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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by tina on May 1, 2000, at 19:41:40
hey, just a query: How many of you out there smoke? Do you think any of the severe side effects that I've been experiencing has anything to do with the fact that I smoke? The dizziness does seem to get a little worse when I light up first thing in the morning. Anybody else????
Posted by tina on May 1, 2000, at 19:47:32
In reply to re:celexa and nicotine-problem??, posted by tina on May 1, 2000, at 19:41:40
>can someone tell me why, every time I send a new posting to this site, it gets duplicated?? I know I'm new to the net but this is ridiculous.
hey, just a query: How many of you out there smoke? Do you think any of the severe side effects that I've been experiencing has anything to do with the fact that I smoke? The dizziness does seem to get a little worse when I light up first thing in the morning. Anybody else????
Posted by Cam W. on May 1, 2000, at 23:39:18
In reply to re:doublepostings--why?, posted by tina on May 1, 2000, at 19:47:32
Tina - There is no direct interaction between Celexa and cigarette smoke (it is cigarette smoke that is making you dizzy isn't it?). The polyaromatic hydrocarbons in cigarette smoke do induce liver enzymes (CYP-1A2), but this only lowers the levels of some drugs metabolized by the same system (maybe some antipsychotics, perhaps imipramine, probably mirtazapine, theophylline and methadone, and a few others). The dizziness could be a pharmacodynamic interaction where the dizziness that can be caused by Celexa is adding to the dizziness caused by nicotine. This is just a guess though. I have not heard anyone mention this before, but theoretically it is possible. - Cam W.
Posted by Greg on May 2, 2000, at 8:15:31
In reply to Re: re:doublepostings--why?, posted by Cam W. on May 1, 2000, at 23:39:18
Cam,
I understand that Wellbutrin contains the same chemical as the stop-smoking pill (sorry, the name escapes me). I too am a smoker, but since starting the Wellbutrin have gone from almost 2 packs a day to 10, maybe 12 cigarettes a day. What is it about this chemical that lessens your desire, and was the pill derived from any testing done with Wellbutrin?A totally unrelated question: In a recent post you asked if you should sign off as California Sunshine. Are you a Cal native, or was that just a sixties reference?
Greg
>
> Tina - There is no direct interaction between Celexa and cigarette smoke (it is cigarette smoke that is making you dizzy isn't it?). The polyaromatic hydrocarbons in cigarette smoke do induce liver enzymes (CYP-1A2), but this only lowers the levels of some drugs metabolized by the same system (maybe some antipsychotics, perhaps imipramine, probably mirtazapine, theophylline and methadone, and a few others). The dizziness could be a pharmacodynamic interaction where the dizziness that can be caused by Celexa is adding to the dizziness caused by nicotine. This is just a guess though. I have not heard anyone mention this before, but theoretically it is possible. - Cam W.
Posted by tina on May 2, 2000, at 10:13:19
In reply to Re: re:doublepostings--why?, posted by Cam W. on May 1, 2000, at 23:39:18
> CamW- the thing is, cigarettes didn't make me dizzy until I started the celexa. Because I'm such a nervous person anyway, I don't see myself quitting soon so my question to you is: do you think that This side dffect will go away too, eventually? Thanks for the previous info though.
> Tina - There is no direct interaction between Celexa and cigarette smoke (it is cigarette smoke that is making you dizzy isn't it?). The polyaromatic hydrocarbons in cigarette smoke do induce liver enzymes (CYP-1A2), but this only lowers the levels of some drugs metabolized by the same system (maybe some antipsychotics, perhaps imipramine, probably mirtazapine, theophylline and methadone, and a few others). The dizziness could be a pharmacodynamic interaction where the dizziness that can be caused by Celexa is adding to the dizziness caused by nicotine. This is just a guess though. I have not heard anyone mention this before, but theoretically it is possible. - Cam W.
Posted by Leighwit on May 2, 2000, at 14:24:20
In reply to Re:celexa and smoking(to CamW), posted by tina on May 2, 2000, at 10:13:19
Tina,
I've noticed the same thing since adding 10 mg (20 mg bothered my stomach too much) of Celexa to 300 mg of Wellbutrin.
Re another post here on this thread, when I first started WB over a year ago, I cut down on smoking drammatically. The "Zyban-like" effect of the WB was not permanent however. It diminished after a few months and is now completely gone. I think it must have an efficacy schedule of sorts in helping to reduce nicotine cravings.
Laurie
Posted by tina on May 2, 2000, at 15:20:43
In reply to Re:celexa and smoking(to CamW), posted by Leighwit on May 2, 2000, at 14:24:20
>
Thanks for the support, I thought I was crazy. I don't feel I can give up smoking right now but it's nice to know that others have had similar experiences. Thanks Leighwit.
Tina,
>
> I've noticed the same thing since adding 10 mg (20 mg bothered my stomach too much) of Celexa to 300 mg of Wellbutrin.
>
> Re another post here on this thread, when I first started WB over a year ago, I cut down on smoking drammatically. The "Zyban-like" effect of the WB was not permanent however. It diminished after a few months and is now completely gone. I think it must have an efficacy schedule of sorts in helping to reduce nicotine cravings.
>
> Laurie
Posted by Cam W. on May 2, 2000, at 15:22:24
In reply to Re: Wellbutrin/Smoking - decreased desire - Cam?, posted by Greg on May 2, 2000, at 8:15:31
Greg - Wellbutrin and Zyban are exactly the same drug (bupropion). The names have been changed because the marketing boys (or girls) thought that people wishing to stop smoking would not like being stigmatized by taking an "antidepressant" to stop smoking. Talk about encouraging stereotyping, huh.
Bupropion is thought to stop the craving of nicotine by increasing the amount of dopamine in the brain's pleasure center (nucleus accumbens) similiar to the way nicotine does.
California Sunshine was a sixties reference. The other postees, Owsley and Blue Cheer were also names (brands?) of LSD available around the time of "the summer of love" (1967).
Hope this helps - Cam W.
Posted by Cam W. on May 2, 2000, at 23:57:16
In reply to Re:celexa and smoking(to CamW), posted by tina on May 2, 2000, at 10:13:19
Tina - I don't know if the dizziness from the cigarettes will go away when taking Celexa. If I had to guess, I would say that it probably will over time. This is a new side effect to me. Keep us posted on your progress. - Cam W.]
Posted by NikkiT on May 4, 2000, at 14:55:24
In reply to re:celexa and nicotine-problem??, posted by tina on May 1, 2000, at 19:41:40
I know, that whether on meds or not, my first ciggie of the morning always makes me dizzy!! The more asleep I am, the dizzier I get!!
> hey, just a query: How many of you out there smoke? Do you think any of the severe side effects that I've been experiencing has anything to do with the fact that I smoke? The dizziness does seem to get a little worse when I light up first thing in the morning. Anybody else????
Posted by Gavin on September 30, 2003, at 21:13:00
In reply to Ciggies, posted by NikkiT on May 4, 2000, at 14:55:24
When I first starting smoking, cigarettes would make me dizzy. The heavier the cigarette, the dizzier I would get (IE, A light would not make me as dizzy as say, an unfiltered cigarette). I think the effect is related to how nicotine affects the brain. If you don't smoke for a period of time, say a day, or even a few hours, you will get dizzy again. You're not really dizzy, either; just disorientated. Nicotine gives you a "buzz", because it is a drug. The buzz my also make you feel a bit detatched, IE, your limbs feel a bit light and distant, the ground is far away, etc. After sleeping, since you haven't had nicotine for a while, you'll probably feel the buzz.
I've never heard of celexa reacting in a bad way to alcohol or cigarettes. I don't really consider the dizziness to be that bad of an effect; but if it becomes debilitating, frightenning, or long lasting, I would cut back on smoking or quit. I take celexa and smoke myself, and I don't recall feeling dizzier than usual.
Posted by walter on December 2, 2003, at 0:55:25
In reply to Re:celexa and smoking(to CamW), posted by tina on May 2, 2000, at 10:13:19
This is the end of the thread.
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