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A 51-year-old male asked:

Which is a better choice if you are psychiatric meds.bystolic (nebivolol) or atenenol.on seroquel(sleep)..tegretol..lamictal...klonopin .luvox...vytoryn?

1 doctor answer2 doctors weighed in
Dr. Robert Olsen
Psychiatry 51 years experience
Atenolol: 1st choice: With complex metabolic profiles of your psych meds, atenolol presents lesser risk of drug interactions. The interaction of carbamazepine and fluvoxamine make it unpredictable whether there would be sufficient 2D6 inhibition by fluvoxamine to inhibit bystolic (nebivolol) metabolism which is dependent on fluvoxamine-carbamazeine 1A2 interactions. There are genetic tests for these risks.

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Last updated Dec 26, 2020

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