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Fever, vomiting with red swollen areas in hands.

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My daughter has been sick with fever some vomiting and has gone to doctor twice with no one telling her exactly what she has not giving her an antibiotic. Doesn't a fever indicate an infection and requires an antibiotic she also has there red swollen areas on her hands.

Category: Psychiatrist

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Thanks for posting your query at

I have gone through your question in detail and I can understand what you are going through.

Maxalt wafers contain rizatriptan and are good drugs for migraine treatment. SSRI and SNRI medications such as paroxetine, sertraline, venlafaxine, mirtazapine and desvenlafaxine are mostly safe when taken up with rizatriptan. However one needs to be cautious as rizatriptan increases body serotonin levels and so does the SSRI/SNRI medications. This increases the risk of serotonin syndrome with symptoms such as muscle twitching, tremors, shivering and stiffness, fever, heavy sweating, heart palpitation, restlessness, confusion, agitation, trouble with coordination, or severe diarrhea. So when you are on an SSRI/SNRI antidepressants, watch for the mentioned symptoms and if there are any, do let your doctor know so that the dose of SSRI/SNRI medications can be adjusted. If you want to be absolutely safe then Bupropion is a good option as its a good antidepressant and it has no effect on serotonin levels.
So you may opt for Bupropion safely of may even opt for sertralin, venlafaxine or desvenlafaxine while looking for the symptoms for Serotonin syndrome.
Hope this helps,
IN case if you have any doubt, do let me know.
Kind regards
Dr. Srikanth Reddy

Dr. Srikanth Reddy
Category: Sexologist
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
Dr. Srikanth Reddy and 4 other Medical Specialists are ready to help you

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