Taking yourself off Paxil without side effects...???
22 years ago
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- 22 years ago
- 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 MoreWeaning yourself off of hormones?????
Comments (16)Hi All! Well I guess I could say I weaned myself,with the help of my doctor.off HRTs. I tried a great variety from the onset of my menopause at 50. Tried Prempro pills first then premarin cream, vagifem suppositories, Combi Patch, and finally Femhrt,also garden variety health food store over counter progestone creams, phyto proleif order by mail. Yep you name it I tried it to fight the bad hot flashes night sweats,insomnia, heart palpitations. Just plain fatigue worn out menopausal lady. So now at 55 I think I have run the race , analyzed that each had its good and bad effects on me but in general doc agreed I must be allergic to estrogen products synthetic or otherwise.So I decided to quit altogether no more trials and errors. My flashes were pretty bad at first withdrawl wise, then lessened. I have only mild ones now, not to say they won't return with a vengeance. But my heart palps did lead me to a echocardiogram . Mitral valve prolapse as I may have mentio9ned in previous thread. Fibromyalgia plagues me from my bouts with insomnia, advil or motrim suffices for now. Do to my run down sleepless conditon and teaching and cold weather and bronchitis, well now I have pneumonia and a suspicious lung xray (non smoker) so must go to a pulmonary specialist on Tues. Ruled out blood clot from a blood test so either scar tissue or hopefully not some malignant growth. Oh well aging is certainly not boring, eventful yes. Wouldn't or couldn't have it any other way. Sunflower_55...See MoreI suspect Metacam side effects--other option(s)?
Comments (48)We almost lost our 15 month old Cockapoo and we fear it was due to this drug 'Metacam'. We brought our dog to the vet with a slightly sore paw, nothing we were overly concerned about as he was putting weight on the foot and in good spirits. Reluctantly we agreed to our dog being given an antibiotic and an injection of Metacam (we felt this was a bit unnecessary but we trusted the vets opinion and that we were doing the best for our dog). That same day the dog was groggy and lethargic. By that same night our dog was groaning with pain so we gave him half a painkiller prescribed by the vet. The next morning our poor dog couldn't move, he lay unresponsive and couldn't lift his body weight upright. He wasn't eating or drinking a thing! If we touched any part of his body he was in severe pain. Our dog is very energetic with a great appetite and we were very worried! We returned to the vet and found our dog was running a very high temperature. The vet was adamant that this was as a result of his sore paw and possible bone infection and was very critical of the dog breed. Our dog was kept in over night and medicated with paracetamol and an IV antibiotic. Within 24hours our dog was returning to normal. The vet insisted we do an x-ray and nothing showed up. Thankfully we were able to discharge our pet after two nights but found the vet very reluctant to talk about what and how much medication he had prescribed our dog. We have no way to ever know for sure the reason our dog fell unresponsive within a couple of hours but we can't shake the feeling that it has a strong connection with the Metacam he was administered on first meeting the vet. We have also noticed our dog's weight is not correct on his medication label - it is double his weight! Finally, when leaving the vet practice with the prescribed medications, the vet had to call us back as he has prescribed double painkiller doses. The vet carried out a blood test without our knowledge and still has not disclosed the result of this blood test. When asked to discuss our concerns the vet became extremely defensive and condescending towards us. We would love to put our minds at ease and find out if any other dog owners experienced this reaction to Metacam or if it sounds like a over dosage of Metacam?...See MorePaxil for hot flashes
Comments (1)I just weaned myself off, after taking them for the same reason. I would never recommend anyone taking anti depressants for symptoms of menopause. That’s just my personal experience. I found the largest difference in regulation of hot flashes and night sweats was made when I regulated my sugar intake....See More- 22 years ago
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