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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 adamCanada on December 27, 2005, at 22:43:15
is it safe to take it or other anti biotics with paxil and dexedrine?
I got an ear infection and i need to get rid of it. Need to know if it interacts with my meds.
Please reply.
Posted by vbAgent on December 27, 2005, at 22:55:37
In reply to Safe to take Biaxin (anti-biotic) with paxil/dex?, posted by adamCanada on December 27, 2005, at 22:43:15
Taken from Drug Interactions at http://www.drugs.com:
Biaxin and Paxil (moderate Drug-Drug)
Description:
GENERALLY AVOID:
The use of some macrolide antibiotics has been associated with increased blood levels of some selective serotonin reuptake inhibitors (SSRIs), resulting in excessive serotonergic effects or serotonin syndrome. The mechanism is inhibition of the CYP450 3A4 isoenzyme, which metabolizes SSRIs.MANAGEMENT:
In cases where both drugs are necessary, one could consider using a macrolide antibiotic that does not inhibit CYP450 3A4, such as azithromycin or dirithromycin.--------------------
Ask your pharmacist or doctor if it's truly safe. You may need a different antibiotic because Biaxin might potentiate the effects of Paxil.
Posted by gardenergirl on December 28, 2005, at 4:14:55
In reply to Re: Safe to take Biaxin (anti-biotic) with paxil/d, posted by vbAgent on December 27, 2005, at 22:55:37
Interesting...I wonder if that's why Biaxin XL made me hypomanic? I was probably on Celexa at the time. Maybe Celexa and Wellbutrin?
gg
Posted by ed_uk on December 28, 2005, at 12:49:38
In reply to Re: Safe to take Biaxin (anti-biotic) with paxil/d » vbAgent, posted by gardenergirl on December 28, 2005, at 4:14:55
Hi gg
Mania induced by Biaxin has been called antibiomania!
Ed
Posted by Phillipa on December 28, 2005, at 19:39:55
In reply to Re: Safe to take Biaxin (anti-biotic) with paxil/d » gardenergirl, posted by ed_uk on December 28, 2005, at 12:49:38
Oh my! I was on biaxin for lymes while on paxil, luvox, effexor I think. Could this be the reason my anxiety was so high? And all the panic attacks. When I took cymbalta last year and no biaxin no panic either. Wow! Fondly, Phillipa
Posted by gardenergirl on December 29, 2005, at 8:57:42
In reply to Re: Safe to take Biaxin (anti-biotic) with paxil/d » gardenergirl, posted by ed_uk on December 28, 2005, at 12:49:38
This is the end of the thread.
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