instruction: hi doctor I am currently on adderall 30 my twice a day for narcolepsy with cataplexy and lexapro 20 my for resistant major depressive disorder my previous psychiatric nurse practitioner tried me on many antidepressants that did not work lexapro helps some but not much at all I have very bad anxiety and low mood with irritability is there another antidepressant I can take with adderall as it interacts with so many please help
output: hello it looks like you have been tried on several different types of antidepressants already but did not help since you are on adderall for treating narcolepsy taking antidepressants will potentially lead to an increase in side effects this applies to all saris selective serotonin reuptake inhibitors and saris serotonin norepinephrine reuptake inhibitors type of antidepressants so you will need regular follow up by your prescribing doctor to monitor your response to the medication combination since you are saying lexapro escitalopram helps to an extent it will be worth trying to continue it and have additional psychological therapy like cut cognitive behavioral therapy to manage anxiety and depression if lexapro is not effective at all there are other options like sertraline and fluoxetine but they belong to the same class of medicines saris risk of potential interaction applies to these medications as well also ensure that narcolepsy is optically controlled it will help to improve your mood and help you to function better I hope this helps