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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by dreaman on February 2, 2004, at 20:13:34
Hello everyone
Today I went to my regular doc for a checkup and a follow up on blood tests that I have had. The nurse took my blood pressure and it was 140 over --- forgot the other number. Any way since I would be considered still a teenager the nurse was pretty alarmed. Could this be from the 3mg of Seligiline that I am taking??? I thought under 10mg's was supposed to be selective for only MAO B and therefore would'nt cause any blood pressure probs. Could 3mg build up so that after a while it would cause MAO A inhibition?
Also my doc told me that my TSH was high (6.8) meaning I may be hypothyroid. He gave a script for synthetic thyroid. So I'm wondering if I should start the thyroid hormone while I am still on selegiline, specifically because of the blood pressure problem? Do MAOI's and thyroid hormone MIX or is it a no no? If not how long should I wait for the selegiline to get out of my system before I try the synthroid? My Doc does't know that I am on Selegiline.
Thanks for any input in advance.*Dreaman
Posted by sailor on February 2, 2004, at 22:07:34
In reply to MIXING MAOI's and Thyroid Hormone????, posted by dreaman on February 2, 2004, at 20:13:34
Why are you not telling your doc you're on selegeline? Maybe I missed something in your note. Throid supplementation can be used safely, and wisely, with almost any antidepressants, including MAOI's, especially if you have lab indications that you may be hypothyroid to begin with. Your 6.8 TSH (was that the TSH measure or something else?) suggests a thyroid status that could benefit from thyroid supplementation. BE warned, however, there is considerable controversy among experts as to relative benefits of
T3, T4, or combinations thereof. There's also the issue of natural versus synthetic thyroid supplementation. All can be monitored for safety/efficacy by checking regularly pulse, blood pressure and heart rate. Also, followup blood tests after treatment should be done to see if the TSH level is falling.
IN short, I think it's important that you educate yourself on these matters (LOTS of stuff on the internet) and I think you should try to involve your docs in a mutual proactive approach to whatever treatment plan you want to start with. If they won't respect your informed input, then you need to find someone who will. Don't play games! Good luck. Regards, Sailor
Posted by Tepiaca on February 3, 2004, at 8:51:40
In reply to MIXING MAOI's and Thyroid Hormone????, posted by dreaman on February 2, 2004, at 20:13:34
I have taken both , MAOI and thyroid medicaments with no problems . I think you should be ok . Dont worryAnyway you should ask your doctor
Good luck
Posted by noa on February 3, 2004, at 12:21:02
In reply to MIXING MAOI's and Thyroid Hormone????, posted by dreaman on February 2, 2004, at 20:13:34
I'm with sailor on this--why are you not telling your doctor about the selegeline?
Posted by Dreaman on February 3, 2004, at 22:55:48
In reply to Re: MIXING MAOI's and Thyroid Hormone????, posted by Tepiaca on February 3, 2004, at 8:51:40
Just wanted to say thanks for everyones advice. And yes I think I will probably tell my doc about the selegiline. The thing is he is such a traditional kind of doc and probably will be quite confused and alarmed at why I am taking the selegiline, ie its indicated for parkinsons.
*Dreaman
Posted by noa on February 4, 2004, at 19:56:04
In reply to Re: MIXING MAOI's and Thyroid Hormone????, posted by Dreaman on February 3, 2004, at 22:55:48
There is plenty of literature you can print out for him to show him that it is also used for depression.
This is the end of the thread.
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