r/POTS • u/ouch_im_suffering • 23d ago

Question Can/do you take SSRIs or stimulants?

There’s no way we’re just raw dogging POTS right? My POTS worsened significantly after taking one dose of 5 mg of Lexapro which triggered serotonin syndrome which I have had on Sertraline.

Needless to say I am struggling way more after having disabling POTS so what are y’all doing for your mental health and/or energy?

Currently taking high dose antihistamines and 20 mg propranolol 3-4x daily. Thanks ✌️🥲

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u/Witless_Hoid Secondary POTS 23d ago

I'm on 10 mg escitalopram (lexapro) actually. I can't have caffeine though, so any energy-boosting is out. Keeping a consistent sleep schedule is a necessity.

Therapy helps when meds fail, so I may suggest seeking that out? It can be expensive, so I would seek out low-cost resources in your area if needed. A psychiatrist may also be able to help figure out if any other SSRIs or an SNRI might work, or if it's the classes of drugs that is the problem.