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Doctor insights on: Will 70mg Of Vyvanse Affect Treatment Of Prolactinoma In Any Negative Way I Am Also On 25mg Of Zoloft Will These Meds React Ok To Cabergoline

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Dr. Heidi Fowler
1,094 Doctors shared insights

Sertraline (Definition)

Also called zoloft, (sertraline) is one of selective serotonin reuptake inhibitors, with antidepressant/anti-anxiety actions. May cause headaches, nausea & ...Read more


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Are there other treatment options besides cabergoline for prolactinomas?

Bromocriptine: Bromocriptine. If side effects intolerable, trans-sphenoidal surgical resection still an option. ...Read more

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On vyvanse 40mg and just had 1st zoloft 25mg last night. Had insomnia and diarrhea last night. Should I take it PM again or should I try morning?

On vyvanse 40mg and just had 1st zoloft 25mg last night. Had insomnia and diarrhea last night. Should I take it PM again or should I try morning?

Morning dosing.: Zoloft is a serotonin increasing agent, via the blockade of transporters in the nerve nets that remove it from the synapse. Also it does this to a lesser extent with dopamine, thus increasing that neurotransmitter. The GI tract is heavily innervated by serotonin and many people develop diarrhea or other GI symptoms from it. Also taking it at night is a bad idea due to increased dopamine. ...Read more

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Was put on VyVanse (lisdexamfetamine) 40mg and Zoloft 25mg. On Wed. She has complained of headaches and blurry vision is this normal?

Was put on VyVanse (lisdexamfetamine) 40mg and Zoloft 25mg. On Wed. She has complained of headaches and blurry vision is this normal?

Medications: It is not surprising to have these side effects. If both medications were started at same time then consider contacting your doctor to make them aware of this. This side effect may get better in a few days or your doctor may decide to hold one of the medications and continue with the other to give the body time to adjust. Do not make changes without consulting your physician. ...Read more

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I was prescribed Zoloft about 3 months ago, I've experienced a lack of motivation I am also on vyvanse. Is this normal? Before I was on Effexor (venlafaxine)

I was prescribed Zoloft about 3 months ago, I've experienced a lack of motivation I am also on vyvanse. Is this normal? Before I was on Effexor (venlafaxine)

May need dose adjust: Your symptoms are most likely related to your depression. It may be time to adjust the Zoloft (sertraline) dose. Speak to your prescriber about your symptoms. ...Read more

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I had a hair follicle test that showed positive for methamphetamines. The drugs I take are Zoloft, vyvanse, trazadone, and Wellbutrin. Why??

I had a hair follicle test that showed positive for methamphetamines. The drugs I take are Zoloft, vyvanse, trazadone, and Wellbutrin. Why??

Most likely Vyvanse: Vyvanse is a prodrug that is metabolized into amphetamine by its passage through the liver (its chemical name is lisdexamfetamine), so it is not unusual. Wellbutrin is also a very similar molecule to amphetamine, but I am not sure whether it would show up as a positive in a hair follicle test. ...Read more

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Can vyvanse (lisdexamfetamine) and luvox have interactions and if so what are they? Also is there an interaction between vyvanse (lisdexamfetamine) and zoloft?

Can vyvanse (lisdexamfetamine) and luvox have interactions and if so what are they? Also is there an interaction between vyvanse (lisdexamfetamine) and zoloft?

Yes. But: Luvox and Zoloft (SSRI meds) can interact with Vyvanse (lisdexamfetamine) to boost the effects of Vyvanse (lisdexamfetamine) possibly giving you more side effects such as jitteriness, tremor. But the combination is fairly common, effective and safe with careful medical supervision. I hope this helps. ...Read more

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Is it safe to take 150mg Wellbutrin (bupropion) with 25mg zoloft and 40mg vyvanse?

Is it safe to take 150mg Wellbutrin (bupropion) with 25mg zoloft and 40mg vyvanse?

Discuss this with: Your psychiatrist. Make sure you are being monitored for side effects (precipitation of mania if you are bipolar, serotonergic syndrome, and seizures). Do not abruptly discontinue medications without consulting your psychiatrist. ...Read more

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Prolactinoma 2, 5*2, 3 no vision problem good testo cabergoline treatment go for surgery or wait? Treatment period 5yrs

Prolactinoma 2, 5*2, 3 no vision problem good testo cabergoline treatment go for surgery or wait? Treatment period 5yrs

Meds OK: I don't understand the 2, 5*2, 3? But if it's a prolactinoma, it should be treated first with medications (cabergoline or bromocriptine) before thinking about surgery, especially when it's causing no vision problems. ...Read more

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I took 140 mg vyvanse (lisdexamfetamine) and im prescribed Zoloft, why do I feel dizzy light headed and tingly in my hand and feet?

Very hi Vyvanse (lisdexamfetamine): You took a very hi dose of vyvanse (lisdexamfetamine). usual recommended dose 70 mg. Fortunately, the symptoms should have cleared if you have not taken any more Vyvanse (lisdexamfetamine). ...Read more

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Can you die from taking Vyvanse (lisdexamfetamine) and Zoloft at the same time?

Not usual doses: These medications are compatible with each other. At the usual doses, there should not be any danger. ...Read more

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I am currently taking 75 MG of Zoloft and was just prescribed 40 MG of Vyvanse (lisdexamfetamine). Is this safe?

Okay, but: No significant interactions together, however, caution advised for either medication if any known history of seizure disorder ...Read more

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2 months ago I was diagnosed with a macro prolactinoma (prolactin lvl of 4, 000)surgeon said he wasn't worried and endo put me on dostinex (cabergoline). Is this ok?

2 months ago I was diagnosed with a macro prolactinoma (prolactin lvl of 4, 000)surgeon said he wasn't worried and endo put me on dostinex (cabergoline). Is this ok?

Likely: Prolactinomas are generally treated medically not surgically but response to the medication should be monitored by imaging. Additionally I recommend all patients with pituitary tumors to see an endocrine specialist to check other hormones and an opthalmologist to assess visual fields. ...Read more

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I am 53 years old, I have a prolactinoma for 8 year and took dostinex (cabergoline). 5 mg, the last year I have a very irregular period & this lasts me since dec 31?

I am 53 years old, I have a prolactinoma for 8 year and took dostinex (cabergoline). 5 mg, the last year I have a very irregular period & this lasts me since dec 31?

Prolactinoma: You may be going through menopause. The high prolactin of a prolactinoma will certainly disrupt your periods, but if the Dostinex (cabergoline) is controlling your blood prolactin level, then your periods should return to normal. ...Read more

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Likely that severe hypogonadotropic hypogonadism has other causes than just prolactinoma if cabergoline fails to normalize testosterone levels?

Likely that severe hypogonadotropic hypogonadism has other causes than just prolactinoma if cabergoline fails to normalize testosterone levels?

Yes: If a pituitary growth is big (2 cm), and the initial prolactin wasn't very high, then the growth is most likely not a prolacatinoma. This non-functioning growth can "take up normal space" in the pituitary and physically suppress the hormones that control testosterone production and release. How big is your tumor and what was the original prolactin level? ...Read more

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Is it possible for a macro prolactinoma to completely shrink away due to cabergoline, or do they always require surgury in the end? Thanks

It can: Prolactinoma should be treated with medication first, not surgery. Frequently it can be controlled on the medication and never requires surgery. Keep close contact with your physician and do the followup as suggested. ...Read more

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I was diagnosed w/ prolactinoma ~6 months ago and I have been on cabergoline 1 mo. I am not using contraception, is it possible for me to get pregnant?

I was diagnosed w/ prolactinoma ~6 months ago and I have been on cabergoline 1 mo. I am not using contraception, is it possible for me to get pregnant?

Yes: Even though elevated prolactin levels can lead to a lack of ovulation, with treatment, your body can return to a normal menstrual cycle where you can ovulate, and thus, conceive. ...Read more

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Will cabergoline treat a slight gynacomastia from prolactinoma-.5mg 3x/wk, now hormone lvls are normal but soreness in breasts, will it recede normally?

Will cabergoline treat a slight gynacomastia from prolactinoma-.5mg 3x/wk, now hormone lvls are normal but soreness in breasts, will it recede normally?

First, cabergoline: Is generally given only 2x/week. If prolactin levels have been normalized, there may be a slight reduction in gynecomastia, but once the tissue has increased, it may never return to prior status. It should, however, not worsen as long as prolactin levels remain normal. ...Read more

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Are there other medications to treat a prolactinoma other than cabergoline or bromocriptin? I've heard side effects are awful.

Are there other medications to treat a prolactinoma other than cabergoline or bromocriptin? I've heard side effects are awful.

I'd give them a try: Everyone responds differently so if give them a try (they r the only meds available in usa), because so far all of my patients have tolerated them quite well. Slow dose up titration may help you. Most common side effect is constipation. May increase obsessive compulsive tendencies, so watch for that too. ...Read more

Dr. Heidi Fowler
1,048 Doctors shared insights

Zoloft (Definition)

Zoloft is a serotonin reuptake blocker which is a kind of ...Read more


Dr. Sandra Lora Cremers
123 Doctors shared insights

Cabergoline (Definition)

Cabergoline is a vaginal agent which is a kind of women's ...Read more


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