Recently my parents asked me if, by taking these medications, I am taking on additional risks i.e .increased risk of heart attack or stroke or something else by having these drugs in my system over the long term.
I just wanted to be able to give another opinion. I agree with my own doctors about the benefits vs how I am without the medication. But should I be worried about being on them for potentially the rest of my life?
The risks are as follows:
There are some potentially serious drug interactions. Escitalopram and mirtazapine together can cause seritonin syndrome, which can be life threatening.
Seroquel can interact negatively with both escitalopram and mirtazopine.
Seroquel and mirtazopine increasing the qt interval on the EKG and if you have any other heart problem or add another drug this can be a problem.
The warning on this is to "monitor closely" for any side effects.... The monitoring is the key. How using these medications long term affects you is not studies adequately.
This is why we try to make an assessment of...do the benefits outweight the risks. We also do therapy and try to streamline meds in general, using a single medicating when possible.....for example, only an SSRI.
So we step up the therapy only when a single agent fails. Or, when multiple single agents with therapy fail.
You mention your 'team'
Where are you, what city and state?
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Thanks for explaining this. In your opinion, does four different medications sound unusually high? I know everyone is different, and we've got to this combination by trial and error, and it works which is great.
Or do you think this sounds ok, given that it works and the benefits seem to outweigh the risks?
I'm actually over in the UK, in Swindon. We have the NHS, which is great but they are so overstretched that I wanted to get another opinion.
To be honest I wasn't even thinking about it until my parents asked about the long term risks. Then I suddenly started worrying I was about to drop dead!