Posted by Larry Hoover on December 16, 2002, at 9:11:34
In reply to Supplements » Larry Hoover, posted by johnj on December 14, 2002, at 11:46:26
> Hi Larry,
> I always enjoy your posts since they are of interest to me and sometimes it is the hope that supplements could be the answer and help me get back to "normal". I used to love to work out, but the past year I get rebound dizziness and mood disturbance if I do. It appears to be related to my nortryptline. I also take 600 mg lithobid and 15 mg of tranzene.The fact that this is an exercise-related experience suggests that it is a problem of hydration or blood sugar. Do you make sure that you replace all the fluid lost through perspiration, and maintain electrolytes (in other words, do you use a sports drink like Gatorade)? Do you make sure that you have something with a high glycemic index (a chocolate bar or granola bar, for example) just before you work out? I think that antidepressants mess with some people's energy metabolism far more than you're going to read in the literature. Look at the issues of weight gain that people talk about, just as an example.
> The question I have is related to DL-PH that you have discussed and I read that it should be taken with Vit C and B6, with a small glass of juice 1/2 hour prior to eating. Does this make sense to you? I read that a person doesn't want to overdose on B6 and my multiple has quite a bit.
In order to overdose on B-6, you have to take gram quantities for an extended period of time. Don't let it worry you. If your B-6 is in a multi, it's probably too little, not too much.
> I also saw that my AD (nortryptiline, which I am reducing with my doc's permission) is sensitive to too much Vit C. I saw this on a med interaction chart, but it is not on anything from my pharmacy. One thing I did was instead of reducing my AD I accidently increased it from 50 mg to 70 mg and on the second day I felt like hell. I went for 3 days at 50 mg and to 40 mg for the past two nights. Haven't slept as well and I have some muscle twitches. I usually get these when I don't get enough sleep, but I was wondering if this could also be related to a lack of something(vitamin)?
Muscle spasms can be caused by electrolyte disturbances, but if you're withdrawing from a med, that's what I'd be looking at.
> I still haven't tried taurine or carnitine for panic, but it is tough to know what to add when I am lowering my AD dose. My doc wants me at 30 mg of nortryptiline then add 5 mg of lexapro. I tried 2.5 mg of lexapro for two days and was groggy but had a weird anxious feeling. It is really hard to know what to do sometimes. Thanks for your time
> johnjJohn, I just urge you to have patience. During medication titration periods, whether you're going up or down in dose, you're bound to have weird experiences. Your body will adjust.
If you're mucking around with nutrients at the same time, you won't know whether your meds are causing problems, or your supplements. Try to maintain everything else as stable as you can while the med adjustment takes place. Afterwards, when you get past that period, then go ahead and test supplement changes. You'll only confuse things if you do them at the same time.
Lar
poster:Larry Hoover
thread:131348
URL: http://www.dr-bob.org/babble/20021210/msgs/131985.html