
Are There Any Interactions Between Wellbutrin, Lamictal And Synthroid?

do not start wellbutrin
Detailed Answer:
Hello,
I am glad that you wrote to us with your concerns. There is a serious interaction of wellbutrin with the tamoxifen and that combination should be avoided. You should also know that there is a drug interaction between the propranolol and the wellbutrin so I think you may want to see your doctor and consider another alternative to the wellbutrin. There are also serious interactions with the paxil so this is a situation that you need to discuss with the oncologist and your doctor that prescribed the wellbutrin. The interaction with propranolol and the antidepressants may not be an issue if you are on a low dose of propranolol but the combination of paxil or wellbutrin with tamoxifen should definitely be avoided
Please let me know if you have further questions.
Regards,
Dr Robinson


The dose of propanolol is very low as i take it for an irregular heartbeat.
My thoughts on most everything that's going on is that it is thyroid related. They assume I have all these separate issues that I need meds for, and have basically ignored the fact that I have hypothyroidism. I have been on 50mcg of synthroid since 2013 and its not working! I ask her all the time to send me to a good endocrinologist, so finally last week she said she would. But I almost think I should go to a naturopath and be put on armour thyroid and supplements instead. I read too that radiation reeks havoc on the thyroid, is that true? What are your thoughts on armour thyroid? Do you have ideas on what supplements I might want to take to help my thyroid?
There's so much info on the internet I get overwhelmed trying to figure it out.
Thank you once again.
propranolol is probably okay at low dose
Detailed Answer:
Hello,
Since the propranolol is low dose it is probably okay. I am glad you are going to an endocrinologist but I have to warn you that most endocrinologists do not like armour thyroid. Armour is dessicated pig thyroid so the dose is somewhat erratic and hard to get regulated. Synthroid is what most doctors use unless the T3 is low. Have you had your TSH, free T3 and free T4 measured. That is what you need to see if your thyroid is functioning properly. We usually only check the TSH regularly but if you feel that the synthroid is not working then you need free T3 and T4 checked at least once. I am sure that the endocrinologist will do that.
A naturopath may be helpful.
I suggest that you take a multivitamin with iodine in it for thyroid support and extra vitamin C and fish oil as antioxidants.
Radiation of the breast should have no effect on the thyroid function
Regards,
Dr. Robinson


you are welcome
Detailed Answer:
Please let me know if I can help you in any other way
Best regards,
Dr. Robinson


By the way, I love this service, I really appreciate your quick response. It's comforting.
XXXX
wishing you the best
Detailed Answer:
I would love to hear what the endocrinologist says. I am very glad that you will be seeing them soon. The radiation can cause some side effects but most people tolerate the tamoxifen just fine. I am concerned about the serious drug interactions with the antidepressants and tamoxifen so make sure to talk to the doctor and oncologist about that.
Best wishes,
Dr. Robinson


XXXXX
not a problem
Detailed Answer:
When I did the drug interaction check for you, the lamotrigine did not show up as a problem with the tamoxifen. It is a good mood stabilizer so if you are tolerating it okay it might be a good idea to stay on it, especially since the antidepressants seem to have major interactions with the tamoxifen
Best to you,
Dr. Robinson


XXXXX
you are wellcome
Detailed Answer:
XXXXX, thanks for using our service.
I wish you the best
Dr. Robinson

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