Is the cyproheptadine interfering with the effect of the SSRI?

Question from a Member: I’m seeing more utilization of cyproheptadine prescribed by gastroenterology for my adolescents with ARFID [avoidant/restrictive food intake disorder] or anorexia. They are also struggling with depression and are on an SSRI. They are taking cyproheptadine 4 mg at night. Is this dose once daily not impacting the SSRI in any clinically…