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Date Posted: 19:38:39 05/04/02 Sat
Author: LoriAnne
Author Host/IP: pa-westmifflin1a-424.pit.adelphia.net / 24.48.239.168
Subject: straight answers

I just can't seem to get a straight answer from anyone, so I figured I would come to you folks.I have posted on site in the past, but lately my plate has been awfully full. My question is: I am on a small dose of Methadone, 40mgs. and my pcp. has put me on prozac, 20mgs. once a day. Now I have some concern as to the reaction these two drugs will have with one another and what they will do to my liver. My liver is so destroyed, the docs feel transplant is the only way to go. I am too far gone for treatment. The doc at the clinic says the meth will not affect my liver, and the prozac will not affect the meth. My Pcp. says just the opposite. I am confused and don't know who to beleive. I place a lot of trust in the combined wisdom from this learned group of human beings. I got the courage to post from reading someone's post stating they too were on Methadone.I am not ashamed of the meth, I just don't broadcast it to anyone and everyone. Hope you can help, love lorianne

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Replies:

[> That would be me.... -- toosh, 20:01:36 05/04/02 Sat (dhcp024-209-033-060.neo.rr.com/24.209.33.60)

Hi, LA....nice to see you again. Sigh...I will tell you what I know...but of course, I am not a doctor. Still....some dr's are anti-methadone and I was misled once before early in my hcv. Opiates....narcotics for pain....which methadone is, are one of the most "liver friendly" medications that one can take. To my knowledge the methadone should be fine. As far as the Prozac...I cannot say for sure. However, I do know that pretty many heppers are on it and I have never heard that it is particularly BAD for the liver. Your pcp...is he a specialist? A GI or hepatologist...probably not....an Internist even? IF you have a GI or hepatologist, I would try to find out from them, LA.

I mentioned that early on I had an experience with a doc and methadone. This man is a GI...and he told me that I could NOT go on Interferon while being on Methadone. That turned out to be a flat out lie...and I have heard even worse since then about this man. Remember....Dr's are only human...and sometimes they're wrong and/or their opinions color their decisions. Best of luck....come back and see us often!!.....Carol

p.s...you are on a nice low dose, which is also in your favor. I am on twice that...80 mgs


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[> Re: straight answers -- William, 14:01:49 05/05/02 Sun (spider-wo052.proxy.aol.com/205.188.200.42)

I have also had experience with both of the medications that you speak of. I was on 90.mg's of Meahtdone for almost five years. No problem for the liver from all that I have read.Most of the individuals at the clinic where I dosed had Hep C, or A, or B, or a combination of the afrementioned.

As for the Prozac, it was one of the anti-D's that worked well for me. Not sure if it is more injurious to the liver than say Celexa, or one of the many other anti depressants.

I am also not a DR, but it would not be a bad idea to check it all out. Look them up on the net. Many good sources there. Yes, the DR's are human and many times their judgement is less than objective. As with any medication the benefits should always outweigh the risks. Good medical practice dictates that.

Hope that you overcome this current problem, and that you be blessed in the upcoming months.

AGAPE.

Respectfully:
William


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