Have Mental Health Questions? Ask a Psychiatrist Online
Welcome etc the site.
Kindly answer a few queries.
1) How many days in total have you taken lexapro 2.5 mg ?.
Well, only two doses of lexapro would not cause the drug to reach steady state plasma levels which is essential for any harmful interaction to happen between lexapro and remeron. So you should not have skipped remeron dose in the first place as there was nothing to worry regarding it interacting with lexapro. Anyways no matter how sensitive your body may be, but with use of only two doses you are absolutely not having any significant level of lexapro in the body for it to interact with
Well, I would not recommend use of serzone since it has tendency to cause hepatotoxicity that is liver toxicity as a result of which it has gone out of favor in some countries and banned there. So I suggest that you bypass it's use as you have a good combination at hand with remeron and buproprion and you should be rest assured that this two drug combination will not lead to serotonin syndrome since these two drugs together do not lead to excess levels of serotonin in the brain which is seen in serotonin syndrome.
You see, had remeron been used with the likes of ssri anti depressants then the threat of serotonin syndrome would have been there because their concomitant use might have raised levels of serotonin to extremely high levels and cause serotonin syndrome. So you should go ahead with the use of buproprion with remeron without any hesitation, but ensure that since you have missed the dose of remeron recently, so stay put on 7.5 mg dose for 1 week before you up the dose to 15 mg of remeron.
I hope this helps.
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