![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Phillipa on July 3, 2007, at 23:51:46
I don't get it zoloft is listed on the phamphlet with synthroid as contradictory only SSRI. Also so many meds will make your head spin from all categories of meds. Goggle synthroid and zoloft and you will see. Aren't all SSRI's the same? Love Phillipa
Posted by Honore on July 4, 2007, at 9:47:55
In reply to Why shouldn't Zoloft be taken with Synthroid only, posted by Phillipa on July 3, 2007, at 23:51:46
Why do you think zoloft shouldn't be taken with synthroid? I don't see any particular indication of problems after having done a few google searches.
The fact that Zoloft is on a list as having possible interactions doesn't mean that it has serious ones, or especially common ones, or that you would have a reaction.
These lists are blanket lists of the most common, perhaps, among very common medications-- but they don't have particular significance for any one person. They're useful more if you're having problems and want to check if a certain combination could *possibly* be causing them-- rather than to see if you might have problems if you took the combination.
I think you are possible worrying yourself too much, Phillipa. Are you still seeing the therapist you were seeing? Maybe this is something to talk over with her,. She might be able to help you sort out what's realistic, and what's caused by fears that you have about meds.
((Phillipa))
Honore
Posted by Phillipa on July 4, 2007, at 10:04:57
In reply to Re: Why shouldn't Zoloft be taken with Synthroid o » Phillipa, posted by Honore on July 4, 2007, at 9:47:55
Honore no that's not it at all. I just find it hard to believe that so many people take synthroid and there are so many meds that the leaflet says interact with it as cardiac, lasix it goes on and on. I'm not on zoloft my real question is why is zoloft the only SSRI as arent the SSRI's basically all the same? And to have an endos nurse tell me not to take synthroid with valium is a bit much to me. Even the pharmacist said yes these meds do interact but it you've been on them a while shouldn't be a problem. The leaflet is the one included with the med even on the instructions the pharmacy gives you. I never bothered to read them before. Curiousity is a better way of looking at it. I was told I would need synthroid for life so it's something I take reguardless. Love Phillipa
Posted by Glydin on July 4, 2007, at 10:15:21
In reply to Re: Why shouldn't Zoloft be taken with Synthroid o » Phillipa, posted by Honore on July 4, 2007, at 9:47:55
POSSIBLE interactions also can include potentiation or a dampening of one or both med's effects. This could be with absorption or with assimilation due to liver or chemical pathways... and it's not always a given that it will occur in every person. And it may just mean adjustments in dose or ingestion.
Drugs whos results are the same and are of the same class can use different modes of action to achieve the desired results, so, no not all drugs in a class are the same. Nor does everyone's body respond the same..... If so... probably there would be only need for one of everything.
Posted by Phillipa on July 4, 2007, at 12:03:34
In reply to Re: Why shouldn't Zoloft be taken with Synthroid o, posted by Glydin on July 4, 2007, at 10:15:21
Thanks again this makes sense to me. Same as being able to take synthroid for nine years at a higher dose with yougurt at breakfast now a lower dose but then it's with valium a no no too. So maybe the valium increases the effects? Love Phillipa
Posted by Glydin on July 4, 2007, at 13:41:32
In reply to Re: Why shouldn't Zoloft be taken with Synthroid o » Glydin, posted by Phillipa on July 4, 2007, at 12:03:34
Also, "Possible Interactions" list for meds versus "Contraindicated for use with..." list aren't necessarily the same nor imply the same level of caution.
Posted by Racer on July 4, 2007, at 16:43:44
In reply to Re: Why shouldn't Zoloft be taken with Synthroid o, posted by Glydin on July 4, 2007, at 10:15:21
> POSSIBLE interactions also can include potentiation or a dampening of one or both med's effects. This could be with absorption or with assimilation due to liver or chemical pathways... and it's not always a given that it will occur in every person. And it may just mean adjustments in dose or ingestion.
>
> Drugs whos results are the same and are of the same class can use different modes of action to achieve the desired results, so, no not all drugs in a class are the same. Nor does everyone's body respond the same..... If so... probably there would be only need for one of everything.Absolutely! The SSRIs are all different drugs, thus the different names, right? ;-)
And the interaction between Synthroid and Zoloft is dosage related. According to RxList.com,
"Administration of sertraline in patients stabilized on levothyroxine may result in increased levothyroxine requirements."
So, the warning sounds as though they're recommending other SSRIs first, so that you don't have to change the dosage on someone who's stable on Synthroid already.
Hope that helps. And it's good to see your name again.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.