Taking yourself off Paxil without side effects...???
22 years ago
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- 22 years ago
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St John's Wort outperforms Paxil for moderate-severe depression
Comments (32)Wishing to say something that may help all to understand proper usage of St. John's Wort within the realm of our modern world with its medicines, I point you all to a helpful website that discusses the Cytochrome p450 pathways. These are metabolic enzyme pathways, mostly in the liver, that our bodies utilize to "tag" molecules for elimination by the kidneys and also sometimes cause slower clearance of other molecules. So we talk about inducers and inhibitors as well as metabolism. Some of these substances, whether drugs, herbs, or even foods, affect other substances that come into our bodies by making them stronger or weaker in effect. For example, if a drug like paclitaxel, which is metabolized in CYP3A4 pathway is taken with St. John's Wort, a CYP3A4 inducer, the metabolism is speeded up and the drug clears from the body faster, making it less effective in killing cancer cells. The "side effects" may seem weaker because the effect of the drug is weaker. On the other hand, a form of Ginseng with a high concentration of ginsenoside Rh2, may act as a CYP3A4 inhibitor, making the metabolism of the paclitaxel slower, increasing thereby the effect of the drug. This also could cause a more noticeable "side effect." This is shown in cell culture studies that combined paclitaxel with Rh2. There may be other reasons why the IC50 increased (a measure of effectiveness in killing cancer cells in culture), but this is one of them. While we do have good data available from our pharmacies about cytochrome p450 pathways, the practitioners do not always have time to look things up. Recently, at an all-night pharmacy, I asked about a prescription I was picking up for a family member. That family member was considering taking either SJW or an SSRI, so I wanted to know about the reaction with cytochrome p450 and the new drug. The answer I got was curteous, but what was actually done was for the pharmacist to hand me the notes from the drug company that come in the package that the pharmacist uses to fill our bottles. I hesitate to think that most people might not ask about it and others who do may not know what the drug company's paper says. Of course, I want to be fair with the pharmacy. It was late at night. Maybe they take more time during the day. The website referenced below even mentions grapefruit juice and its effect. So be careful out there in your morning juice selection if you take drugs. I hope that my post helps with out marshalling the opposing sides too much. We all need to try to educate ourselves about the herbs and drugs that we take. I look forward to the day when the drug companies list the potential negative effects that their drugs may have on the herbs that I take. But I won't lose sleep waiting. Richard Here is a link that might be useful: Cytochrome p450 site...See MoreHigh blood pressure medication side effects
Comments (12)She was taking a B complex for a while and she may have stopped. She said "the bottle says to take two but I thought more might be better so I take three" -- that's another thing that stands out because she is a retired RN and always was very sensible and conservatibe about taking medications. She was taking a multivitamin for a while, but may have stopped that too. My dad is a health fanatic and tends to nag and correct her when she starts to take vitamins -- "did you take your vitamins?"; "don't take those together...", etc. I told her to take them in private when he's not around, but I suspect she stopped taking them altogether. She makes such a big deal about eating a regular sized meal of moderate portions -- "I can't believe I ate all that!" etc. when everyone else ate the same amount or more. Or she passes around her plate at the table at social functions to share her food, saying how full she already is and "I can't eat all this food!" when everyone else is enjoying their full plate (how do I politely stop her from passing around her plate like that? I wish she would just stop eating and not say anything to bring attention to herself). I don't understand what that's all about, but I think if she is so full with half a plate of food when she hasn't eaten for hours, then she is probably undereating (dieting) and her metabolism has slowed down. But whatever I say will go in one ear and out the other -- especially now that she has successfully lost weight and is thinner than ever. I don't know if she'll ever let any of us do anything for her unless she is totally helpless. Jen...See MoreSide effects from a new med
Comments (8)Thanks Ravencajun for the encouragement! I have read all there is on the web about this drug. I knew how serious it is and the dangers associated with taking it. I have been getting blood work every 2 weeks for 6 months and just yesterday was told I could go to every 2 months! YEA! I already take lots of vitamins, the B's and D3 every day. I also take 1000mg of Folic Acid the day I take the 5 pills and then 800mg a day. My Dermo has it all covered...LOL I have always suffered from headaches so I figured that was a weakness of mine and it was just targeted. I take a low dose and for that I am thankful. On a good note it has helped my psoriatic arthritis a lot! And the arthritis in my neck that was awful...it is manageable now! It is an affordable drug, a lot cheaper than the Enbrel he wanted me to take. Enbrel is 1000 dollars a month for me to take it...no way under the sun can I afford that! So, Methotrexate was a better choice, plus its been around a lot longer and I was told it is safer. Its just these last 2 weeks I have felt bad...and I don't like that! OH! And the pharmacist told me to drink a lot of water during the day and that will help also. It will help flush out the kidneys and a lot of his clients have told him that it just makes them feel better. Luckily I drink lots of water every day and it is no problem. But my elbow...poor ole thing! It just plain hurts! Using it is hard...I tried Icy Hot but I have a raw patch of psoriasis that is healing and forgot about it...Oh my! The burning...LOL And my cat thinks Icy Hot is a mating call or something! She goes crazy when she smells wintergreen! So funny. Thanks RavenCajun...I do feel a wee bit better now :o) Deb...See MoreAllegra D side effects
Comments (19)Ravencajun, I am so sorry that you had that bad experience. The doctor told me to get Afrin because it helps with the nosebleed. I use it as directed, only when my nose is bleeding. It helps to slow down the flow of blood. What I don't enjoy is standing over the bathroom sink watching my blood run down the sink in a river. That scares the bejeesus out of me and makes me feel weak in the knees. Worse is trying to tilt my head back because I gag on the blood that goes down my throat. I spray with Afrin and put the nose clamp on for an hour to stop it. I'm really not a nasal spray person, I understand the risk of nasal spray addictions and usually only use saline spray or very occasionally Flonase. The first thing that happened when I got into Urgent Care was that they sprayed my nasal passages with oxymetazoline hydrochloride to try to stop the bleeding that had at that time been going on for 6 hours and was really frightening my husband and me. We were afraid that I was going to bleed to death. I promise that once this now intermittent bleeding stops, I will throw out the Afrin, I'm only using it when the bleed kicks up. Sometimes, just showering or slipping a clean shirt on is causing my nose to bleed. It starts bleeding when I am asleep. It's scary to me since I've never experienced this in the past. It is really hard to not blow the clots from my nose, but I don't dare....See More- 22 years ago
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