Have all the medicines been prescribed by the same doctor, or by another doctor who has information about the medicines you are taking?

Rybelsus can be used with other medicines without concern and does not interact with them clinically relevant. On the other hand, the concomitant use of Escitalopram Actavis and Sympramol should be consulted with a doctor, as their combined use may increase the concentration of opipramol (the active substance in Sympramol) in the blood and increase the risk of occurring or intensifying already existing side effects, including, for example, serotonin syndrome. This syndrome manifests itself, m.in, fever, chills, increased sweating, increased blood pressure, and increased heart rate. However, if the same doctor has recommended the use of both drugs, you should follow his recommendations. Moreover, Bellergot can also potentiate the effects of Escitalopram Actavis. There is also an interaction between Sympramol and Bellergot, but from what I understand from the description, you use them interchangeably on the doctor's recommendation.

If the medications have been prescribed by different specialists, I would recommend consulting a doctor to assess the safety of the current therapy. Your doctor, based on full information about your clinical condition, will assess whether there is a need to modify the doses or medications used. If necessary, the Gdziepolek.pl portal allows you to use teleconsultations:

https://www.gdziepolek.pl/telekonsultacja

Here you can check the availability of your medications and make a reservation at the pharmacy of your choice:

https://www.gdziepolek.pl/produkty/27586/escitalopram-actavis-tabletki-powlekane/apteki

https://www.gdziepolek.pl/produkty/111644/rybelsus-tabletki/apteki

https://www.gdziepolek.pl/produkty/76409/sympramol-drazetki/apteki

https://www.gdziepolek.pl/produkty/10112/bellergot-drazetki/apteki

I encourage you to read:

https://www.gdziepolek.pl/artykuly/depresja

https://www.gdziepolek.pl/artykuly/jak-poradzic-sobie-z-nerwica