HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

How Can Flatulence Be Treated While Being On Lamictal, Clonazepam And Gabapentin?

default
Posted on Thu, 26 Apr 2018
Question: Hi Doctor...you've been very helpful in the past. I have moved from Parnate to Marplan (isocarboxazid) and my current doctor knows nothing about MAOIs. Essentially it's very close to Phenelzine but without the effects on Gaba transaminase.

Side effects are low so far, but the flatulence is out of control and I can't control it when it comes. I'm also taking lamictal 100-150 mgs, clonazepam .25 at night and gabapentin 150-300mgs at night and trazodone 50 mgs at night. The combo seems to get me to sleep and help with obsessive anxiety the next day. The flatulence started when I switched from tranylcypromine to Marplan and these other drugs were already in the mix.

Is there anything that can help control this when it is clearly not related to food intake? Thank you!
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (5 hours later)
Brief Answer:
Yes there is solution

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

First of all I like to congratulate you for achieving success in combating depression and anxiety with consistent effort. It is true that Marplan is one of the best MAOI when it comes to side effect profile as well as efficacy.

Regarding flatulence it is not common side effect of Marplan but noticed in around 2% of individuals with Marplan prescription.

I will advice following things to control the flatulence
1. Excessive intake of water - At least 3 to four liters per day
2. Regular physical exercise- at least 30-45 minutes for five days of week
3. Use of Beano tablets (contains alpha galactosidase)- Three tablets with first bite of food.
4. Avoidance of flatulence producing food items such as legumes, antichokes, brussells sprouts, asparagus, broccoli, cabbage, cauliflower, celery, corn, cucumber, eggplant, onion, peas, tomatoes, squash and chili among others.

I hope this helps you further.
Thanks again.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
How Can Flatulence Be Treated While Being On Lamictal, Clonazepam And Gabapentin?

Brief Answer: Yes there is solution Detailed Answer: Hello, Thanks for using Healthcaremagic. First of all I like to congratulate you for achieving success in combating depression and anxiety with consistent effort. It is true that Marplan is one of the best MAOI when it comes to side effect profile as well as efficacy. Regarding flatulence it is not common side effect of Marplan but noticed in around 2% of individuals with Marplan prescription. I will advice following things to control the flatulence 1. Excessive intake of water - At least 3 to four liters per day 2. Regular physical exercise- at least 30-45 minutes for five days of week 3. Use of Beano tablets (contains alpha galactosidase)- Three tablets with first bite of food. 4. Avoidance of flatulence producing food items such as legumes, antichokes, brussells sprouts, asparagus, broccoli, cabbage, cauliflower, celery, corn, cucumber, eggplant, onion, peas, tomatoes, squash and chili among others. I hope this helps you further. Thanks again.