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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by joe f on May 19, 2019, at 10:34:27
was on in the 1990's......the about 5 years ago ....switched me to lexapro, viibryd,celexa cymbalta.....had a hard time getting back on luvox ...finally a pa prescribed it t me and am back on 250 extended release......why are dr's so unwilling to consider this drug anymore
Posted by Lamdage22 on May 19, 2019, at 10:55:52
In reply to will dr. even consider luvox, posted by joe f on May 19, 2019, at 10:34:27
Cyp 450 metabolism issues with most meds. Big time interactions. Blood levels can go through the roof. You need to be aware of that if you are on it!!!
Posted by joe f on May 19, 2019, at 11:02:03
In reply to Re: will dr. even consider luvox, posted by Lamdage22 on May 19, 2019, at 10:55:52
what do u mean blood levels can go through the roof.....do you mean it raises levels of other drugs.....tegretol etc?
Posted by linkadge on May 19, 2019, at 14:27:36
In reply to Re: will dr. even consider luvox, posted by joe f on May 19, 2019, at 11:02:03
It can interact with other meds (increasing blood level), which may, or may not be a good thing. In the US, I don't think it is approved for depression (only OCD I think) even though there is evidence that it does work for depression / anxiety.
Not really sure. Perhaps other meds have been marketed harder.
Linkadge
Posted by Phillipa on May 19, 2019, at 17:43:16
In reply to Re: will dr. even consider luvox, posted by joe f on May 19, 2019, at 11:02:03
Joe it ups the levels in the body of benzos this I know to be true. So lower doses of benzos. As for othe classifications of med I do not know
Posted by Phillipa on May 19, 2019, at 17:52:13
In reply to Re: will dr. even consider luvox » joe f, posted by Phillipa on May 19, 2019, at 17:43:16
Pdf of luvox and other meds which interact. Long article hope it can be accessed. If not sorry I did try.
https://www.accessdata.fda.gov/drugsatfda_docs/label/2007/021519lbl.pdf
Posted by Phillipa on May 19, 2019, at 17:53:50
In reply to Re: will dr. even consider luvox, posted by Phillipa on May 19, 2019, at 17:52:13
Joe it works. Quite a few pages to get to the benzos. But never knew it also effected the clearance of all these other meds.
Posted by Lamdage22 on May 19, 2019, at 22:17:22
In reply to Re: will dr. even consider luvox, posted by joe f on May 19, 2019, at 11:02:03
Exactly. "Fluvoxamine is a potent CYP1A2 and CYP2C19 inhibitor, and a moderate CYP2C9, CYP2D6, and CYP3A4 inhibitor".
If you take drugs that are metabolized by these enzymes, you will have higher blood levels of these drugs.
> what do u mean blood levels can go through the roof.....do you mean it raises levels of other drugs.....tegretol etc?
Posted by joe f on May 22, 2019, at 12:08:31
In reply to Re: will dr. even consider luvox, posted by Lamdage22 on May 19, 2019, at 22:17:22
do you believe that is the reason dr's shy away
Posted by Lamdage22 on May 23, 2019, at 6:41:17
In reply to Re: will dr. even consider luvox, posted by joe f on May 22, 2019, at 12:08:31
My doctor at least. Yes, I think so. Imagine you go unconscious and they kill you by an overdose of a med that is metabolized by these liver pathways. Sometimes they get people on Luvox on purpose when they want to increase the levels of something. That's what my doctor told me.
I too dallied over Luvox. I felt like complete crap when I tried because the Neuroleptic levels went too high! And I had to beg my doctor.
Posted by Phillipa on May 23, 2019, at 9:22:18
In reply to Re: will dr. even consider luvox, posted by Lamdage22 on May 23, 2019, at 6:41:17
I don't feel that is true. Why wouldn't the doctor just up the dose of the med he wants higher . I sure would hope a doctor knows all your medications and wouldn't give you a med that could harm you. I still get RN newsletters meant for doctors also and luvox is the best medication for OCD.
Posted by Lamdage22 on May 23, 2019, at 10:08:37
In reply to Re: will dr. even consider luvox » Lamdage22, posted by Phillipa on May 23, 2019, at 9:22:18
I don't know. It's what that doctor said.
Posted by joe f on May 23, 2019, at 14:09:22
In reply to Re: will dr. even consider luvox, posted by Lamdage22 on May 23, 2019, at 10:08:37
i think luvox was late to the game in 1994...prozac,zoloft and paxil were already out and it was manufactured by a small company from belgium called solvay...even though available in europe since 1983
Posted by joe f on May 23, 2019, at 15:05:56
In reply to Re: will dr. even consider luvox, posted by joe f on May 23, 2019, at 14:09:22
i dont think drs would use luvox to boost another drug intentionally that would seem negligent
This is the end of the thread.
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