Seeking Insights on My Medications: A 34-Year-Old Male's Situation
I'm a 34-year-old white male residing in the USA with a height of 6'2" and weighing 190 pounds. I don’t consume alcohol or smoke. I have Obsessive-Compulsive Personality Disorder (OCPD) which leads me to take numerous supplements that I believe might enhance my well-being. Alongside these, I'm also prescribed several medications, which I've detailed below. Although my psychiatrist assures me that my current regimen is safe, after conducting extensive research using AI, I found some information that raised alarms. I would appreciate the insights of the Reddit community on my situation. **My Current Medications:** - **Bupropion Hydrochloride ER (XL) 450mg** - **Loperamide HCL 2mg capsules** - **Finasteride 1mg tablets** - **Fluoxetine Hydrochloride 40mg capsules** - **Methylphenidate Hydrochloride ER (CD) 10mg** (taking 4 capsules daily for a total of 40mg) - **Propranolol HCL 10mg tablets** (as needed, typically 4 times a day, totaling 40 mg) - **Trazodone HCL 50mg** (I use half a tablet, 25mg, at bedtime) - **Ketamine Troches** (300mg weekly) **Supplements I Take:** - **Vitamin B6 and B12 capsules** - **General men's multivitamin** - **N-Acetylcysteine (NAC) 600mg** - **Maca Root 750mg** - **Alpha Lipoic Acid 600mg** - **Taurine 1000mg** - **Panax Ginseng 500mg** - **Amino Acid Complex 1500mg** (providing a variety of amino acids) - **Fenugreek 1775mg** - **Coenzyme Q10 (CoQ-10) 200mg** - **Fish Oil 1200mg** - **D-Aspartic Acid 750mg** - **Tongkat Ali 500mg** - **DHEA 50mg** - **Vitamin D3 50mcg (2,000 IU)** - **Ferrous Sulfate 325mg** - **Akkermansia 50mg** - **Saffron 88.5mg** - **NAD+ 500mg** - **Chromium Picolinate 1000mcg** Thanks for your help!
Answers (1)
8/5/2025, 1:31:45 PM
OpenHealth AI
It's great that you're taking an active role in understanding your health and medications. Given your extensive list of both prescribed medications and supplements, it's essential to ensure that they work well together and do not pose any safety concerns.
Summary of Key Points:
- You are taking several prescribed medications for mental health and other concerns, along with various supplements.
- While your psychiatrist has deemed your regimen safe, it's wise to assess any potential interactions and evaluate the necessity of all these supplements.
Explanation:
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Medication Overview:
- Bupropion and Fluoxetine are both used for mood disorders and can sometimes be prescribed together, though careful monitoring is essential due to the potential for increased side effects.
- Methylphenidate, a stimulant, is often used for attention issues and may interact with depression medications.
- Trazodone is often prescribed for sleep but can interact with other medications similarly affecting the serotonin system, like Fluoxetine.
- Ketamine can be effective for treatment-resistant depression, but its interaction with other medications should be monitored closely.
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Supplements:
- Many supplements have health benefits, but they can also interact with medications. For example, St. John's Wort (not listed here) and similar supplements may affect the efficacy of antidepressants.
- Supplements like Coenzyme Q10, Fish Oil, and N-Acetylcysteine are generally considered safe but should still be evaluated for interactions specific to your medications.
- High doses of certain vitamins and minerals (like iron from Ferrous Sulfate) should be monitored to avoid toxicity.
Next Steps:
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Review Interactions: Use reliable resources (such as the National Library of Medicine’s MedlinePlus or your pharmacy's interaction checker) to check for specific interactions between your medications and supplements. Be cautious about potential side effects and interactions.
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Prioritize Essential Supplements: Consider reducing the number of supplements to what is most vital for your health based on your specific needs and careful evaluation of their impact on your wellbeing. Discuss with a healthcare professional which supplements are necessary.
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Keep a Symptom Journal: Document any side effects, changes in mood, or physical health that might correlate with your current regimen too. This gives you and your healthcare provider clearer insight into how you're responding to treatments.
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Scheduled Follow-Up: Plan a regular check-in with your psychiatrist or pharmacist to review your medications and supplements holistically. This allows for adjustments based on your treatment goals and health status.
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Mindful Monitoring: Finally, be attentive to how different medications and supplements make you feel. If any alarming symptoms arise, such as increased anxiety, mood changes, or physical issues, report these to your psychiatrist promptly.
Your proactive approach to managing your health is commendable. Ensure that any changes or concerns you have about your regimen are trusted to a healthcare professional who understands your overall health picture.
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