Psycho-Babble Medication Thread 8855

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Giving Prozac and Zoloft Together??

Posted by Georgia Adams on July 17, 1999, at 23:13:21

I an a Registered Nurse in Long term Care,who has a
80 year old man who is very depressed, has bone cancer, and has lost 7% of his body weight in the last 2 months! His doctor is a internal medicine MD.
He has ordered Zolft50 mgm po at hs, and Prozac 40 mgm po q am. These drugs cause anorexia, and are highly protein bound medications. We want to change him to Remeron, which is a better drug for the elderly. This MD doesn't understand about these drugs being protein bound, and not a good choice for the
elderly. Is it a good practice to give these drugs
together? I was told that it was not? Can you help?
Thanks Georgia Adams RN

Re: Giving Prozac and Zoloft Together??

Posted by saintjames on July 18, 1999, at 19:39:27

In reply to Giving Prozac and Zoloft Together??, posted by Georgia Adams on July 17, 1999, at 23:13:21

> I an a Registered Nurse in Long term Care,who has a
> 80 year old man who is very depressed, has bone cancer, and has lost 7% of his body weight in the last 2 months! His doctor is a internal medicine MD.
> He has ordered Zolft50 mgm po at hs, and Prozac 40 mgm po q am. These drugs cause anorexia, and are highly protein bound medications. We want to change him to Remeron, which is a better drug for the elderly. This MD doesn't understand about these drugs being protein bound, and not a good choice for the
> elderly. Is it a good practice to give these drugs
> together? I was told that it was not? Can you help?
> Thanks Georgia Adams RN

James here....

remeron will increase appetite and works with more specific 5-HT sites than other ssri's so it works well in concert with another ssri if polydrug treatment is indicated.

j

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