Which SSRIs may be considered?
Examples of established SSRI maintenance medications include sertraline, escitalopram, fluoxetine, citalopram, and paroxetine. Americare does not guarantee continuation of any medication.
What additional screening may be needed?
- Current medication, dose, and duration
- Recent mood and anxiety symptoms
- Suicidal thoughts or self-harm risk
- History of mania or bipolar disorder
- Recent dose changes or medication discontinuation
- Adverse effects, pregnancy status when relevant, and interactions
When is a refill-only pathway not appropriate?
New or worsening suicidal thoughts, mania, psychosis, severe medication reactions, or significant clinical deterioration requires a more comprehensive or urgent evaluation. Call or text 988 for a mental-health crisis and 911 for immediate danger.
Read the Texas Medication Refill Guide or start a refill evaluation.