A member asked:

Is it safe to take sam-e supplement if one is taking prozac (fluoxetine) for anxiety? what is the best time to take it and things to monitor while using it.

5 doctors weighed in across 2 answers
Dr. Dheeraj Raina answered

Specializes in Psychiatry

Yes: I am not aware of this combination in anxiety, but am aware of studies done with this combination in treatment of depression that found this combination effective and well tolerated.

Answered 12/29/2019

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Dr. Pamela Pappas answered

Specializes in Psychiatry

SAM-e: There have been at least 2 controlled studies using sam-e with ssri's in treatment resistant depression: http://tinyurl.Com/n7fzc6n and http://tinyurl.Com/kctotz4 in both of these, the addition of sam-e to the ssri improved depression, and resulted in no reports of serotonin syndrome when combining same with ssri's. The combination can be safe, but your doctor should follow carefully.

Answered 12/29/2019

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