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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Appetite Loss. Had Jaundice. SGPT, SGOT, Billirubin Checked. Discontinuing Cyproheptadine, Dexamethasone Gives Same Problem. What To Do?

Sir i am suffering from my hunger since 2005. I had attacked jaundice in 2005 since then my appetite goes down. my sgpt and sgot level are in normal range but my billurbin level fluctuating sometimes it goes 2.7 sometime 1.9 respectively. sir i am taking cyproheptadine and dexamethasone tablet for increasing my hunger and i got positive result also but the problem is when i stop these tablet my hunger problem continue as it was so sir pls guide me and tell me what i do to increase my appetite.
Fri, 12 Apr 2013
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Psychiatrist 's  Response
Hello,
welcome to Healthcare Magic.

Cyproheptadine is antihistaminic medicine and dexamethasone is a steroid. Taking steroid to increase appetite is very dangerous and this practice is very common as a self medication. It need to stop. But stop dexamethasone slowly, as sudden discontinuation may lead to adrenal crisis or withdrawal.

Your case need to investigated for loss of appetite. Liver dysfunction is also common cause for loss of appetite. For that it is better to meet general physician for examination and investigations. Same time you can meet nearby dietician to plan your diet to increase weight.

Wish you all the best.

Regards,
Dr Ashish Kumar Mittal
www.99doctor.com
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Have Appetite Loss. Had Jaundice. SGPT, SGOT, Billirubin Checked. Discontinuing Cyproheptadine, Dexamethasone Gives Same Problem. What To Do?

Hello, welcome to Healthcare Magic. Cyproheptadine is antihistaminic medicine and dexamethasone is a steroid. Taking steroid to increase appetite is very dangerous and this practice is very common as a self medication. It need to stop. But stop dexamethasone slowly, as sudden discontinuation may lead to adrenal crisis or withdrawal. Your case need to investigated for loss of appetite. Liver dysfunction is also common cause for loss of appetite. For that it is better to meet general physician for examination and investigations. Same time you can meet nearby dietician to plan your diet to increase weight. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com