Nervous about new med combination

[writehellarandomshiny]

Hey Guys,

 

My DX is ADHD, General Panic Disorder W/o Agoraphiobia, and Mood Disorder NOS. Lately I've also been dealing with severe depression. Here's the combination my doctor put me on today:

 

New Combination:

25 Mg Zoloft (depression)
10mg Ambien (sleep - I hope this shit knocks me out cold and doesn't cause me sleep walking problems)
30mg Adderrall Xr (ADHD)
75mg thyroid meds (no clue what they're called)
40mg Celexa (anxiety)
25mg Visatril PRN (anxiety)

 

I'm most nervous about the celexa + zoloft combination, because it raised the red flags with the interaction checker. I'm willing to give it a try, since my doctor's never steered me wrong before, but wanted to know what you all thought about the combination.

 

Old meds in sig.

 

 

Here's what it said about the celexa + zoloft combination.

 

Serious - Use Alternative

• citalopram + sertraline

  citalopram and sertraline both increase serotonin levels. Possible serious or life-threatening interaction. Monitor closely. Use alternatives if available. Combination may increase risk of serotonin syndrome or neuroleptic malignant syndrome-like reactions.

[writehellarandomshiny]

I guess I say all this to say, "Any advice?" I'm going to try it, but nervous. Has anyone else had a combo that's even remotely similar?

Thanks.

Edited April 15, 2014 by writehellarandomshiny

[CeremonyNewOrder]

It's most likely okay if your doctor prescribed it.

[San]

The interaction checkers don't factor in dosage and whatnot. The pharmacy also has checkers of their own, and knows what interacts with what.

The dose of Zoloft is so low, it won't cause any of the interactions that raised red flags, or the pharmacy wouldn't have filled it.

Edited April 15, 2014 by San

[writehellarandomshiny]

The interaction checkers don't factor in dosage and whatnot. The pharmacy also has checkers of their own, and knows what interacts with what.

The dose of Zoloft is so low, it won't cause any of the interactions that raised red flags, or the pharmacy wouldn't have filled it.

 

That's good to know. Thanks, San! I'll take them all to the same pharmacy like I always do and check there. 

[quiet storm]

Every interaction checker I've ever seen gives a canned serotonin syndrome response whenever you add two or more antidepressants.

[Catnapper]

 

10mg Ambien (sleep - I hope this shit knocks me out cold and doesn't cause me sleep walking problems)

 

 

I can't speak to the other meds, but a couple of Ambien pointers - it works best on an empty stomach.  Also, it works fast, so you should be in bed when you take it, not still tidying the kitchen or checking one last email or something.  It's a great drug, it puts me to sleep and keeps me there.  But it's not such a total knockout that I can't get up in the night and pee, or am worried about getting out if the house catches on fire, or something. 

[writehellarandomshiny]

thanks guys. i'm feeling mostly okay, zoloft is still making me groggy, but hanging in there. i appreciate the support.

[brainweather]

i've been on celexa and zoloft at the same time before, i was tapering off 40 mgs of celexa and i started on 50 mgs of zoloft and everything went okay.