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Concern about side effects of anti-depression medicines - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2582 Questions
User :   does versidep cause low sugar
Doctor :   Hi Dr XXX here
User :   My mother is using this medicine from 2 months
Doctor :   Can u mention the drug name correctly and may know who has prescribed u the same
User :   she takes carbpphage sr half a tablet in the morning
User :   this is for depression and a doctor inXXX prescribed this
User :   it is versidep only
Doctor :   ok
User :   Earlier she was taking glimap for sugar
Doctor :   no versidep does not cause any low glucse like condition
User :   and in the last four yrs never had low suagr events
User :   but after starting versidep she has these quite frequently
Doctor :   Side effects of versidep may include: nausea, drowsiness, headache and dry mouth
User :   i have read that it causes glucose intolerance
User :   But why is this..then earlier she was taking a higher dose of diabetic drugs
User :   now even with half a tablet of carbophage Sr this happens
Doctor :   i guess, there must have been any changes in the diet and lifestyle changes
User :   no not realy
User :   she eats the same and still her sugar goes down to 66
Doctor :   how are the glucose values ?
Doctor :   do u know her HBA1C
User :   fasting value is 100
User :   yes it was 5.8
Doctor :   What time does she take her pill ?
User :   both the pills in the morning
User :   with breakfast
Doctor :   any other pill she taking ?
User :   yes for BP and one for cholestrol at night
User :   amloz TS for bp
Doctor :   what time does her sugar go low
Doctor :   after taking the pills ?
User :   aroung 1 '0 clock or evening
Doctor :   i dont think, this issue is due to the versidep
User :   ok
Doctor :   what time does she ahve her lunch
User :   then what could be the cause
Doctor :   *have
User :   around 1:30 2
Doctor :   any other time during the day, does she have low sugars ?
User :   sometimes in the evening
User :   but mostly in the afternoon
Doctor :   this is coz, due to natural decrese inblod glucose and due to effectiveness of carbophage Sr
Doctor :   i would advice you to consult the treating doc, to decrease the dosage still as her HBAIC is normalised now
User :   so what shud we do to avoid this
Doctor :   can u mention her age for me
User :   she just takes 1/2 tab
User :   59
Doctor :   and is this twice daily or once a day?
User :   once
User :   in the morning only
Doctor :   In case, the glucose levels appear to go down, give her something to eat at 12 noon or so like a banana or a fruit
User :   ok
Doctor :   so that the glucose stabilises
User :   but i am surprised that with such a low dose
User :   this is happening
Doctor :   also, u can give her a small candy piece, just in case, instread of the fruit as well
User :   earlier with a high dose this never happened
Doctor :   coz, her body is doing well and has good glucose metb
Doctor :   her A1C is normal so
User :   can she stop the medicine altoghether
Doctor :   i can advice u to see her doc and ask him if h\hte meds can be reduced further
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