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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by crazyjoe on July 23, 2011, at 22:00:19
we all know luvox and caffeine could have an unpleasant interaction---just curious for those taking it or have taken it----did your doctors ever explain this issue to you before prescribing it
Posted by Phillipa on July 23, 2011, at 23:51:50
In reply to luvox/caffeine, posted by crazyjoe on July 23, 2011, at 22:00:19
No but tea doesn't bother me. Nor chocolate? Phillipa
Posted by crazyjoe on July 24, 2011, at 14:10:33
In reply to Re: luvox/caffeine » crazyjoe, posted by Phillipa on July 23, 2011, at 23:51:50
my point is why would a dr prescribe this and not explain such an important potential interaction as it could negate the reason someone is taking the drug in the first place----do you think some docs don't even know this??????
Posted by Phillipa on July 24, 2011, at 21:40:01
In reply to Re: luvox/caffeine, posted by crazyjoe on July 24, 2011, at 14:10:33
I think it's overblown out of proportion. Phillipa
Posted by crazyjoe on July 24, 2011, at 21:52:58
In reply to Re: luvox/caffeine » crazyjoe, posted by Phillipa on July 24, 2011, at 21:40:01
why do you say that phillipa---i asked my dr this question once and he said you should not drink coffee with any of these drugs!!
Posted by Phillipa on July 24, 2011, at 21:57:17
In reply to Re: luvox/caffeine, posted by crazyjoe on July 24, 2011, at 21:52:58
Cause I don't find it a problem. Bet others don't either. Of course if wrong ask a patient might help with your questions. Phillipa
Posted by crazyjoe on July 25, 2011, at 21:48:42
In reply to Re: luvox/caffeine » crazyjoe, posted by Phillipa on July 24, 2011, at 21:57:17
with all respects phillipa ---don't you think its a doctors responsibility to inform a patient as many people do consume caffeine---the shouldn't have to go to ask a patient
Posted by Phillipa on July 25, 2011, at 23:36:03
In reply to Re: luvox/caffeine, posted by crazyjoe on July 25, 2011, at 21:48:42
I wonder if it's on the drug info the pharmacists provide with the RX? It's not on the sample pack I have? I would guess it's dose dependant also. Phillipa
Posted by crazyjoe on July 26, 2011, at 15:05:26
In reply to Re: luvox/caffeine » crazyjoe, posted by Phillipa on July 25, 2011, at 23:36:03
should'nt a dr. know that
Posted by Phillipa on July 26, 2011, at 21:18:34
In reply to Re: luvox/caffeine, posted by crazyjoe on July 26, 2011, at 15:05:26
She knows but thinks the increase of benzos especially without raising dose is a good thing. She knows I don't drink coffee. Phillipa
Posted by crazyjoe on July 26, 2011, at 21:48:15
In reply to Re: luvox/caffeine » crazyjoe, posted by Phillipa on July 26, 2011, at 21:18:34
is she a fan of luvox
Posted by Phillipa on July 27, 2011, at 19:13:01
In reply to Re: luvox/caffeine, posted by crazyjoe on July 26, 2011, at 21:48:15
Whatever works for the pt barring maois one patient left on one taken for many years. One also on Emsam. Phillipa
Posted by Brainbeard on July 29, 2011, at 3:41:34
In reply to luvox/caffeine, posted by crazyjoe on July 23, 2011, at 22:00:19
The interaction between caffeine (also cola and other caffeinated drinks!) is major and not something to be taken lightly. It was overlooked and is still overlooked by a majority of doctors. The Dutch PI sheet has added a warning about the interaction since several years and mentions caffeine poisoning as a possibility.
The interaction occurs even with low doses.
I myself am on 50mg of Luvox and have gotten used to drinking about four cups of coffee a day. This roughly equals twenty cups of coffee for a person not on Luvox. I am severely caffeinated all through the day! And I like it.But I have been on high dose Luvox years ago, and back then drinking coffee scared the sh*t out of me because it induced instant ear-ringing (tinnitus).... It still does, but I don'\t care anymore.
Posted by crazyjoe on July 29, 2011, at 5:44:36
In reply to Re: luvox/caffeine, posted by Brainbeard on July 29, 2011, at 3:41:34
THANX ---YOU PROVED MY POINT WHY DO NOT DR'S TELL THEIR PATIENTS----I USED LUVOX YEARS AGO AND MY DR. SAID NO MORE THAN 1 CUP OF COFEE A DAY......DO SOME DR'S NOT EVEN KNOW THIS
Posted by Phillipa on July 29, 2011, at 20:17:58
In reply to Re: luvox/caffeine, posted by crazyjoe on July 29, 2011, at 5:44:36
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
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.
This is the end of the thread.
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