Re: Meds interactions » babs

Posted by medlib on January 14, 2003, at 19:35:23

In reply to Re: Help with stresswillow and medlib, posted by babs on January 14, 2003, at 7:49:04

Hi again Babs--
The short answer to your question is yes, but no. Celexa is metabolized by P450 CYP3A4 and 2C19 (and, very weakly, by 2D6). But, Medscape says that there have been no reports of echinacea interactng with drugs metabolized by 3A4. (Citalopram can interact with other rxs, but that's not relevant here.) So, nothing is ever clearcut in medicine; but, if you don't take Celexa and echinacea w. grapefruit juice, you probably won't have a problem. Long-term use of both drugs and natural substances can have buildup effects, but an increase in side effects usually warns you of those. Risperdal and Adderall are metabolized by other mechanisms.
I'm not too talented at expressing support, but I'd be glad to help with any information needs you may have during the coming months. I can run searches and provide links, etc. either here or by email (as can a number of good searchers here on PB).
Take care---medlib

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Re: Help with stress » babs medlib 1/13/03
Re: Help with stress Willow 1/14/03
Re: Help with stresswillow and medlib babs 1/14/03
Re: Meds interactions » babs medlib 1/14/03
Re: need help for chronic stress in addition to meds » babs IsoM 1/15/03

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