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Re: Drug Metabolism Question » Crotale

Posted by LynneDa on July 21, 2008, at 19:16:47

In reply to Re: Drug Metabolism Question » LynneDa, posted by Crotale on July 20, 2008, at 22:52:20

Hi & thanks for your response!
I am on 20mg Lexapro at night, 150 mg Wellbutrin in morning - I'm supposed to go up to 300mg, 1/2 in morning, 1/2 in afternoon, but it makes me a little edgy! I'm foggy all day - can't remember things, can't keep track of what I'm doing (I'm 44 - never had this issue til I went on meds 5 years ago). I have trouble sleeping so sometimes I'll take halcion (sp?) or just Benadryl - big hangover the next day!

I'm seeing a new internal med doc in a few weeks and I'm going to switch p-docs cuz mine is not really helping me - just keeps writing me scrips. I'd like to ask the internal med doc to run tests - thyroid, etc., so I will ask him about enzyme tests too. Anything else you can think of, I'll throw that in too :-).

Thanks again!
~ Lynne
************************************

You can get tested for enzyme deficiency. If you are deficient in CYP2D6, in particular, you want to be very careful with tricyclics. I had a great response to desipramine - but then I had a partial seizure and it turned out my serum level was elevated.
>
> What meds are you on right now? A number of drugs inhibit these enzymes. For example, Prozac and Paxil inhibit 2D6, while Luvox and Xanax inhibit 3A4. (These are only a couple examples.)
>
> -Crotale


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poster:LynneDa thread:839650
URL: http://www.dr-bob.org/babble/20080718/msgs/841311.html