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A member asked:
New pt, woman in her 60's with history migranous headaches, prescription citalopram 40 mg by one doc, another doc added sertraline 100 mg at same time. no headaches.
A doctor has provided 1 answer
Risk...: I haven't seen this approach in order to control migraine. Certainly SSRIs can be used but combining two of those might be helping the migraine but it is certainly putting her at risk of a serotonin syndrome( esp. on high doses). I don't like to use such a high dose of citaprolam due to the risk of QT prolongation. I am not sure I would keep her in this regimen unless she will be follow up closely
Answered 11/27/2017
3.8k views
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