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Is It Safe To Have Acamprosate Calcium Along With Baclofen And Amitriptyline?

Posted on Tue, 14 Apr 2015

Question: Sir, I am suffering from Grade I fatty Liver with mild hepatomegaly with acalculous cholecystitis also high TG LFT is normal. I am regular consumer of alcohol around 280 ml per day. Now I have consulted with Pychiatrist for withdrawal and prescribed for taking Acampostate Calcium by one and Balcofen 20 by another also taking Chlordiazepoxide 10 mg and Amitriptyline. Can all these medicine taken together. Also I want to know for acalculous cholecystitis what can I take.

Answered by Dr. Dr.P.Ratnakar Kini (46 minutes later)

Brief Answer:
Would like to have the complete report of USG scan

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Please upload the complete report of the USG scan . I would like to have a look at it before giving my opinion.
And also the TG levels.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)

Sir, I have uploaded the reports. My TG level is 389. Please let me inform about the medecines.
I am enclosing herewith the USG and blood report as per Doctor advice for further action.

Answered by Dr. Dr.P.Ratnakar Kini (29 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for the additional information.

You need not take all the medications together.You take either acamprosate or chlodiazepoxide.
As far as the fatty liver is concerned, it is due to alcohol intake and stopping alcohol will reverse it in 3-6 months. Your liver function is normal and so you can expect good recovery on stopping alcohol.

You have high TG also which might also be contributing to fatty liver. You can discuss with your doctor about taking fenofibrate and omega 3 fatty acid supplements.

As per your scan report, your gallbladder is partially contracted. That does not mean you have acalculous cholecystitis and so you do not need any treatment for that.

Let me know if you have any more questions.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (6 hours later)

sir, my widal test comes out to be positive. The report shows S.typhi "O" antigen - 1:160, S.typhi "H" antigen- 1:80, S.para typhi "A(H)" antigen- <1:80, S.para typhi "B(H)" antigen- 1:80. Medicine for fatty liver and typhoid, I don't have fever. Whether typhoid causing gall bladder problem. Also which one is better fenofibrate or atorvasstatin for high tg. Thank u.

Answered by Dr. Dr.P.Ratnakar Kini (18 hours later)

Brief Answer:
Fenofibrate

Detailed Answer:
Hi,
Typhoid organism can cause gallbladder problem.

Since only TG is raised, fenofibrate would be better. Atorvastatin in case cholesterol was also high.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr.P.Ratnakar Kini (3 hours later)

Sir, whether antubiotic is required for typhoid. What is the starting dose of fenofibrate I can take. And medecine for fatty liver

Answered by Dr. Dr.P.Ratnakar Kini (20 hours later)

Brief Answer:
No need for antibiotics

Detailed Answer:
Hi,
You do not need antibiotics for typhoid as you are asymptomatic.
Prescription/dosage are not allowed through this website.
As said earlier you need to discuss with your doctor about these medications and ask for a prescription.
You do not need medication for fatty liver. Only you control your TG levels and also stop drinking alcohol, it will become normal in 3-6 months.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (42 hours later)

Sir, I am very thankful for your kind advice and also for encouraging that fatty liver will reverse within 3 to 6 months, because most of the Dr say negatively. Sir, just I want to know that my Psychatrist prescribed me acamprosate calcium for supporting from alcohol whether it is safe for liver. Also prescribed Quetiapine fumarate 50 SR. And lorazepam 2 mg for sleep, but its is too strong for me. Can I take amitripyrine 10 mg with this combinations.

Answered by Dr. Dr.P.Ratnakar Kini (17 hours later)

Brief Answer:
Acamprosate calcium is safe for liver

Detailed Answer:
Hi,
Acamprosate calcium is safe for liver

Kindly post the psychiatry related question separately. Our Psychiatry experts will assist you.

Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar