Doctor insights on:
Oxcarbazepine is a sodium channel blocker, one of the anti-epileptic pharmacotherapies with a keto group at the 10 carbon position. It is approximately 50% protein bound in the plasma. It is sometimes used for the treatment of pain, such as chronic pain with neuropathic components, headaches ( for example trigeminal neuralgia). Some of its side effects include ...Read more
I did 2.5 grams of cocaine. Stupid choice. I have a metabolite test in 9 days. Female 145lbs.active...will it show up?
Its time to get help: At this point in your life,the smaller issue is whether or not a test with be positive.For some tests,9 days is outside the window of detection,but its impossible to say.It would be better to see an Addiction specialist,a therapist &join a support gp to address the real reasons behind your use.If your only worry is to"outsmart the test"your underlying problem w/recreational use will be reinforced ...Read moreSee 3 more doctor answers
Which causes asthenia after not taking; 1-Haloperidol
Mostly: Wellbutrin (bupropion) interferes with reuptake of dopamine&norepinephrine(noradrenaline)in the central nervous system, thereby leaving these neurotransmitters to sit longer&stronger in the synapse between communicating brain cells, which enhances dopamine&adrenaline activity at the cellular level. That can treat depression, feed pleasure to help sex&bypass tobacco, improve adhd&cognition, lower weight, etc. ...Read moreSee 2 more doctor answers
Zoloft (sertraline): Yes it is. Dopamin reuptake inhibition increases as dose increase. ...Read more
Bipolar(controlled -lamictal, carbamazepine), anxiety-semi-under control (lorazepam, temazepam, cymbalta) and ADD problematic- considering Vyvanse (lisdexamfetamine) ?
So much medication: It might be necessary to take some drugs but I question the risks already and adding the new one is especially bad w/ cymbalta (duloxetine). It can cause severe anxiety! Also serotonin syndrome. Almost all of your meds combine to cause a host of symptoms like dizziness, confusion and general impairment. Please consider a good psych eval and adding good psychotherapy to lower need for Rx and help them work! ...Read more
Agree w Dr. Ali: Which is best for treating which condition?. Paxil is an SSRI antidepressant which is good for treatment of typical depressive sx 's & anxiety. Bupropion is a unique antidepressant which is good for seasonal affective disorder, atypical depression & smoking cessation. Oxcarbazepine is a mood stabilizer and olanzapine is an antipsychotic. You are asking us to compare apples & organges. ...Read moreSee 1 more doctor answer
Which antidepressant drug has less sexual dysfunction side effects: Effexor (venlafaxine) XR or Prozac?
Hard to say: Both agents have sexual dysfunction as potential side effects. Around 20-30% of chances. It depends on individual susceptibility and also it varies upon the dose. So the lower the dose, less the risk . In my experience however, Effexor (venlafaxine) XR would be less prone to cause it than Prozac. ...Read more
Which is a safer, lower side effect profile drug, topamax (topiramate) or oxcarbazapine (in general terms, obv individuals vary)?
Don't 2nd guess: Neither is w/o risk and they are Rx'd for different (w/ overlap) conditions. You need to work w/ your Dr on selecting the best for you - say clearly that safety is impt to you. Know what they expect it to for your condition. Side EFX are pretty similar for both - your other health issues might be the swing vote. ...Read more
Topamax = 3a4 inducer. Augments gaba. Xanax & Abilify (aripiprazole) are substrates. Potential reaction? Wondering about topa + seroquel, too. Titrating from sero.
Combo: No significant adverse interaction other than sedation, as long as doses are therapeutic & monitored. ...Read more
Safe amount of acetaminophen a day if I take a Trileptal 1200 mg/day a know inducer of CYP (increased toxic acetaminophen metabolite)?
Tylenol (acetaminophen) dosage: in general for most patients the maximum daily dose should be 3000 mg daily of Acetominophen but if you are taking a medication which can affect the metabolism of it you might want to limit the dose of Acetominophen to 2000 or 2500 mg a daily. Also I would avoid alcohol usage when taking Trileptal and Acetominophen ...Read more