Posted by chemist on August 22, 2004, at 19:04:02
In reply to Re: chemist--1 more thing..., posted by woolav on August 22, 2004, at 18:04:44
hello there, chemist here...luvox is approved by the F.D.A. for treatment of OCD and *not* depression. however, it is a true SSRI and is prescribed off-label as an AD, also for panic and anxiety, much like lamictal (until receiving approval as a mood stabilizer) is an anti-convulsant first, and a mood stabilizer second. drugs such as neurontin, gabitril, and topamax are *not* approved for use as mood stabilizers - nor are any of the antypical/typical anti-psychotics - yet plenty of people take them as monotherapy or adjunctive therapy for mood disorders. luvox is metabolised by a number of enzymes in your liver, and hence there are interactions with drugs that are metabolised by the same enzymes. in the case of lithium, which is eliminated renally, the danger lies in imbalance of sodium (hyponatremia) because luvox can lead to increased sodium clearence, and the hydrated lithium ions are similar in size and identical in charge (thus similar charge densities) to hydrated sodium ions, and a person could find themselves hypo- or hyperlithic, either way, out of the therapeutic window. additionally, kidney damage can result. lamictal is metabolized by your liver and kidneys, and inteacts unfavorably with drugs such as tegretol and depakote, and of course there is the risk of SJS. lamictal and fluvoxamine are not highlighted in terms of concommitant use being singled out - almost every other drug is, though - so you should certainly consult with your doctor before coupling luvox with either drug you mention. all that said, many people take luvox and drugs that are known to have levels increased/decreased and go on to lead happy, healthy lives, free of medical complications. an example is luvox + xanax + dexedrine (yours truly), and everything appears to be working as advertised. all the best, chemist
> I did some research on luvox and it said it was mainly used for OCD, but some sites said for Panic Disorder too. (which is me) Did you ever take prozac? Also, I read that you shouldnt take luvox with lithium...would lamictal be bad with luvox then too?
> Thanks
> Sandy
poster:chemist
thread:380732
URL: http://www.dr-bob.org/babble/20040821/msgs/380977.html