Major
Established
Açıklama
Combining two SSRIs is generally contraindicated due to markedly elevated serotonin syndrome risk and no additional therapeutic benefit.
Mekanizma
Both agents inhibit SERT-mediated serotonin reuptake; concurrent use produces additive serotonin accumulation in central synapses.
Klinik Önemi
Dual SSRI therapy provides no clinical advantage over monotherapy and substantially raises serotonin toxicity risk.
Yönetim
Avoid concurrent use; when switching SSRIs, allow an appropriate washout period (5 half-lives of the discontinued drug).