A member asked:

I take nortriptyline 50 m my doc wants me to start lexapro (escitalopram) now. should i?

A doctor has provided 1 answer
Dr. K. Olson answered

Specializes in Psychiatry

Contraindicated ?: Because they both can elevate serotonin levels additive side effects can occur. Benefits must outweigh the risks - and the side effects must be carefully monitored. Serotonin syndrome symptoms include: agitation, diarrhea, incoordination, vomiting, increased heart rate, nausea/vomiting, increased blood pressure, and hallucinations. Nortriptyline blood levels could be monitored to prevent toxicity.

Answered 8/25/2012

5.7k views

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