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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 18 of 18. This is the beginning of the thread.
Posted by myco on March 28, 2009, at 11:59:00
None of the pharmacists I've spoken to are able to answer this question with any real authority in their response, which is expected considering MAOI knowledge is fuzzy nowadays.
I assume antibiotics are ok to take with AD's (mine is Nardil)? I don't mean some nasty interaction here I mean one will not negate the others effects will it? When I ask this I find amusement in watching the pharmacists go to their little books and hand held personal computer things and look up at me puzzled. lol Leave it to MAOIS for this.
myco
Posted by Phillipa on March 28, 2009, at 12:54:57
In reply to Do antibiotics and AD's hinder each other?, posted by myco on March 28, 2009, at 11:59:00
Myco good question I need to answer e-mails and then will do my own google search. I wonder if this applies to them all other categories also. Phillipa
Posted by yxibow on March 28, 2009, at 16:44:55
In reply to Do antibiotics and AD's hinder each other?, posted by myco on March 28, 2009, at 11:59:00
> None of the pharmacists I've spoken to are able to answer this question with any real authority in their response, which is expected considering MAOI knowledge is fuzzy nowadays.
>
> I assume antibiotics are ok to take with AD's (mine is Nardil)? I don't mean some nasty interaction here I mean one will not negate the others effects will it? When I ask this I find amusement in watching the pharmacists go to their little books and hand held personal computer things and look up at me puzzled. lol Leave it to MAOIS for this.
Theoretical interactions with antibiotics such as clarithromycin, although not noted.One case report with sulfisoxazole, a sulfa drug that one is not likely to encounter much.
Unrelated, but the worst possible drug-drug interaction with Nardil is probably Demerol. It is vital not to take this medication.-- Jay
Posted by myco on March 28, 2009, at 16:56:17
In reply to Re: Do antibiotics and AD's hinder each other? » myco, posted by yxibow on March 28, 2009, at 16:44:55
I am fighting a bout of pneumonia and clarithromycin is the exact antibiotic I am not on (changed from ampicillin). This is why I bring this up...something feels different about nardil since Ive begun this antibiotic. I'm thinking along the lines of mild withdrawal effects as my muscle tension has increased alot since starting the antibiotic. I know the illness itself will increase tension but now it's easing up and I am still left with nasty tension that wasnt there prior to the antibiotic. Perhaps just coincidence.
Can you give me an idea of the theoretical interaction you mentioned? As in how that interaction occurs...what is actually happening.
thanks J
myco
----------------------
> Theoretical interactions with antibiotics such as clarithromycin, although not noted.
Posted by myco on March 28, 2009, at 16:57:40
In reply to Re: Do antibiotics and AD's hinder each other? » yxibow, posted by myco on March 28, 2009, at 16:56:17
Blasted spelling and grammar issues lol
"....exact antibiotic I am ON (changed from ampicillin)..."
> I am fighting a bout of pneumonia and clarithromycin is the exact antibiotic I am not on (changed from ampicillin). This is why I bring this up...something feels different about nardil since Ive begun this antibiotic. I'm thinking along the lines of mild withdrawal effects as my muscle tension has increased alot since starting the antibiotic. I know the illness itself will increase tension but now it's easing up and I am still left with nasty tension that wasnt there prior to the antibiotic. Perhaps just coincidence.
>
> Can you give me an idea of the theoretical interaction you mentioned? As in how that interaction occurs...what is actually happening.
>
> thanks J
>
> myco
>
> ----------------------
>
> > Theoretical interactions with antibiotics such as clarithromycin, although not noted.
>
>
Posted by desolationrower on March 28, 2009, at 20:45:29
In reply to Re: Do antibiotics and AD's hinder each other? » myco, posted by myco on March 28, 2009, at 16:57:40
i would guess it has to do with changes in immune system because of being ill. you should be getting better soon?
-d/r
Posted by Phillipa on March 28, 2009, at 21:29:59
In reply to Re: Do antibiotics and AD's hinder each other?, posted by desolationrower on March 28, 2009, at 20:45:29
Try googling med checker it's the third one down Phillipa
Posted by bleauberry on March 29, 2009, at 9:10:17
In reply to Do antibiotics and AD's hinder each other?, posted by myco on March 28, 2009, at 11:59:00
This is a good question I should ask my LLMD, though I pretty sure I already know the answer.
I believe ADs are either neutral or enhancing for antibiotics. He did say some of his patients thought they were well, feeling good, they were on Zoloft or Gabapentin or something, and he said no it has only been a couple months on antibiotics and you need a year to get the Lyme under control. They were feeling well because of their meds, not because they had conquered Lyme. In telling me that, it showed that he does prescribe ADs and antibiotics at the same time. He would not do that if they counteracted each other.
My own personal observations are that antidepressants can be pro-immune, and thus boost antibiotics. Lexapro or Wellbutrin in particular caused rapid improvement of some skin infections I had that were not responding much to antibiotics. Unfortunately both of those ADs made me feel so bad I was on my knees wishing for death, so obviously I had to stop. Now looking back, I can't help but wonder if maybe it wasn't the ADs themselves that had me feeling so bad, but rather a Herxheimer die-off reaction? Hhhmmm. Something to ponder.
Posted by myco on March 29, 2009, at 12:29:14
In reply to Re: Do antibiotics and AD's hinder each other?, posted by bleauberry on March 29, 2009, at 9:10:17
> This is a good question I should ask my LLMD, though I pretty sure I already know the answer.
That would be great if you could run it by in one of your convo's in the future with you LLMD...dont waste to much time for me but I'd love to get a general idea of what he/she knows about that.
thanx
Myco
Posted by yxibow on March 30, 2009, at 20:39:55
In reply to Re: Do antibiotics and AD's hinder each other? » yxibow, posted by myco on March 28, 2009, at 16:56:17
> I am fighting a bout of pneumonia and clarithromycin is the exact antibiotic I am not on (changed from ampicillin). This is why I bring this up...something feels different about nardil since Ive begun this antibiotic. I'm thinking along the lines of mild withdrawal effects as my muscle tension has increased alot since starting the antibiotic. I know the illness itself will increase tension but now it's easing up and I am still left with nasty tension that wasnt there prior to the antibiotic. Perhaps just coincidence.
>
> Can you give me an idea of the theoretical interaction you mentioned? As in how that interaction occurs...what is actually happening.
>
> thanks J
>
> myco
>
> ----------------------
>
> > Theoretical interactions with antibiotics such as clarithromycin, although not noted.Its from the PI, several macrolide antibiotics are mentioned as having very minor interactions. Its not known and its also not particularly likely.
As for antibiotics, there are about 50 of them on the market give or take, so if you have a need, I would be up front with the prescribing doctor that you are taking an MAOI (Nardil). Most likely none of them will have any major interaction but you never know, so its always important to mention any medication you are taking.
-- best wishes
-- Jay
Posted by bleauberry on March 31, 2009, at 16:33:55
In reply to Re: Do antibiotics and AD's hinder each other? » bleauberry, posted by myco on March 29, 2009, at 12:29:14
It is actually the #1 question on my list for the next appointment. That isn't until April 22 however.
> > This is a good question I should ask my LLMD, though I pretty sure I already know the answer.
>
> That would be great if you could run it by in one of your convo's in the future with you LLMD...dont waste to much time for me but I'd love to get a general idea of what he/she knows about that.
>
> thanx
> Myco
Posted by myco on April 2, 2009, at 15:25:56
In reply to Do antibiotics and AD's hinder each other?, posted by myco on March 28, 2009, at 11:59:00
Interesting follow up here in light of the mentioning that it is possible, but not proven, that antibiotics such as clarithromycin may be hindered in effect by AD's (like nardil) to some extent and vice-versa:
Had my follow up exam for pneumonia in my left lung today, not even an hour ago. Although I have coughed up alot of that crap that was initiated via immune response in my lungs....the infection has not changed one bit. In fact is now getting worse in the right lung...antibiotic resistant to clarithromycin?....dr said thats possible. He had no clue/idea about nardil's possible interaction with antibiotics. So still a mystery here...but now perhaps some support assuming this isnt resistance.
Anyone else experienced infections that wouldnt go away on AD's?
myco
-----------------> None of the pharmacists I've spoken to are able to answer this question with any real authority in their response, which is expected considering MAOI knowledge is fuzzy nowadays.
>
> I assume antibiotics are ok to take with AD's (mine is Nardil)? I don't mean some nasty interaction here I mean one will not negate the others effects will it? When I ask this I find amusement in watching the pharmacists go to their little books and hand held personal computer things and look up at me puzzled. lol Leave it to MAOIS for this.
>
> myco
Posted by yxibow on April 2, 2009, at 23:22:46
In reply to Do antibiotics and AD's hinder each other? UPDATE » myco, posted by myco on April 2, 2009, at 15:25:56
> Interesting follow up here in light of the mentioning that it is possible, but not proven, that antibiotics such as clarithromycin may be hindered in effect by AD's (like nardil) to some extent and vice-versa:
>
> Had my follow up exam for pneumonia in my left lung today, not even an hour ago. Although I have coughed up alot of that crap that was initiated via immune response in my lungs....the infection has not changed one bit. In fact is now getting worse in the right lung...antibiotic resistant to clarithromycin?....dr said thats possible. He had no clue/idea about nardil's possible interaction with antibiotics. So still a mystery here...but now perhaps some support assuming this isnt resistance.
>
> Anyone else experienced infections that wouldnt go away on AD's?I don't know if it has to do with ADs but having a concommitant illness, anxiety/depression can take a toll on the immune system if you are tired because of it. I usually get a flu shot, even though I'm nowhere near the age that people typically do, just because.
I know of two people in their 30s who work a lot and got pneumonia probably because of overstress and not getting antibiotic help sooner.
As for the antibiotic -- not to scare you, but pneumonia isn't something to mess with. Your strain could be resistant to clarithromycin alone.
The doctor might suggest Augmentin (clarithromycin/clavulanic acid), or a fluoroquinolone or a cephalosporin. I don't think they'd go as far as Ketek (telithromycin) unless necessary.
Anyhow I'm prescribing without a license here.... do continue to follow up with your doctor.
I don't think its the Nardil necessarily, I think its more just genetic tendencies regarding the immune system, stress, and what strain of pneumonia it is.
-- best wishes
Jay
Posted by desolationrower on April 3, 2009, at 3:34:43
In reply to Re: Do antibiotics and AD's hinder each other? UPDATE » myco, posted by yxibow on April 2, 2009, at 23:22:46
myco are you taking your vitamin d
-d/r
Posted by myco on April 3, 2009, at 12:32:42
In reply to Re: Do antibiotics and AD's hinder each other? UPDATE » myco, posted by yxibow on April 2, 2009, at 23:22:46
> Anyhow I'm prescribing without a license here.... do continue to follow up with your doctor.
Please dont think this way with me...i do listen to the dr's but I thirst for more info on anything that I put in my body...almost like an ocd thing....reading constantly and absorbing any info anyone has to offer. so know that opinions and experiences is very valuable to me...these are things you wont recieve in a monograph and very rarely from a dr.
thnx again
dont stop offering advice to people
Myco
--------
Posted by myco on April 3, 2009, at 12:33:57
In reply to Re: Do antibiotics and AD's hinder each other? UPDATE, posted by desolationrower on April 3, 2009, at 3:34:43
bit of a lazy *rs* when it comes to vitamins...i guess it should step it up. diets been crap since i got sick and havent touched multivits since before. have a recommended dosing? and why D? curious
> myco are you taking your vitamin d
>
> -d/r
Posted by desolationrower on April 4, 2009, at 0:18:53
In reply to Re: Do antibiotics and AD's hinder each other? UPDATE » desolationrower, posted by myco on April 3, 2009, at 12:33:57
vitamin d does lots related to immune system, epidemiological evidence on respieritory infections, i'm sure larry hoover has posted on it he was posting tonnes of stuff on D recently
-d/r
Posted by Phillipa on April 4, 2009, at 20:53:15
In reply to Re: Do antibiotics and AD's hinder each other? UPDATE, posted by desolationrower on April 4, 2009, at 0:18:53
d/r he did post on D above thread somewhere. Helps thyroid also and osteopenia, and osteoporosis. Love Phillipa
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