![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 26. This is the beginning of the thread.
Posted by Phillipa on June 7, 2013, at 0:32:49
New internist said today that luvox is not a good drug and is not favored by medical community why? Phillipa
Posted by jono_in_adelaide on June 7, 2013, at 0:44:46
In reply to Luvox is it a bad drug doc today said is?, posted by Phillipa on June 7, 2013, at 0:32:49
I think its mainly because of interactions with other drugs Phillipa - some of the newer SSRI's such as Zoloft of Lexapro are a lot "cleaner" and dont interfear with the metabolism of other drugs like lexapro can.
Having said that, provided you're aware of the interactions, they dont have to be problematic, I dont think Luvox is bad in that it has any toxicity problems beyone the rest of the SSRI family (ie, very low)
Posted by jono_in_adelaide on June 7, 2013, at 0:46:23
In reply to Re: Luvox is it a bad drug doc today said is?, posted by jono_in_adelaide on June 7, 2013, at 0:44:46
What did the internist say about your arthritis Phillipa?
Posted by joef on June 7, 2013, at 13:13:26
In reply to Re: Luvox is it a bad drug doc today said is?, posted by jono_in_adelaide on June 7, 2013, at 0:46:23
phillipa ask your internist "why it is a bad drug" looking for a specific reason.....my guess is the interactions ...but pressure her for an answer
Posted by gadchik on June 7, 2013, at 14:28:36
In reply to Re: Luvox is it a bad drug doc today said is?, posted by joef on June 7, 2013, at 13:13:26
I suggest ask pharmacist. I had gp one time prescribe me luvox, as she was convinced that I was ocd and it was the ssri she liked for treating that condition. I never took it.
Posted by joef on June 7, 2013, at 14:38:40
In reply to Re: Luvox is it a bad drug doc today said is?, posted by gadchik on June 7, 2013, at 14:28:36
if I may ask you what did the pharmacist say to you regarding luvox and why did you not take it
Posted by gadchik on June 7, 2013, at 14:48:57
In reply to Re: Luvox is it a bad drug doc today said is?, posted by joef on June 7, 2013, at 14:38:40
Hello Joef, I was just suggesting P ask a pharmacist, as that's what I always do. I never asked a pharmacist, myself about luvox in particular. I didnt take it because I was in a phase then where I refused all meds. But I did see a psychiatrist later, whom I trust and still see today, and she did not diagnose me as ocd and did not prescribe luvox. Thanks for asking : )
Posted by joef on June 7, 2013, at 18:05:12
In reply to Re: Luvox is it a bad drug doc today said is? » joef, posted by gadchik on June 7, 2013, at 14:48:57
just curious gadchick.....what is your diagnosis....and do you still refuse meds
Posted by gadchik on June 7, 2013, at 19:46:07
In reply to Re: Luvox is it a bad drug doc today said is?, posted by joef on June 7, 2013, at 18:05:12
Ive been diagnosed: gad, with mild obsessive tendencies, mdd, and panic attacks(rarely have those). I refused meds for months, thought I had a physical problem. I ended up psychotic, lost 30lbs, stopped eating and sleeping. I finally went to a pdoc and immediately trusted her. She got me on remeron, zoloft and klonopin. They did give me an ativan iv in the er before that, and I experienced such profound relief from my extreme anxiety. Now, Ive been fine since 2008,and just on .5mg klonopin at night. I recently switched over to Teva from brand, and dont know if this was a good idea.
Posted by Phillipa on June 7, 2013, at 20:23:41
In reply to Re: Luvox is it a bad drug doc today said is? » joef, posted by gadchik on June 7, 2013, at 19:46:07
I'm thinking meant cause of the potentiating effects of some meds and caffeine with luvox. I goggled it and it gets great ratings with people who have ocd and I have an anxiety disorder with ruminating and constant worrying. So this is the form my ocd takes. Not the handwashing type none this stuff. Phillipa
Posted by jono_in_adelaide on June 7, 2013, at 21:30:41
In reply to Re: Luvox is it a bad drug doc today said is?, posted by Phillipa on June 7, 2013, at 20:23:41
Fact is you've been taking Luvox for a long time, and the interactionshavent been an issue for you - it works, so I'd keep taking it.
You are used to the benzo blod levels you get from combining them with luvox - if you stopped the luvox, you'd likely have to increase your dose of benzo.
Posted by Phillipa on June 7, 2013, at 22:26:57
In reply to Re: Luvox is it a bad drug doc today said is?, posted by jono_in_adelaide on June 7, 2013, at 21:30:41
Good point. I have to wonder if should raise the luvox and discontinue Lexapro? Phillipa
Posted by joef on June 8, 2013, at 7:33:25
In reply to Re: Luvox is it a bad drug doc today said is? » joef, posted by gadchik on June 7, 2013, at 19:46:07
gadchick since dropping remeron and Zoloft do you function ok with just the klonopin ..if so why the 3 meds then
Posted by gadchik on June 8, 2013, at 11:16:24
In reply to Re: Luvox is it a bad drug doc today said is?, posted by joef on June 8, 2013, at 7:33:25
Yes I function well with just klonopin. I wouldve been able to pull out of my breakdown if Id taken k in the very beginning of the extreme anxiety, which then led to depression, and on to psychosis. By the time I got to the pdoc, I was a mess, wouldnt take the antipsychotic, so she got me to agree to the 3, and they worked. I had to do counselling,cbt, exercise, nutrition, etc. This all started with a bout of vertigo that I allowed to drive me mad. Normlly, Im a nervous person, but can function well. Something bad or big change has to occur for me to get crazy or depressed. Thanks for asking : ). Btw, what is your story. Forgive me if Ive missed it.
Posted by joef on June 8, 2013, at 13:09:46
In reply to Re: Luvox is it a bad drug doc today said is? » joef, posted by gadchik on June 8, 2013, at 11:16:24
I suffer from ocd and bipolar type 2 with lots of anxiety.....currently take viibryd 20 mg, tegretol 600, lamictal 100 and Ativan 1.5 sleep and .5 during day. I've used about all the ssri's and have used klonopin ...liked klonopin but was not helpful for sleep.....I ask about being off the meds because I am thinking about stopping them except for using ativan or klonopin...will be talking to dr. soon....
Posted by gadchik on June 8, 2013, at 14:55:07
In reply to Re: Luvox is it a bad drug doc today said is?, posted by joef on June 8, 2013, at 13:09:46
for anxiety, I feel that benzos are so underutilized,and they can work as monotherapy for some. I was a little surprised once I tapered off mine and just the klonopin did fine. And I lost alot of weight after tapering. Yeah, I dont think klonopin does much for my sleep now, but it sure did for awhile. Klonopin seems to help quell racing thoughts better than anything for me. I did like zoloft together with klonopin. I wanted to lose weight though. I would def consider taking z again rather than having to increase k though.
Posted by joef on June 9, 2013, at 11:12:22
In reply to Re: Luvox is it a bad drug doc today said is?, posted by joef on June 8, 2013, at 13:09:46
just wondering about staying on a benzo-probably klonopin-lasts longer and a low dose of ssri ..ditching the lamictal and tegretol....dr won't go for ditching both ..but once again its my choice
Posted by gadchik on June 9, 2013, at 11:56:32
In reply to Re: Luvox is it a bad drug doc today said is?, posted by joef on June 9, 2013, at 11:12:22
for me, a low dose of zoloft along with low dose klonopin was the perfect rx. someone once posted on here a study showing the superiority of these 2 together, but i dont recall what the condition was-mayb depression with anxiety? anyway, a dr once told me that zoloft was the ssri that he felt treated the widest range of psychiatric problems with lowest side effects.
Posted by gadchik on June 9, 2013, at 13:35:27
In reply to Re: Luvox is it a bad drug doc today said is?, posted by joef on June 9, 2013, at 11:12:22
J, you said you are bipolar 2? I dont think ssris are good for that condition? I guess youve looked into it. Im not sure on that.
Posted by joef on June 9, 2013, at 19:34:25
In reply to Re: Luvox is it a bad drug doc today said is? » joef, posted by gadchik on June 9, 2013, at 13:35:27
yes gad am aware of ssri's and bipolar...but have fairly bad ocd..so need one....any suggestions
Posted by gadchik on June 10, 2013, at 7:13:41
In reply to Re: Luvox is it a bad drug doc today said is?, posted by joef on June 9, 2013, at 19:34:25
I know it usually takes a higher dose of ssri to treat ocd. the only ssri that i could tolerate is zoloft. prozac was mild on side effects for me, however, i didnt want to take it,liked zoloft better.
Posted by joef on June 10, 2013, at 7:54:49
In reply to Re: Luvox is it a bad drug doc today said is? » joef, posted by gadchik on June 10, 2013, at 7:13:41
so you can see my dilemma...need the ssri..and dr. will not prescribe without mood stabilizer with it....would like to cut out either lamictal or tegretol.......klonopin did help but did nothing for sleep wheras Ativan does help sleep...won't prescribe both.....weight gain on Zoloft....if dr. doesn't start listening better on to other dr....been with him 7 years
Posted by gadchik on June 10, 2013, at 9:16:34
In reply to Re: Luvox is it a bad drug doc today said is?, posted by joef on June 10, 2013, at 7:54:49
Sometimes, it can be a very good thing to get a second opinion, but only you can decide. I hope you do find the answer. : )
Posted by joef on June 10, 2013, at 9:24:30
In reply to Re: Luvox is it a bad drug doc today said is? » joef, posted by gadchik on June 10, 2013, at 9:16:34
thank you...that is part of my problem...can't make a damn decision to save my life...and the last 6 mos. lost loved one and job...tuff times
Posted by gadchik on June 10, 2013, at 10:41:58
In reply to Re: Luvox is it a bad drug doc today said is?, posted by joef on June 10, 2013, at 9:24:30
Sorry to hear,J. You have most certainly been dealt a tough hand. Losing someone has got to be the worst feeling. I have only lost pets in my life, no person that has been close to me. But we will all lose someone. I did lose a treasured job, after 15 yrs. I lost it because of my major breakdown in 2007. I had to adjust to a new normal. Life is unpredictable, a joy and a pain.
Go forward in thread:
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.