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Re: Lou's request-kmuntyovdhth » Lou Pilder

Posted by maya4 on March 9, 2011, at 7:35:00

In reply to Lou's request-kmuntyovdhth » maya4, posted by Lou Pilder on March 8, 2011, at 17:04:49


You wrote,[...add..another SSRI or some other kind of antidepressant...increase buspar..lamictal...pdocs..think that isn't possible...].
> I am unsure as to the following. If you could post answers here to my concerns, then I could have the opportunity to respond ccordingly

> A. Are you aware that combinning SRIs could cause death?

No. I didn't know that adding a symbolic amount of a drug from the same family was dangerous and I apologize to porkpiehat if that is indeed the case. He/she would have not, however, been in any danger due to the mere suggestion, since antidepressants are not items one can pick up at the supermarket.

> B. If so, what could be your rationale for posting here to the member to add another SRI?

B. The suggestion to porkpiehat was to consult with his/her pdoc as to whether adding a small amount of another med might help. My assumption was that the pdoc is aware of dangerous combinations and would not prescribe anything that can cause harm in general or to a specific individual about whose medical history he is aware.

> C. Are you aware of the potential consequences to someone taking Lamictal? If so, what could be your rationale for the advice to increase the member's dosage of it?

I am aware of the fact that all drugs have side effects but assumed that the pdoc would be able to determine whether a tiny addition might help porkpiehat.

> D. Could you do a drug interaction assessment with the drugs listed by the member to see what the consequences could be if they add your suggested SRI or other antidepressant or increase Lamictal and then post here any contraindications of any combination of the drugs listed along with adding another SRI?

I lack the knowledge necessary to do such an assessment but am aware of the fact that pdocs are well trained in this field.

> Lou


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URL: http://www.dr-bob.org/babble/20110220/msgs/980291.html