8 doctors weighed in:

Psych d/c 120 mg Prozac and is starting me on 40 mg Lexapro (escitalopram) for mdd. Are the high doses safe? What about serotonin syndrome?

8 doctors weighed in
Dr. Alan Ali
Psychiatry
7 doctors agree

In brief: Prozac (fluoxetine)

Not sure how long u have been on prozac, (fluoxetine) but since half life of Prozac (fluoxetine) is long, it is best to introduce the other ssri cautiously.
Discuss with your doctor.

In brief: Prozac (fluoxetine)

Not sure how long u have been on prozac, (fluoxetine) but since half life of Prozac (fluoxetine) is long, it is best to introduce the other ssri cautiously.
Discuss with your doctor.
Dr. Alan Ali
Dr. Alan Ali
Thank
Dr. Edward Smith
Neurology
4 doctors agree

In brief: Both simultaneously?

Serotonin syndrome is possible, especially at higher doses of any ssri.
Treatment failures to ssris are unfortunately not rare. Combination therapies may work better than monotherapy. Ask your psychiatrist about other treatment options if new regimen doesn't work.

In brief: Both simultaneously?

Serotonin syndrome is possible, especially at higher doses of any ssri.
Treatment failures to ssris are unfortunately not rare. Combination therapies may work better than monotherapy. Ask your psychiatrist about other treatment options if new regimen doesn't work.
Dr. Edward Smith
Dr. Edward Smith
Thank
Get help from a real doctor now
Dr. Bennett Machanic
Board Certified, Neurology
50 years in practice
56M people helped
Continue
111,000 doctors available