Doctor insights on:
What Herbs Interact With Paxil
Chitosan: Chitosan comes from chitin, part of the outer shell-like structure of insects, spiders, and crustaceans. It can improve cholesterol levels when combined with a low calorie diet. There's mixed evidence for its usefulness in weight loss. It may increase risk of bleeding w/plavix & coumadin, (warfarin) etc, & add to effects of cholesterol-lowering, anti-obesity, or antibiotic drugs, herbs, or supplements. ...Read more
Yes: Rhodiola rosea can be a very helpful herb, but it can interact with zoloft and other ssri's. It is a potent inhibitor of certain liver enzymes that metabolize zoloft and others. http://tinyurl.com/or7g6gg because of this, there could be a risk of serotonin syndrome. There is also a published report of tachyarrhythmia when rhodiola was taken with lexapro (escitalopram). ...Read more
Too broad a question: Generally speaking none of the meds you mentioned are known for their drug-drug or food-drug interactions. However, that's not to say they have none. Being more specific about which foods or meds you are asking about might help. ...Read more
Not usually: You would need to be more specific but usually very safe with herbals. ...Read more
Yes: The effects of Modafinil on glutamatergic and gabaergic transmission in the rat medial preoptic area (mpa) and posterior hypothalamus (ph), are analysed. Modafinil (30-300 mg/kg) increased glutamate and decreased gaba levels in the mpa and ph. Local perfusion with the gabaa agonist muscimol (10 microm), reduced, while the gabaa antagonist bicuculline (1 microm and 10 microm) increased glutamate le. ...Read more
Do these meds interact with each other and can they be taken together. Paxil, (paroxetine) klonopin, chlorthalidone, fish oil, centrum multi vitamin.?
Carob: The herbal remedy carob has a few interactions that really are more combined effects than drug on drug interactions. Some effects associated with carob include altering blood sugar, reducing cholesterol, less mineral absorption, & decreasing bowel emptying time. Medications or herbals that have a similar effect should be monitored, including insulin, red yeast rice, psyllium. See your doctor too. ...Read more
Does Zoloft (sertraline) cause weight gain? Are there any interactions with Zoloft (sertraline) and st. John's wort?
Probaly Not: There is no strong association between zoloft (sertraline) and weight gain but depression can cause loss of appetite and treatment may cause it to return. Do not take st. Johns wort, its affects are additive to zoloft (sertraline) and might cause a condition called serotonin syndrome or neuroleptic malignant syndrome. ...Read moreSee 2 more doctor answers
Are there any herbals besides chamomile that will assist with anxiety? Currently taking remeron and xanax (alprazolam). Possible hyper thryoid.
Yes: Passion flower, kava, and theanine may all be useful -- but not in combination with xanax (alprazolam) & remeron. They will also probably not be as potent in their effects as your psychotropic meds. If you're hypothyroid, why are you on synthroid? Hoping you're working closely with your doctor on that . . . . ...Read moreSee 1 more doctor answer
Pharmacists know: There could be a long list of possible interactions with venlafaxine because it's metabolized by liver isoenzyme 2d6 -- and there are many inhibitors of this isoenzyme. Some herbal and nutritional products that could cause interactions include st. John's wort, 5-htp, hawaiian baby woodrose, l-tryptophan, sam-e, black cohosh, goldenseal, & gingko. You'd need to consider the evidence with each. ...Read moreSee 1 more doctor answer
Part 2: Tyrosine, valerian, white horehound (marrubium vulgare labiatae), vitamin b6, yohimbe bark extract. The above is according to natural standard, an integrative medicine data base. Bottom line: if you're taking a medicine, talk to your doctor before taking an herbal supplement to make sure it's ok. ...Read moreSee 1 more doctor answer
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