Posted by SLS on April 8, 2005, at 1:52:44
In reply to Re: Got Milk? Lactating on Desipramine - SLS?? ED?? » ed_uk, posted by ed_uk on April 7, 2005, at 17:16:06
Hi Maxime.
I like Ed's idea.
I think you should call your doctor's office. Inform them that you are lactating, and that you are stopping the desipramine temporarily until you can get a full endocrinological work-up. Ask who he would recommend. That way, he still feels that he is a participant in your care, even if you have no intention of seeing who he recommends. You won't be doing things behind his back.
- Scott> Hi Maxime,
>
> What are you going to do about the desipramine? If you do decide to stop it please taper it over a few days if at all possible.
>
> I think you need to get your endo to measure your prolactin level again when you are off desipramine. Stress that it was borderline/high when it was measured before and that you are concerned because you always lactate on psych meds. If your prolactin is high when you're off desipramine he will have to consider that this could be due to inadequately treated hypothyroidism. If you are on desipramine he will probably tell you that the desipramine is to blame and that your prolactin would be normal if you stopped it. Stress can also raise prolactin!
>
> If your endo will not listen, you could always ask your pdoc what he thinks about pramipexole at your next appointment. I must admit that I am a bit concerned about how you'd react to pramipexole since it's a dopamine agonist. Chlorpromazine (a dopamine antagonist) relieves some of your symptoms. Anyway, psych meds can work in strange ways so it could be really helpful. Even if the pramipexole didn't help your depression (which it might!) it would probably allow you to tolerate other drugs such as desipramine. What do you think?
>
> Ed xxxxxxxxxx
poster:SLS
thread:481196
URL: http://www.dr-bob.org/babble/20050404/msgs/481520.html