Can I turn on Citabax before I stop Symfaxin?

No, please do not turn on Citamax beforehand.

Citabax and Symfaxin have similar effects, so using them simultaneously can cause an excessive increase in serotonin levels in the brain, which threatens the occurrence of serious disorders referred to as serotonin syndrome. Serotonin syndrome is manifested, m.in, confusion, agitation, fever, sweating, ataxia, hyperreflexia, muscle clonic seizures and diarrhea. This condition is distinguished by the so-called triad of symptoms, which includes:
- Vegetative disorders, i.e. increase in blood pressure, fever, diarrhea, vomiting and mydriasis.

- Psychiatric symptoms, consisting of anxiety disorders, feelings of anxiety and confusion.

- Neuromuscular ailments, i.e. recurrent cramps, pain and increased muscle tone.

Therefore, if you observe such side effects, you should inform your doctor, who will decide on this basis what to do.

If you have previously experienced unpleasant symptoms, such as "discharge of waves in the brain" during discontinuation of Symfaxin, it is necessary to inform your doctor. This may be important information when planning a drug change.

You should never change the dose or type of medication yourself without consulting your doctor. These medications affect the functioning of the brain and nervous system, so it is important that changes in therapy are controlled and supervised by a specialist who can tailor the treatment to your individual needs. If it is not possible to visit a stationary visit, I encourage you to use teleadvice via, for example, the Gdziepolek.pl portal: https://www.gdziepolek.pl/telekonsultacja