleep but not depression. If either can be taken what strength do you recommend.
14 Sep 2010
Interactions between your selected drugs
trazodone ↔ escitalopram
Applies to: trazodone, Lexapro (escitalopram)
MONITOR CLOSELY: Concomitant use of agents with serotonergic activity such as serotonin reuptake inhibitors, monoamine oxidase inhibitors, tricyclic antidepressants, 5-HT1 receptor agonists, ergot alkaloids, lithium, St. John's wort, phenylpiperidine opioids, dextromethorphan, and tryptophan may potentiate the risk of serotonin syndrome, which is a rare but serious and potentially fatal condition thought to result from hyperstimulation of brainstem 5-HT1A and 2A receptors. Symptoms of the serotonin syndrome may include mental status changes such as irritability, altered consciousness, confusion, hallucinations, and coma; autonomic dysfunction such as tachycardia, hyperthermia, diaphoresis, shivering, blood pressure lability, and mydriasis; neuromuscular abnormalities such as hyperreflexia, myoclonus, tremor, rigidity, and ataxia; and gastrointestinal symptoms such as abdominal cramping, nausea, vomiting, and diarrhea.
MANAGEMENT: In general, the concomitant use of multiple serotonergic agents should be avoided if possible, or otherwise approached with caution if potential benefit is deemed to outweigh the risk. Patients should be closely monitored for symptoms of the serotonin syndrome during treatment. Particular caution is advised when increasing the dosages of these agents. The potential risk for serotonin syndrome should be considered even when administering serotonergic agents sequentially, as some agents may demonstrate a prolonged elimination half-life. For example, a 5-week washout period is recommended following use of fluoxetine before administering another serotonergic agent. If serotonin syndrome develops or is suspected during the course of therapy, all serotonergic agents should be discontinued immediately and supportive care rendered as necessary. Moderately ill patients may also benefit from the administration of a serotonin antagonist (e.g., cyproheptadine, chlorpromazine). Severe cases should be managed under consultation with a toxicologist and may require sedation, neuromuscular paralysis, intubation, and mechanical ventilation in addition to the other measures.
Other drugs that your selected drugs interact with
trazodone interacts with more than 300 other drugs.
Lexapro (escitalopram) interacts with more than 300 other drugs.
Interactions between your selected drugs and food
No results found - however, this does not necessarily mean no interactions exist. ALWAYS consult with your doctor or pharmacist.
1 Oct 2010
Yes you can take them together, I took 50 mg of trazadone for a sleep-aid while also taking 10mg of lexapro.. I took the trazadone for about a year then tapered to half dose (25mg), because I was sleeping like 12 hours a day (WAY too much if you have two kiddos!) I eventually stopped taking the trazadone because it got to a point where all it did was make me groggy and I found that I was able to sleep just fine on my own (many other factors had also changed in that time period). 2 years later and I am still sleeping fine :) Good luck to you to find the right combination for you.
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