Yes I have GAD. But this isn't just delusional fear. I mean when even in psychopharmaceutical manuals there are warnings of SS when mixing SSRI with AMPH then this freaks me out.
I dont know how to deal with this.
The problem is I needed something from depression/ocd/gad and this is usually a SSRI,SNRI,TCA.
BUT I also need dexedrine for ADHD and this totally narrows down my options cause a TCA or SNRI would be even more problematic to mix with dexedrine.
Besides this I already had Cymbalta and it didnt work which is why SNRI are basically no option anymore cause I doubt that Effexor would be much different.
Basically my antidepressant options are pretty slim by now and they are even slimmer cause of the dexedrine.
I have GAD too.
But you didn't really seem to look at my response.
When I recently saw my psychiatrist he had suggested putting me on two SSRIS at once and I asked about the risk of serotonin syndrome.
He said the following: "when a doctor puts you on two things which can have the possibility of causing SS it is because he thinks that the risk is very low and that if it did occur it would not be that severe. As long as you are being monitored by a doctor you don't have to worry about it and if it DID happen it would not suddenly come on at full bore it would be mild at first".
If you are seeing a good doctor who understands serotonin syndrome (which is probably any psychiatrist I'm guessing should understand it) you should not be afraid.
I was prescribed dexedrine while on Prozac also once and the doctor never mentioned being worried about anything.
Just because it CAN happen doesn't mean it's likely, and also I am going to strongly doubt that you don't have other options of things that can't interact badly with dexedrine, but either way some combos have a risk of interacting badly without it being something that is at all likely.
You need to talk to your doctor about this and trust his opinion OVER those of medical books.
Why would you not have spoken to your doctor already??
I don't understand people choosing to come here and take people's advice here OVER their doctors.
Speak to your doctor about it.
Also, I know it's just anecdote, but while on Prozac for years I took dexedrine so many times I lost count, probably over 100 times, to the point where when I actually saw that the combo was contraindicated for the first time about 6 months ago I was SHOCKED but I have not the least bit of worry about combining them again from my years of doing so.
If you speak to your doctor and he says it's safe then you shouldn't worry about what books say.
Every medication by itself let alone every combo comes with risks but as long as they are very rare, which this one is I think, you shouldn't worry.