Posted by Brainbeard on July 30, 2011, at 4:24:36
In reply to Re: luvox/caffeine, posted by Phillipa on July 29, 2011, at 20:17:58
> Sure they know. And if a coffee drinker would probably ask you. Brainbeard you sound a lot like me. Why do you also stay on low dose luvox? Phillipa
They often don't know, neither do they ask or tell. That's my experience with doctors and risky interactions in general. People die or get hospitalized because docs don't check out interactions. For instance, when you combine an (S)SRI with an NSAID painkiller, like Ibuprofen, your risk of having an upper gastrointestinal bleeding increases dramatically. When I had RSI-complaints my family doc wanted to prescribe me a strong NSAID. I had to tell him myself about this interaction. He hadn't thought about it for a second, possibly he doesn't even know about it since the research backing this up is relatively recent.
I am on low dose Luvox to potentiate my clomipramine. Clomipramine itself is good for OCD, but it has a metabolite that is stimulating and might be counterproductive for OCD. The Luvox makes blood levels of clomipramine increase and blood levels of the metabolite decrease. My p-doc uses this pharmacological strategy more often.
Current meds: clomipramine 225mg, fluvoxamine (Luvox) 50mg, methylphenidate 30-90mg, flupentixol 1mg. PRN: oxazepam 5-20mg or other benzo's.
poster:Brainbeard
thread:991678
URL: http://www.dr-bob.org/babble/20110728/msgs/992306.html