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Symbax is a combination of Fluoxetine + Olanzapine if I am correct?
yes, that is correct
what do you mean by 6/25 mg?
well, that is the amount for the olanzapine and the amount for the fluoxetine
OK, 6 mg of Olanzapine and 25 mg of Fluoxetine.
6 mg and 25 mg
Are you finding this medicine useful?
as such it is not indicated for depression alone and is mainly used in Bipolar depression.
well, I have taken it only 3 nights now
it has helped me sleep
what exactly is your diagnosis?
I am worried though about taking it long term
I have a history of depression, that is why I was on citalopram for many years
Right now, it has been axiety
lack of sleep
OK, see Fluoxetine is also a SSRI antidepressant just like Citalopram while Olanzapine is an antipsychotic.
should I continue to take a low dose of citalopram ?
it is not a good idea to take both Citalopram or Fluoxetine together.
so in your case there are two possible options in my view.
why do I need an antipsychotic?
the doctor here is telling me to take this for a month, then switch to the fluoxetine by itself
either you can continue Symbax and taper down Citalopram or you want to continue Citalopram than your doctor can add a sedating antidepressant like Mirtazapine to augment the effect of Citalopram. Mirtazapine being an sedating antidepressant can not only help in sleeping at night but will also add to the antianxiety and antidepressant effect of Citalopram.
This one is to get me to sleep
I don't think that taking Olanzapine for sleeping is a good option.
why does it help my sleep?
in that case, a combination of Citalopram with Mirtazapine is a much better option.
Olanzapine has a side effect of causing sedation
i see. how about mirtazapine?
Mirtazapine is an antidepressant
a sedating antidepressant.
So, you think that combination would be better?
in my view, yes
you can discuss with your doctor about this combination and stopping Symbax
what is mirtazapine called , other name for it
are there start up side effects?
it is very sedating
to help sleep?
and just like Olanzapine can cause weight gain later on
can i take it for a short period - say 3 weeks so my sleep gets normal, then go off of it?
well, Mirtazapine can also help in controlling the sexual side effects of Citalopram if any and we usually prescribe them together for long durations in our patients.
so you can take it along with Citalopram for long duration. No use of taking it for 3 weeks
I have not had any sexual side effects from citalopram.
it is a good thing
What amount would you take of each?
dose range is from 15-45 mg per day
Citalopram can be continued in the current dose
I stopped taking the citalopram 3 days ago, should I just start up on it again and ad the remeron?
well, first discuss with your doctor about this combination in my view
and then you can decide.
so, in your view. smbayax is not a good option for the sleep
it is not
and do not take it together wih cyatalopram. I am worried about the going off citalopram
it has only been trhee days
Citalopram 40 mg is not working now so it is better to add a sedating antidepressant which will augment the effect of Citalopram.
as you are taking Fluoxetine so there are chances that you will not experience withdrawal symptoms because of stopping Citalopram.
just one other thing
the remeron is an ssri drug? it is not like the anit pychsoic part of symbayax
no it is not SSRI, it has different mechanism of action.
it is an antidepressant as I mentioned above
are you there?
I am very concerned about these changessl, but maybe staying with the citalopram and adding the other is less risk, correct?
In my view, this combination is a better option.
and should be helpful in your case. :)
do you have any other question to ask?
I am her
do you have any other query to ask/