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Re: Tegretol HELL! jay

Posted by Ritch on July 15, 2002, at 12:24:36

In reply to Tegretol HELL!, posted by jay on July 14, 2002, at 14:33:32

>
> Oh gawd help me....ahhh!
>
> I started Tegretol a few days ago, at just 400mg's
> a day, with 150mg's of Effexor XR. I can't stay awake! What is going on...someone please help/advise me. I even tried going down to 200mg's a day yesterday, and STILL tired as hell.
> Any advise? (Besides adding a pstim. I take the Tegretol at bedtime. It is like when I was on Neurontin, just in a miserable foggy fatigued daze.) Help!
>
> Thanks you in advance
>
> Jay

Jay,

You might want to get a Tegretol blood level. Effexor uses CYP2D6 to metabolize it, and it may be causing high blood levels of Tegretol (in which case you may need to reduce the dosage somewhat). Jackster takes Paxil and Tegretol and he said his dose of Teg wasn't that high-but his blood level was (from what I remember).

Mitch


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poster:Ritch thread:112331
URL: http://www.dr-bob.org/babble/20020709/msgs/112428.html