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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by BRC on March 18, 2005, at 17:17:54
Hi,
I am a 28 year old male. Today I went to my family doctor for a routine check up and he did blood work.
The blood work revealed a very, very low white blood count. It scared me? I did not know the cause neither did my family doctor. I have to go back in a week for further testing.
Well I have been on all of this Antidepressant medication for over two years now.
I take Lexapro, Klonopin, REMERON, and Trileptal.
I had a feeling that this could be a side effect of the medications (I hope). I all over the web and I hit tons of websites that says that REMERON causes low white blood count.
I get my medication from my pdoc. and my family doctor always faxes blood work to him.
Do you think I should contact my pdoc. and stop the Remeron. Or what should I do?
Any advice,
BRC
Posted by Phillipa on March 18, 2005, at 17:44:03
In reply to Please Help!! Please Read, posted by BRC on March 18, 2005, at 17:17:54
I'd contact my pdoc and tell him what's going on. You may need to discontinue the remeron. Fondly, Phillipa
Posted by yxibow on March 19, 2005, at 2:44:34
In reply to Please Help!! Please Read, posted by BRC on March 18, 2005, at 17:17:54
> Well I have been on all of this Antidepressant medication for over two years now.Remeron has about a 1/1000 chance of agranulocytosis (low WBC), give or take... but from what I understand this manifests earlier on and you would certainly be aware if you have been taking Remeron for 2 years; one generally gets unexplained fevers or other flu-like symptoms. But your case could be unique by the combination of medications...
>
> I take Lexapro, Klonopin, REMERON, and Trileptal.Lexapro and Remeron are both active at the P450 2D6 to some extent, there could be increased plasma levels of one or the other.
>
> I had a feeling that this could be a side effect of the medications (I hope). I all over the web and I hit tons of websites that says that REMERON causes low white blood count.
>
> I get my medication from my pdoc. and my family doctor always faxes blood work to him.
>
> Do you think I should contact my pdoc. and stop the Remeron. Or what should I do?I think you should contact both doctors and see what the next course of treatment to do. If there's no immediate reason to not discontinue the Remeron (e.g. current severe depression with suicidality), I would suggest discontinuing it for a few weeks or so to see whether the Remeron is at fault or not, or whether it is due to some other organic origin. I don't think the other medications would be causalities but your doctors would know better.
Posted by JKL on March 19, 2005, at 10:02:03
In reply to Please Help!! Please Read, posted by BRC on March 18, 2005, at 17:17:54
Sounds like a remeron thing.
This is the end of the thread.
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