dont do any ssri wHile usin meth. im not a dr but i am a patient & i know that i was fine til i started takin every single ssri under the sun at the direction of my dr. after tryin paxil, lexapro, celexa, wellbutrin, prozac, & 2 others that i cant think of the names of, we settled on effexor since after tryin all that other shit, it seemed to have the least amount of negative side effects for me. well, i took the shit for over 2 years & it has fucked me up for life. seizures, trembles, electric shocking sensations that start in my brain & shoot down thru each of my limbs. at is worst, it would happen every 3-5 seconds. for bout a year after i stopped takin it would happen less & less but there wasnt a day that i went without havin it happen. its been 3 & a half years now since i stopped takin it & it still happens every now & then. if ur gonna fuck with any of ur neurotransmitters, i would suggest fuckin with em with just one thing at a time, unless u really know wtf ur doin. one drug might be producing a shit ton of somethin but the other drug is blockin them from bein released. Or ur receptors could be tryin to block all the shit ur transmitters r tryin to transmit. like i said im not a dr, but i do my research before i do somethin & i always know what i gettin myself into