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Urology (Expert Forum)
IC/depression and treatment
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
IC/depression and treatment
by Robin, Nov 25, 1999 12:00AM
I have IC. I know that certain tricyclics are helpful in some cases. I have experienced a great depression since being diagnosed. I was sent to a psychiatrist to treat the depression and he prescribed remeron. I know that is not one of the tricyclics that is normally used but his main concern was treating my depression. I was told by a few people that remeron is also being used to help with the pain of IC. I have been on it for 2 wks now. I was wondering if you knew if remeron is helpful for IC? I am desperately seeking some relief from my symptoms. I am currently taking elmiron and going for acupuncture treatments. Thank you.
Robin
Robin
Doctor's Answer
by hfhs M.D.-AK, Nov 30, 1999 12:00AM
Dear Robin,
I know IC can be a painful and irritating condition. I have written many responses to questions regarding IC on this web site. There is a IC support group address in some of my past answers if you are interested.
To answer your current question directly, I am not aware of any clinical study that has reported results on Remeron and IC improvement. There are off label uses for drugs all the time, and some doctors may claim excellent results, however, I cannot nor should not recommend an off label indication for a specific drug. As with other antidepressants, the mechanism of action is not known. Evidence in clinical studies indicates that Remeron increases central noradrenergic and serotonergic activity. I looked through the PDR and found no relationship to IC or bladder therapy. I think the person who recommended this therapy was simple hoping for a potential treatment of your IC while treating your depression.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Interstitial Cystitis
I know IC can be a painful and irritating condition. I have written many responses to questions regarding IC on this web site. There is a IC support group address in some of my past answers if you are interested.
To answer your current question directly, I am not aware of any clinical study that has reported results on Remeron and IC improvement. There are off label uses for drugs all the time, and some doctors may claim excellent results, however, I cannot nor should not recommend an off label indication for a specific drug. As with other antidepressants, the mechanism of action is not known. Evidence in clinical studies indicates that Remeron increases central noradrenergic and serotonergic activity. I looked through the PDR and found no relationship to IC or bladder therapy. I think the person who recommended this therapy was simple hoping for a potential treatment of your IC while treating your depression.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Interstitial Cystitis
Member Comments
by Donna G., Dec 09, 1999 12:00AM
To: Misc.
0
by Meryl, Feb 02, 2000 12:00AM
To: Misc.
0
