Sertraline and Fluoxetine

[Dartmouth2005]

Can a patient be given both at the same time? We had someone come into clinic recently who is on both. I meant to ask my preceptor on this, but I was wondering what the SDN consensus was.

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[billypilgrim37]

Can a patient be given both at the same time? We had someone come into clinic recently who is on both. I meant to ask my preceptor on this, but I was wondering what the SDN consensus was.

Well, apparently they can be.

The only reason to be on two SSRIs is if you're cross-tapering from one to the other. And even that isn't a very good reason.

 

[BobA]

Can a patient be given both at the same time? We had someone come into clinic recently who is on both. I meant to ask my preceptor on this, but I was wondering what the SDN consensus was.

Agree with BP - only reason to do this is a cross taper. And cross-taper when one of the meds is prozac isn't even necessary - maybe do it for 3-5 days, but even that isn't needed).

Probably an oversight.

 

[vistaril]

Can a patient be given both at the same time? We had someone come into clinic recently who is on both. I meant to ask my preceptor on this, but I was wondering what the SDN consensus was.

you see so much garbage out there that anything is possible. And it's not really likely to be dangerous or anything. But I don't see any indication for it, and it seems like sloppy practice. Then again I see tons of patients on regimens from fellow psychiatrists that don't appear to make any sense, so I'm not sure what 'consensus' really is....

I love to use ssri's and tricyclics together otoh.

 

[Scorcher31]

I generally don't even cross taper from SSRI to SSRI or from SSRI to SNRI. I figure a ballpark equivalent dose, undershoot it a bit, and go right from one to the other. I've never had any problems doing this.