wich ad while on treatment

[rexx73]

hello there,

i wonder what ad your doctor prescribed to you while on therapy.
does anybody here taking remeron/mirtazapin?
my doc still has no infos about the druginteracion with incivek and hesitates to prescribe it to me
i know many people are taking citalopram but this does not working for me.

[rexx73]

well i responded well on citalopram in 2008 but this time it doesnt worked for me thats why im will try it with remeron.
and its not my docs fault on the druginteraction.
he just did not found any infos on drug-drug interacion between incivek and remeron.
so he called the pharmacompany where a doc answered on his question that the remeron level may be increased from the incivek.
but they are not sure( if remeron is used in high doses)that the incivek levels are touched from the remeron or not.

[crigger]

I TAKE CELEXA. IT MAY TAKE TRYING SEVERAL DIFFERENT ONEs to see which one works for you ,I think trazadone and st johns worts are two you need to watch out for but I woud call the company, ask the pharmacy and read the prescribing information. I know remeron is not a big seller here in the states.  I would have a psychaitrst prescribe the AD and follow you for a couple of months. Always remember all medicaton has a set of side effect that you may or may not get Just be aware of them.    

[Idyllic]

I did not respond to Citalopram when I treated the first time around. I have had a positive response with Wellbutrin in the past so I decided to take it prophylactically this time around.

The thing is, HectorSF is right. How you have responded to ADs in the best is useful information. Plus, while it's a disappointing that your doc is not investigating possible drugs that could help you as well as how they interact with your meds; I learned a long time ago you have to do a lot of this research yourself. Still, I am wondering if he is the right doctor for you given much of the drug interaction info is easily attainable. I'm sure there is an App for it :)

[ceanothus]

I have no experience with the drug you mentioned, but I do have long experience with other AD's. After trying a number of different AD's my internist and I had finally settled on Zoloft as working best for me, and it worked well for a few years. Then when I was about to start triple tx my hepatologist insisted that I change my AD before starting tx because Zoloft is closely related to a drug that is known to interact with Incivek. My internist researched the interaction possibilities and put me on Cymbalta instead. It has worked very well through the first three months of my tx, and I haven't noticed any problems or changes.

[rexx73]

That's why I asked if someone's using remeron with incivek.

[rexx73]

its not my liver doc its my psycho doc who wants to prescribe the new ad.
there is no info in the net about druginteraction between inc and remeron.
its not in the contra list but my doc called the company who is selling inc here in europe and they said that inc may increase remeron levels and that they can't say for sure that incivek is not touched by remeron.

[Advocate1955]

remeron/mirtazapin is not listed as having an interaction with Incivek.
Advocate1955

[HectorSF]

Just asking...
So you have a history of depression? What type of depression did you have. How was it cured. Did you ever take an antidepressant that helped relieve your depression.

Antidepressant must be prescribed based on the individual. One size doesn't fit all. What works for me might not work for you. What works for you might not work for another person. If they were all the same then there would only be one on the market instead of dozens. It is the psychiatrist job to figure out what will work for you. Only a psychiatrist should be prescribing an antidepressant. Would you have a foot doctor treating your hepatitis C? No. doctors specialize, they train, study and practice a particular field of medicine for years. Psychiatrist understand depression. They work with patients suffering from depression ever day. A foot doctor or hepatologist doesn't.

'my doc still has no infos about the druginteracion with incivek'
Are you serious? Tell him to read the prescribing label that comes with INCIVEK. This is a doctor? No a student or Fellow. Then again even they would know this. When in doubt, read the instructions.
Then again if a doctor can't figure out how to figure out drug to drug interactions he shouldn't be treating anyone. How could he treat anyone. If you mixed the wrong to drug it can cause treatment not to work or make the other drug a lot more potent. If he can't figure out this most basic of tasks how is he going to manage the side effect of treatment? That is a much more complicated issue. Should he dose reduce, advice transfusions, or use helper drugs.

Seriously, I would find another doctor who is educated and experienced in treating hepatitis C with the new antivirals. Treating with this doc could lead to treatment failure or worse which is a waste of time, money and suffering for nothing.

Hector