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Re: Deprenyl Contraceptive interaction? :(

Posted by missliz on January 20, 2003, at 0:49:52

In reply to Re: Deprenyl Contraceptive interaction? :(, posted by Larry Hoover on January 18, 2003, at 8:07:23

Having spent years on every MOAI, I've never seen or heard of a Pill interaction with any of them. It's the anti convulsants that screw with the Pill, they use the same metabolic pathways and the hormones lose out to the AEDs.
Selegiline (deprenyl is a kind of archaic term) does have some anti convulsant properties in lab rats, so theoreticly maybe it is a problem. Depends on the dose of selegiline, and if it's going down the cytochrome p450 highway. Never looked that up.This is a pathway in the liver that metabolizes drugs.
If it worries you, use a condom. Is your guy being a jerk about that? If you wound up overdosing there are bigger problems afoot than worry about contraception. Big girls either add more protection or just say no. A suicidal gesture tells me you have other stuff to work out.
You can also go to a stronger pill like Ortho Novum 1/50. More hormone means more gets past the metabolic traffic jam. My obgyn does high risk seizure disorder pregnancy management, as well as treating a lot of BP women and knew years ago that sex hormones are hugely significant in women with mood disorder. He did as much to get me stable as the whole psych dept. A lot of obgyn's don't know anything about this stuff, so if your guy looks at you like you're nuts just remind him that you are ;) and insist he look it up.
We're here for you sweetheart, but I think you really need to look into therapy. Been there and done it, and it really helps in ways meds can't. It's pretty normal to need both. If you're stressing enough to OD you need to suck it up and get the whole treatment package.

missliz


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poster:missliz thread:136377
URL: http://www.dr-bob.org/babble/20030119/msgs/136680.html