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Dr. Bob is Robert Hsiung, MD,
dr-bob@uchicago.eduShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Miriamne on November 6, 2006, at 18:42:47
Just started Xanax XR (2 mg). There is a label on the bottle warning against interactions with dietary supplements, but no specifics. I did not see any similar warnings on the manufacturer's website. Has anyone heard of any specific dietary supplements that cause adverse reactions with Xanax XR? Can one continue to take vitamins (E, C, B), selenium, essential oils, etc.?
Posted by Phillipa on November 6, 2006, at 20:21:33
In reply to Xanax interactions, posted by Miriamne on November 6, 2006, at 18:42:47
I always have. Love Phillipa
Posted by Glydin on November 6, 2006, at 22:11:02
In reply to Xanax interactions, posted by Miriamne on November 6, 2006, at 18:42:47
Kava Kava or like type supplements can cause interactions. To my knowledge, vits and minerals in "normal" dosings are not a problem.
Posted by Declan on November 7, 2006, at 0:04:33
In reply to Xanax interactions, posted by Miriamne on November 6, 2006, at 18:42:47
It's just the line. Except for herbal sedatives and St John's Wort, which is famous for interactions, I wouldn't worry.
They tell people taking coumadin not to eat oily fish, which is enough evidence of the mindset for me.
My opinion only.
Posted by yxibow on November 7, 2006, at 2:13:35
In reply to Xanax interactions, posted by Miriamne on November 6, 2006, at 18:42:47
> Just started Xanax XR (2 mg). There is a label on the bottle warning against interactions with dietary supplements, but no specifics. I did not see any similar warnings on the manufacturer's website. Has anyone heard of any specific dietary supplements that cause adverse reactions with Xanax XR? Can one continue to take vitamins (E, C, B), selenium, essential oils, etc.?
That's basic CYA (cover your *ss) from Pfizer.Drugs.com showed no interaction with those vitamins. Generally, prudent use of vitamins, specifically, not "supplements" such as high dosage Niacin or E (beyond 400 IU), SAM-e, SJW, Kava, etc, shouldn't affect it.
As noted, more than occasional use of Kava will boost and interact with the GABA transmitters of benzodiazepines, so only occasional use would be recommended. Its recommended anyhow because there is still an open question on kava-ism/liver issues.
Just as some SSRIs and the like, grapefruit juice is listed as a modest interaction, possibly slightly boosting the level of Xanax XR in your body because of P450 3A4 substrate/inhibitor interaction. That is an often debatable one and probably not a significant one.-- Jay
Posted by bassman on November 7, 2006, at 10:05:51
In reply to Re: Xanax interactions » Miriamne, posted by yxibow on November 7, 2006, at 2:13:35
Well said. I just had a grapefruit before my morning Xanax. I also take a vitamin every day. I experience no intereactions at all.
Posted by Phillipa on November 7, 2006, at 19:11:26
In reply to Re: Xanax interactions » Miriamne, posted by yxibow on November 7, 2006, at 2:13:35
I see that grapefruit warning on a lot of meds and bet not many people read or even bet the docs don't know did you ever hear a pdoc say " now don't drink grapefruit juice?" Love Phillipa
Posted by yxibow on November 7, 2006, at 22:46:03
In reply to Re: Xanax interactions » yxibow, posted by Phillipa on November 7, 2006, at 19:11:26
> I see that grapefruit warning on a lot of meds and bet not many people read or even bet the docs don't know did you ever hear a pdoc say " now don't drink grapefruit juice?" Love Phillipa
Its not a significant P450 interaction for most medications but it is nonetheless listed. I wouldn't drink a gallon of it on Luvox but then personally a gallon of grapefruit juice is not particularly tasty as it tends to impart a taste on everything else. I more enjoy a cut half one for breakfast if I had any at all.
This is the end of the thread.
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