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Elavil, Lexapro, and Flexeril--serotonin overload?

Posted by Ame Sans Vie on April 15, 2003, at 16:11:33

I started all three of these meds just within the past two weeks and now take 20mg Flexeril three times a day, 20mg Lexapro, and 150mg Elavil before bed. I also take 15mg Tranxene twice a day, 350mg Soma four times a day, 20mg Inderal as-needed and 100mg Ultram as-needed. This is all to combat social anxiety/agoraphobia, dysthymia, panic disorder, and fibromyalgia/chronic fatigue syndrome. I'm 20 years old, yet I sort of feel like a little old lady sorting out my vast array of pills for the next day before going to bed. Oh well.

I'm just a bit concerned the Elavil, Lexapro, and Flexeril (which is essentially a tricyclic, with muscle-relaxant properties) may have a little (or a lot) too much effect on serotonin. I haven't been on any of these long enough to really tell if there are any adverse effects (except the painfully obvious dry mouth with the Flexeril), but should I be concerned about having all this serotonergic action going on in my head?

Also, is it common to be on this many meds for FMS/CFS? It sure seems like there's a lot of overlap in the symptoms the meds are supposed to treat... TIA


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poster:Ame Sans Vie thread:219607
URL: http://www.dr-bob.org/babble/20030411/msgs/219607.html