4 thoughts on “Meds And The Perils of Fractured Care

  • April 6, 2012 at 12:27 pm

    Get a smarter psychopharmacologist maybe. There must be some out there who are top-notch experts in drug/mood interactions. I find some psychopharmos to know very little about drugs.

  • April 8, 2012 at 6:20 am

    Last year after starting Lamictal, annd birth control, some months into them both I stumbled across, on the web, that indicated that one or both might interfere with the other. Lessen the efficacy of the other. I read web sites that said it was birth control lessening the efficacy of Lamictal, and some that said it was the Lamictal lessening the efficacy of Lamictal, and a few said both . . .

    I talked to my pharmacist and I think he said the Lamictal lessens the birth control efficacy.

    Still, this is an important enough side effect I was annoyed my GP didn’t mention it when prescribing the birth control; then again, he probably doesn’t deal with Lamictal that often . . . I suppose it would have been more likely that my psychiatrist would have known the Lamictal/birth control interaction, but she said nothing.

    I eventually asked her and she confirmed, I think, what the pharmacist said.

    • April 8, 2012 at 12:11 pm

      Thanks for sharing this. I’ve also heard that certain drugs – including some psychotropics – can interfere with the effectiveness of birth control, and it is something they do warn about on the birth control information packets, although they don’t tell you which drugs may interfere, just say to ask your doctor. So that, of course, brings us back to the same issue, which is that you have to a) remember to ask the doctor and then b) the doctor has to be knowledgeable enough to actually be able to confirm or deny whether it’s a problem and then c) if it is a problem, the doctor needs to be resourceful enough to help you figure out what to do about it, which they may not be willing to do if it’s not their area of expertise. Ideally, the two doctors get on the phone to confer about it, but that’s not time the insurance company reimburses them for, so they don’t exactly have much incentive to do it. Oy.

  • April 11, 2012 at 10:54 am

    Why take birth control pills??? Try an IUD. I think they’re much, cheaper, safer and won’t interfere with your psychotropics—they’re very effective. I suggest the IUDs without hormones. I can’t for the life of me understand why physicians don’t make that suggestion. Is it that drug companies want to push the more expensive and potentially dangerous birth control pills on clients? Sadly, with the medical establishment, you often have to play defense. good luck


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