A member asked:

I suffer from g a d.i am on 15mg lexapro (escitalopram). 30mg remeron 10mg amitrypiline and 15mg diazepam daily. is that o k. thanks?

6 doctors weighed in across 2 answers

Polypharmacy: While this combination may work for some, there are a few concerning things: 1. Lexapro (escitalopram) and Amitryptiline are contraindicated (may cause Serotonin Syndrome). 2. Diazepam is habit forming and while effective, it's not great for daily long-term use. 3. No mention of psychotherapy. Suggest medication eval, get basic labs (CMP, CBC), and ramp up psychosocial strategies to reduce or eliminate symptoms.

Answered 12/30/2015

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MEDICATION: Best to discuss medication with your Psychiatrist. If uncomfortable with your Dr. consult another for a second opinion. Have a physical exam by a Dr. to determine if you have a physical illness. Consult with a Clinical Psychologist for psychotherapy with ZOOM sessions. Fears and anxiety could be heightened due to the Covid-19 pandemic. Stay safe & hopeful to elevate your immune system.

Answered 12/21/2020

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