Posted by Lou Pilder on March 4, 2015, at 5:42:21
In reply to Lou's request-wrklez » Robert_Burton_1621, posted by Lou Pilder on March 3, 2015, at 19:54:06
> >
> > > Go to drugs.com and search for adderall + ssri. They warn you of serotonin syndrome. I also checked other medical interaction websites they also mention the risk. Also, there are REAL cases of SS when mixing adderall + ssri/snri.
> > > I don't really care what Gillman writes. The fact that SS happened under this combo means that there is a risk!
> >
> > Drugs.com will say incorrectly that many combinations can cause serotonin syndrome. It says mixing mirtazapine with venlafaxine carries the "major" risk of serotonin syndrome! This is just erroneous. Mirtazapine has been used to treat serotonin syndrome.
> >
> > I feel, from my perspective, that it is better to take into consideration well-evidenced information by people who have expertise in this particular area, than to rely reflexively on sites like drugs.com, but that is of course a matter for you and your doctors.
> >
> > Amphetamines at the right dose are so low in their serotonergic potential that the risk, if any, is low. But it seems that your current conditions and the inadequate experiences you've had with psychiatrists may be predisposing you to overestimate any risks and underestimate the relative efficacy of potential treatment options.
> >
> > > I tried anafranil and 75mg were already too much. It made my heart race. This is why my doc said that I can forget about other TCA cause they all would do the same cause they all have the same antichol. side effects.
> >
> > It is not correct to advise that all TCAs have the same degree of side-effects as clomipramine. Clomipramine is usually very effective for OCD but it carries a high degree of TCA-related side-effects. Nortriptyline does not carry them to the same extent, much less.
> >
> > > I also dont know if a combo like SSRI + nortriptyline would be better than SSRI + wellbutrin or SSRI + strattera. Strattera scares me somehow. I read it can make you suicidal.
> >
> > The combination of SSRI and strattera may be worth trying. In regards to suicide, most anti-depressants now carry generic advice warning about an increase in suicidal thoughts.
> >
> > > But nortrip on the other hand would have much more side effects as a TCA. Wellbutrin at least had no side effects.
> > >
> >
> > Nortriptyline has fewer side-effects and to a lesser degree than clomipramine, for instance.
> >
> > R_B_1621,
> You wrotes,[...drugs.com will say incorrectly...this is just erroneous...Mirtz has been used to treat SS...].
> Then if Mirtz is *not* used to treat SS, then Drugs.com is not saying incorr4ectly and what they print is not erroneous?
> Lou
>
> > Robert,
You say that you do not follow my logic. I say to you that what you have posted here could result in the deaths or addictions or life-ruining conditions to other readers here and I am asking that we have an immediate discussion here. This is all because the psychiatrist that operates this forum is allowing your claims here to be seen as supportive and I think otherwise, and your claim that Mirtazapine is used to treat SS, and that the site drugs.com has erroneous information is what is in issue here.
If you could post answers to the following then by my responses I could address your claims here in what I think could save lives, prevent life-ruining conditions and addictions.
True or false:
A. The interactions section of drugs.com is not based on facts.
B. I know that the site drugs.com has false information and I will post here a citation that shows that.
C. I really don't know if the site drugs.com has erroneous information about interactions, Lou. I posted that in order to get the person that I am in discussion with to ignore the sites information that says that SS could result in taking the combination.(which could lead to death)
D. I cited that Mirtazapine is used to treat SS without posting a citation to support that claim , Lou, because the only reference is an unreliable one-case report that could be unreliable and not a proven treatment for all cases of serotonin syndrome.
E. I know, Lou, that Mirtazapine can cause serotonin syndrome.
F. I will take responsibility for any injury or death to the poster that I am in discussion here, Lou, as a result of following my claims here to the poster.
G. If my claim that Mirtazapine is a proven treatment for serotonin syndrome is false, then my claim that the site drugs.com give erroneous information is also false.
H. I am going to post here what I used to claim that the site drugs.com is to be ignored because it has erroneous information. Here are my citations that show this:
_____________________________________________
_______________________________________________
___________________________________________
Lou>
>
poster:Lou Pilder
thread:1077156
URL: http://www.dr-bob.org/babble/20150223/msgs/1077307.html