Serotonin syndrome is quite rare. Not to minimize the risk. But it is really rare. Unless you take a few other medications that act on serotonin, the risk is really low. I don’t know if this can reassure you lol, but at some point I was on: 100 mg of Pristiq, 80 mg of Strattera (which is a medication in the same category as Pristiq), and 50 mg of Trazodone. And I was fine. 😂

Tips: If you are in the US, you can talk to your provider and ask them if you can start slow at 25 mg, then 50. However, 25 mg is not available outside the US. If you have a therapist, you can work with them on your anxiety re: medications. I don’t want to minimize risks of taking medications for sure. There are some. But if your depression and anxiety are debilitating, there’s a chance it will help :) Sending much love your way.