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Doctor insights on: Amitriptyline Level

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Dr. Jeffrey Satinover
378 doctors shared insights

Elavil (Definition)

Elavil is a tertiary amine tricyclic which is a kind of tricyclic type drug (serotonin-norepinephrine reuptake inhibiting ...Read more


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Can cymbalta (duloxetine) effect blood sugar levels?

Can cymbalta (duloxetine) effect blood sugar levels?

Cymbalta (duloxetine): No reported cases of changes in blood sugar levels that I am aware of. ...Read more

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Does klonopin (clonazepam) medication for anxiety cause lower hemoglobin and hemacrit levels thankyou?

Does klonopin (clonazepam) medication for anxiety cause lower hemoglobin and hemacrit  levels thankyou?

For the most part no: Drug induced anemia - low red blood cell counts - from klonopin (clonazepam) is exceptionally rare, basically case reportable(meaning it's so rare that cases of this are published for doctors to better understand). While there are reported incidents, in general, anemia isn't felt to be a common side effect at all. ...Read more

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Does Prozac (fluoxetine) raise klonopin levels?

Does Prozac (fluoxetine) raise klonopin levels?

Unlikely: Good question. No blood level effects between Prozac (fluoxetine) and Klonopin that I could find. ...Read more

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Could quetiapine increase blood levels of nortriptyline?

Could quetiapine increase blood levels of nortriptyline?

Cardiac possible: Not so much on the change in blood levels but more concerning is the increased risk of heart rhythm problems, sometimes dangerous, by prolonging a portion of the ECG called the "QT interval". ...Read more

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How does trazadone increase Paxil (paroxetine) levels?

How does trazadone increase Paxil (paroxetine) levels?

Serotonin: They both increase serotonin levels & can (rarely) cause a serotonin syndrome ...Read more

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Can Klonopin or Wellbutrin (bupropion) cause high prolactin levels?

Can Klonopin or Wellbutrin (bupropion) cause high prolactin levels?

Well ...: In theory, Wellbutrin (bupropion) could cause hyperprolactinemia but in all honesty, I've never seen it occur in clinical practice. Also, Klonopin (a medication that works on the GABA system) can actually inhibit prolactin release. So, short answer is ... It's possible but very unlikely. Hope that helps! ...Read more

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Can Xanax (alprazolam) or klonopin raise blood calcium levels?

Can Xanax (alprazolam) or klonopin raise blood calcium levels?

No increase in Ca: The benzodiazepines act to depress neuronal excitability through the inhibitory GABA neurotransmission system in the CNS. The resulting increase in the concentration of Cl- ions in the post-synaptic neuron immediately hyperpolarizes this neuron, not Ca-ions. no increase in Ca levels. ...Read more

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Can the anti-depressant, cymbalta, (duloxetine) affect testosterone, LH, FSH, PRL or TSH levels in any way?

Can the anti-depressant, cymbalta, (duloxetine) affect testosterone, LH, FSH, PRL or TSH levels in any way?

Here are some ..: The causes for low-T are many, can be primary or secondary. Over the last decade, more awareness in drug-induced HPG axis dysfunction has emerged leading to low-T. Now, it is increasingly known all drugs exerting their effects on CNS will in time affect HPG axis, notably the opiate-related drugs. For cymbalta (duloxetine), up to present, it does cause low-T in few patients, but reported at 0.07%. ...Read more

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Could 100mg tramadol .1mg clonidine and 50 mg amitripyline cause serotonin toxicity and death ?

Could 100mg tramadol .1mg clonidine and 50 mg amitripyline cause serotonin toxicity and death ?

TramadolAmitriptylin: The reported prevalence of serotonin syndrome is unknown possibly because of underdiagnosis or misdiagnosis. However, it is a potentially life-threatening condition with symptoms that can appear from 30 minutes to 48 hours after a new serotonergic medication is taken. Any drug or combinations of drugs that induce an excess of 5-ht can cause serotonin syndrome. Rec.: talk to your treating doctor. ...Read more

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Does Prozac (fluoxetine) raise the level of klonopin ?

Does Prozac (fluoxetine) raise the level of klonopin ?

Prozac (fluoxetine) and Klonopin: They are different classes of medications, but for each individual, some differences could occur when taken together. If Prozac (fluoxetine) calms anxiety(which is probably the goal)then it may feel like the Klonopin hit you harder. I always recommend keeping a log when you make any changes in med or dose. It is too easy to confuse the variables(example-if you were sleep deprived night before).But talk w yr do ...Read more

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Effexor (venlafaxine) 225mg hs, Neurontin 200mg bid, lisinopril 5mg ac, Prilosec 20mg ac, hydroxyzine 50mg hs, ativan .5 mg prn, too many rx's daily- liver damage?

Probably Not: Especially for someone who is young. Neurontin (gabapentin) doesn't even get metabolized by the liver. That being said, it makes sense to monitor you liver w/regular lab-work & to ask yourself if exercise, nutrition, & meditation can help your symptoms & reduce your pill burden. ...Read more

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The interaction between klonopin (clonazepam) and tegretol:tegretol lowers klonopin (clonazepam) by 30% -does klonopin (clonazepam) raise tegretol ?

Not great combo: Concomitant administration of clonazepam (Klonopin) and carbamazepine (Tegretol) resulted in a 22% increase in clonazepam clearance and a 20.5% decrease in carbamazepine clearance. Carbamazepine is well known to induce its own metabolism as well as the metabolism of other meds making it difficult to manage. Consult provider. Bottom line - Klonopin is not likely to raise Tegretol levels. ...Read more

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Why would 10mg celexa (citalopram) make your blood serotonin level low? When i wasn't on celexa (citalopram) my serotonin level was high?

Why would 10mg celexa (citalopram) make your blood serotonin level low? When i wasn't on celexa (citalopram) my serotonin level was high?

CSF correlation?: CSF serotonin levels may not correlate with blood levels, and some labs are very unreliable also. Celexa (citalopram) inhibits the reuptake of serotonin back into pre-synaptic neurons -- increasing synaptic amounts. This is one of the ways Celexa (citalopram) works in depression. Because of the blood-brain barrier your CSF level may be higher than blood level. CSF levels are obtainable by lumbar puncture only. ...Read more

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Dr. Heidi Fowler
326 doctors shared insights

Endep (Definition)

Endep is a tertiary amine tricyclic which is a kind of tricyclic type drug (serotonin-norepinephrine reuptake inhibiting ...Read more