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After I joined the Navy, I was diagnosed with depression and social phobia. Right now, I am taking Prozac and Desyrel. Will taking these mean I can’t go on a ship and will either be medically separated or stuck on shore duty for the rest of my career?
most likely. you must pass a sea duty screening, and being on Antidepressants means you will not. you will not have access to such meds while underway.
Trazodone(U) 100 mg.aka Desyrel & Fluoxetine(U) 20 mg. aka prozac.
This should not replace the advice of a doctor and/or pharmacist (the latter tend to be a good source of info on this type of thing), but here is a link to a tool to check interactions.
http://www.drugs.com/drug_interactions.p…
And here is what it says about the combination:
” fluoxetine and trazodone (Major Drug-Drug)
MONITOR CLOSELY: Concomitant use of agents with serotonergic activity such as serotonin reuptake inhibitors, monoamine oxidase inhibitors, tricyclic antidepressants, 5-HT1 receptor agonists, ergot alkaloids, lithium, St. John’s wort, phenylpiperidine opioids, dextromethorphan, and 5-hydroxytryptophan may potentiate the risk of serotonin syndrome, which is a rare but serious and potentially fatal condition thought to result from hyperstimulation of brainstem 5-HT1A receptors.
MANAGEMENT: In general, the concomitant use of multiple serotonergic agents should be avoided if possible, or otherwise approached with caution if potential benefit is deemed to outweigh the risk. Close monitoring is recommended for signs and symptoms of excessive serotonergic activity such as CNS irritability, altered consciousness, confusion, myoclonus, ataxia, abdominal cramping, hyperpyrexia, shivering, pupillary dilation, diaphoresis, hypertension, and tachycardia. Particular caution is advised when increasing the dosages of these agents. The potential risk of serotonin syndrome should be considered even when administering one serotonergic agent following discontinuation of another, as some agents may demonstrate a prolonged elimination half-life. For example, a 5-week washout period is recommended following use of fluoxetine before administering another serotonergic agent.”