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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by S. Suggs on November 17, 1999, at 9:58:36
After an adequate, but unsuccessful trial of Celexa, my doctor has agreed to try Parnate. The amount of time from Celexa to parnate seems to be about 2 weeks. All opinions are welcome on this one.
Next question: I requested that he run a series of Thyroid test to make sure that all is in order. The results are "normal", but this may not always indicate normal functioning for all patients. The results are:
TSH 2.20 (range .35 - 5.50)
T4 6.5 (range 4.5 - 12.00
T3 uptake 32 (range 24 - 39)
Free Thyroxine Index 2.0 (range 1.2 - 4.9)
Free T4 (direct) 1.09 (range .70 - 1.53)
TBG 13 (range 13 -39)
Triiodothyronine, Free; Serum 2.5 (range 2.3-4.2)
The TBG is borderline and a few others are close. Any thoughts, opinions and suggestions are welcome. I hope all are well. Thanks in advance, blessings to all!S. Suggs
Posted by Elizabeth on November 18, 1999, at 1:26:53
In reply to "washout" time from celexa to parnate? , posted by S. Suggs on November 17, 1999, at 9:58:36
> After an adequate, but unsuccessful trial of Celexa, my doctor has agreed to try Parnate. The amount of time from Celexa to parnate seems to be about 2 weeks. All opinions are welcome on this one.
I would go the full time, yes. (Washout from Parnate to something else is about a week; may fudge that a little if "something else" is a tricyclic other than clomipramine.)
Good luck with it. Most people seem to find Parnate quite tolerable. (Oh yeah, and try to avoid taking it after 3pm.)
Posted by S. Suggs on November 20, 1999, at 6:59:43
In reply to Re: "washout" time from celexa to parnate? , posted by Elizabeth on November 18, 1999, at 1:26:53
Elizabeth:
Thanks for your valuable input. You sound well informed in pharmacology based on your post to my question and other's you have answered. Do you have any suggestions on the thyroid test - I assume not at this point. I know that this is not a Endocrinology forum, but there is a wealth of information out there, that it does not hurt to ask.
For anyone who is interested, the results are in my origional question on 11/17.
The other question is dealing with the parathyroid. While hyperparathyroidism is somewhat uncommon, this is an interesting illness, in that it seems to resemble depression symptoms (irritibility, poor memory, poor sleep and others). They say it is easily diagnosed in that the PTH (parathyroid hormone) and serum Calcium will be elevated. I did not have a PTH done, but was curious of others opinion on this and other thyroid issues.
Sorry about the long post,
Blessings,
S. Suggs
Posted by Elizabeth on November 20, 1999, at 17:51:42
In reply to Re: "Washout" time and thyroid Input/Parathhroid??, posted by S. Suggs on November 20, 1999, at 6:59:43
> Thanks for your valuable input.
You are welcome, and I'm glad I could help
> Do you have any suggestions on the thyroid test - I assume not at this point. I know that this is not a Endocrinology forum, but there is a wealth of information out there, that it does not hurt to ask.
I don't know what all of the various thyroid parameters mean, so no, I don't. Did your doctor have any comments about it?
> The other question is dealing with the parathyroid. While hyperparathyroidism is somewhat uncommon, this is an interesting illness, in that it seems to resemble depression symptoms (irritibility, poor memory, poor sleep and others).
Hypothyroidism (and, less often, hyperthyroidism) can resemble depression as well.
> They say it is easily diagnosed in that the PTH (parathyroid hormone) and serum Calcium will be elevated. I did not have a PTH done, but was curious of others opinion on this and other thyroid issues.
I don't know much about this, but I bet there's someone here who could answer that. (And again, what about asking your doc? That seems like a plan.)
This is the end of the thread.
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