A 33-year-old female asked:
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what ssri is best for anxiety that would go w/effexor nd imipramine?

2 doctor answers
Dr. Alan Ali
Dr. Alan Ali answered
32 years experience Psychiatry
Ssri: Not good idea to add ssri to snri. Talk to your doctor about anxiety medications.
Answered on Jul 10, 2012
Dr. Carlos Barrios
23 years experience Child Psychiatry
Steamline, ssri: Is probably all you need. The difference in treatment for anxiety requires more robust doses than for treatment of depression alone. Effexor (venlafaxine) is an snri; it increases norepinephrine which could be fueling anxiety in the first place. Except in some exceptions, not good practice to combine multiple antidepressants as side effects become more likely. Discuss w/ doc. Hope this helps.
Answered on Aug 26, 2014

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