I was taking Effexor 75 mg and my doctor added Celexa 20 mg to that. I'm concerned because of serotonin syndrome but she says she uses this combo often. I have depression, anxiety/GAD and OCD. Thanks in advance.
Has anyone ever been prescribed an SSRI (Celexa) and an SNRI (Effexor) at the same time?
- 3 Jul 2014 by mulder228
- 17 January 2018
- celexa, effexor, depression, anxiety, obsessive compulsive disorder, generalized anxiety disorder, doctor, prescription, syndrome, ssri, serotonin-norepinephrine reuptake inhibitors
I have not but I do know that bipolar people (such as myself) are often on as many as 5 meds at a time with at least 2 being seratonin meds. I go to support groups and that's what they tell me. I understand your concern though. Just be aware of any side effects you have and call ur doctor or go to the ER at your first concern.
I was recently prescribed Prozac to take with my Effexor. Too soon to tell if it works or not please let me know you do, and I will do the samE.
Yes, this can be done. The doctor must closely monitor the patient. However, it is more prudent to go up on the effexor, before adding another drug.
I would not be especially concerned with seretonin syndrome since the Effexor (venlafaxine) was prescribed at a low dose (37.5 mg and 75 mg are typically starting doses) and Celexa can be taken up to 40-60mg/day. Effexor is an SNRI that targets seretonin and norepinephrine reuptake, while Celexa is a well-reviewed SSRI that blocks seretonin uptake.
I am more curious as to why your physician chose to add an SSRI to your regimen instead of titrating your Effexor up to a more therapeutic level? Depending on formulation (immediate release (IR) or extended release (XR) versions), Effexor has demonstrated efficacy in daily amounts up to 225 mg - 300 mg in XR formulation and up to 375 mg in IR version.
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