I take celexa (citalopram) 40mg daily and ativan 1mg (as needed) for depression and anxiety. my doctor just prescribed trazodone for sleep. safe to take together?

Serotonin: Celexa (citalopram) and trazodone can cause serotonin syndrome and neuroleptic malignant syndrome.Ativan and trazodone can cause severe sedation(excessive sleepiness).These three medicine combo should be taken with very close supervision and be cautious for any unusual symptoms. I would not recommend to take these three medicine together.

Yes, usually...: Trazodone is another antidepressant that is often used on small doses as a sleeping pill because antidepressants are not addictive. It is usually fine to take with something like celexa (citalopram). However one must be careful about using it with Ativan and /or hydrocodone as the sedating effects can add up. It can add some extra anti anxiety effect to the picture.

It is important to find the correct combination of medications with your Psychiatrist. Have a physical exam to rule out illness. If you are not confident in your Dr. see another for a 2nd opinion. Medications are not sufficient since they do not teach you coping. Psychotherapy with a Clinical Psychologist with expertise in multiple types of psychotherapy can help your medications to work better.