Sertraline Posted October 4, 2010 Share Posted October 4, 2010 Hi, my question is; Is it ok to use two AD at the same time? For example venlafaxine and sertraline... Link to comment Share on other sites More sharing options...
mudpuppy Posted October 4, 2010 Share Posted October 4, 2010 Many people take more than one AD at a time. Wellbutrin + SSRI combos are especially popular. As far as Effexor + Zoloft? If your pdoc is comfortable with that combo? Sure. There's a very, very slight possibility of serotonin syndrome, the risk of which can be mitigated by knowing the symptoms as the patient, and communicating with your doctor. If your pdoc is proposing, or has prescribed that combo, presumably it's because the potential benefits far outweigh the risks of a very rare side-effect. You're BP, right? Are you on a mood stabilizer? Link to comment Share on other sites More sharing options...
weordmyndum Posted October 4, 2010 Share Posted October 4, 2010 I wouldn't recommend to SSRI's at the same time because it would probably increase the chances of serotonin syndrome--and sertraline and venlafaxine both work on serotonin. I have, however, been on venlafaxine (SNRI) and nortriptyline (tricyclic) together. Link to comment Share on other sites More sharing options...
notfred Posted October 4, 2010 Share Posted October 4, 2010 AS a general rule it is OK. It is with MAOI 's that there is a contraindication to adding another AD (most) to a MAOI. nf Link to comment Share on other sites More sharing options...
Sertraline Posted October 4, 2010 Author Share Posted October 4, 2010 I'm on 3mg Risperdal 75mg Seralin (a SSRI) and Akineton. Actually I did something. I went to another psychiatrist and told about my semptoms without saying I'm a manic depressive psychosis. I said I couldn't concentrate I feel like a shit, I can't listen what to teacher say and she gave me an effexor. I went to neorologist and said the same things and he gave me Modiodal. Link to comment Share on other sites More sharing options...
mudpuppy Posted October 4, 2010 Share Posted October 4, 2010 Umm... Dude. Seriously? I'd love to know what response you're expecting here. You're lying to obtain prescription drugs from multiple doctors? Your brain man. I guess you're the only one who has to live with the cumulative brain damage from repeated manic episodes. Link to comment Share on other sites More sharing options...
Sertraline Posted October 4, 2010 Author Share Posted October 4, 2010 Yes, I'm serious. I need to finish my university and I need something. Link to comment Share on other sites More sharing options...
mudpuppy Posted October 4, 2010 Share Posted October 4, 2010 How is a potential manic episode [with the always lurking potential to become a psychotic episode] conducive to academic success, exactly? Link to comment Share on other sites More sharing options...
bpladybug Posted October 4, 2010 Share Posted October 4, 2010 Sertraline, I encourage you to find one doctor whom you trust and work with him/her closely. Link to comment Share on other sites More sharing options...
SashaSue Posted October 4, 2010 Share Posted October 4, 2010 Having different meds, prescribed by different doctors, none of whom knows what the others are doing, is an incredibly bad idea. Really, I can't even come up with words sufficient to describe what a bad idea this is. And it's just ridiculously stupid. Link to comment Share on other sites More sharing options...
Sertraline Posted October 5, 2010 Author Share Posted October 5, 2010 I started with 37.5mg and two weeks later it will be 75mg. I will test for a while... Thank you. 75mg SSRI, 37.5mg SNRI... What is gonna happen?We will see... Link to comment Share on other sites More sharing options...
Indigo 'n dye Posted October 5, 2010 Share Posted October 5, 2010 It seems that somewhere the definition of "second opinion" went missing. A second opinion is based on the premise that the patient/client is seeking an independent opinion about current diagnosis, treatment/therapy, and prognosis. A second opinion is to either confirm or challenge the diagnosis/treatment plan/prognosis and to evaluate options. Having different meds, prescribed by different doctors, none of whom knows what the others are doing, is an incredibly bad idea. Really, I can't even come up with words sufficient to describe what a bad idea this is. Additionally, it leaves physicians in a vulnerable position, and you Sertraline appear dishonest and scheming. Link to comment Share on other sites More sharing options...
Sertraline Posted October 5, 2010 Author Share Posted October 5, 2010 Do I care what the other people think about me? I need solution man, seriously... I can't listen what to teacher say. Horrible thing. If effexor gonna fix that? We'll see... Link to comment Share on other sites More sharing options...
saveyoursanity Posted October 5, 2010 Share Posted October 5, 2010 No. Your horrible situation is that you're lying to multiple doctors, not that you can't listen to what your teacher are saying. That's peanuts compared to the fact that you're putting yourself at SERIOUS RISK for a manic episode and everything that's associated with it, including the come down into what could be a very serious depression. Link to comment Share on other sites More sharing options...
confused Posted October 5, 2010 Share Posted October 5, 2010 I'm on 3mg Risperdal 75mg Seralin (a SSRI) and Akineton. Actually I did something. I went to another psychiatrist and told about my semptoms without saying I'm a manic depressive psychosis. I said I couldn't concentrate I feel like a shit, I can't listen what to teacher say and she gave me an effexor. I went to neorologist and said the same things and he gave me Modiodal. That's really not a good idea. I don't know how the different medications would interact. You need one prescribing doc who knows what meds you are on, so you don't have any problems. People have mentioned serotonin syndrome or stimulating mania. Those are worse than not being able to listen to your teacher. Maybe one of the docs could address your problems and treat your symptoms? Link to comment Share on other sites More sharing options...
Kseudonym Posted October 5, 2010 Share Posted October 5, 2010 Also, on the Sertraline derail, who the hell prescribes Effexor first thing anyway, nevermind for not being able to concentrate in class? That thing has a wicked withdrawal syndrome man, I'm on it because three other antidepressants didn't work and I need it to not want to die. You need to come off that stuff now or doing so later will be hell.There are other drugs for attention deficit-ish symptoms. With Effexor, there's even a small risk of getting physically hooked for life - yes, that's right, a withdrawal syndrome that NEVER STOPS. You would be on it for life. If it makes you manic and you get stuck on it? Then you're basically fucked. Also, there's a reason why we can't just look up our symptoms on the internet and get whatever drugs we feel like - it's FUCKING DANGEROUS. This is what doctors are for. They need to know the whole story or they can't help you. Now with this kind of behaviour going on I would say you're halfway manic already, so come clean to a dr about that before you get seriously hurt. Link to comment Share on other sites More sharing options...
Sertraline Posted October 6, 2010 Author Share Posted October 6, 2010 3 days passed and nothing unusual... 75mg SSRI, 37.5mg SNRI, 3mg Risperdal and Akineton works fine... Link to comment Share on other sites More sharing options...
Guest Guest_001 Posted October 6, 2010 Share Posted October 6, 2010 Do I care what the other people think about me? I need solution man, seriously... I can't listen what to teacher say. Horrible thing. If effexor gonna fix that? We'll see... I vaguely recall some of your earlier, contradictory posts. You had a psychosis ? You never mentioned what caused it. Taking these psychiatric drugs ESPECIALLY when you have or have had psychotic symptoms is extremely dangerous. You really need ONE psychiatrist to deal with your problems. You can't go shopping for meds. If you are dissatisfied with your current psychiatrist you can switch doctors. But your new doctor has to know all relevant information to form a diagnosis, and a treatment plan. There is nothing wrong with a second opinion. Sertraline and effexor are powerful drugs. You can't just use them without proper medical guidance. Aside from other things, they both act on serotonin and can cause serotonin syndrome. These two drugs are not intended to help you concentrate, although they can be stimulating. Perhaps Risperdal makes it difficult to concentrate, perhaps it's the underlying medical condition. Modiodal (modafinil) is a stimulant. It can be very dangerous if you're prone to psychosis, especially when you create this cocktail on your own ! Even if these drugs help in the short run, it's a disaster waiting to happen. Link to comment Share on other sites More sharing options...
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