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Taking Parnate And Xanax For Depression And Acyclovir For Genital Herpes. Safe To Take Alternate Medicine?

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Posted on Sat, 16 Feb 2013
Question: I take Parnate and Xanax (the generic Alphaprozolam) for depression. If I take any product from TheraBreath (Dr. XXXXXXX Katz, LLc from Los Angeles, CA is there any interactions between the two. My tongue got very white and I also was taking Acyclovir for Herpes genital and was diagnosed my husband and I with negative on this through blood test. I am so lost since I don't know were the white tongue and tearing eye plus a bloady nose every now and than and so much mucus coming up from my throat.
doctor
Answered by Dr. Sundar Gnanavel (1 hour later)
Hello Mr XXXXXXX .......
Thanks for your query. Parnate is tranylcypramine, an effective antidepressant of MAO inhibitor class. Though it has multiple drug interactions, it has no interaction with TheraBreath which is an oral hygiene formula with predominantly activated chlorine. You would require a thorough ENT examination before ascertaining the reason for white tongue, excessive mucous and tearing eye. It could be just an allergic disease or autoimmune entity. Herpes is another possible cause which you have ruled out. Do clarify anything else you may need to.
Regards
Dr Sundar
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sundar Gnanavel (14 hours later)
Dear Dr. XXXXXXX my name is XXXXXXX, XXXXXXX is my husband. I have had 3 blood tests re: genital herpes by a Specialist in Infectius diseases and by my Gynecologist both came back negative for Genital Herpes for both of us but positive for mouth. I felt like I was being told that I was mentally disturb with Herpes but I did not know how good his blood test for herpes was good to diagnose negative for genital herpes. I was told by an ophtamologist that I do not have herpes of the eyes, so I don't know anymore where to go. My primary physician put me on a what is called a: Z-Pack (you take 2 antibiotics then one for 4 days and she repeated the same for another Z-Pack) since I did not feel good. So my question to you is should I feel confident about the blood tests? My husband and I have not had sex in so long that I'm afraid to have any sexual relations with him since the last time he was very sore with his male organ. I was told to stop Acyclovir since the results was negative. Dr. XXXXXXX I want to know from you if I should feel confident in the results since we were diagnosed many years ago and I was put on Acyclovir many many years ago and was told by the Infectious Diseases Specialist to stop Acyclovir right away. I'm sorry if it took so long to see that the answer was from my question was in my inbox. Please answer my question since I knew all about the MAOI Meds and wish that I could take something else because I'm tired of the interactions that I have to watch constantly. I also have a ENT that told me to forget about herpes and go on but I get bloody nose with so much mucus and I don't feel all the doctors are being honest since they don't want to have to contradict the doctor that diagnosed us many years ago with this Virus (genital).

Thank you for clearing my mind I appreciate your time and knowledge in this matter,
Sincerely,
XXXXXXX
doctor
Answered by Dr. Sundar Gnanavel (34 minutes later)
Hello.........
I opine that you can go with the verdict of the lab reports done i.e genital herpes negative but oral positive. Hence, sexual intercourse without oral contact should be fine. You can request another infectious disease specialist to restart a course of acyclovir for oral herpes if required. If you are wary of the drug interactions of MAO inhibitors, my recommendation would be TCA/Tricyclic antidepressants or SSRI group of antidepressants that have minimal drug interactions. Hope you found the information useful.
Regards
Dr Sundar
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sundar Gnanavel

Psychiatrist

Practicing since :2009

Answered : 632 Questions

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Taking Parnate And Xanax For Depression And Acyclovir For Genital Herpes. Safe To Take Alternate Medicine?

Hello Mr XXXXXXX .......
Thanks for your query. Parnate is tranylcypramine, an effective antidepressant of MAO inhibitor class. Though it has multiple drug interactions, it has no interaction with TheraBreath which is an oral hygiene formula with predominantly activated chlorine. You would require a thorough ENT examination before ascertaining the reason for white tongue, excessive mucous and tearing eye. It could be just an allergic disease or autoimmune entity. Herpes is another possible cause which you have ruled out. Do clarify anything else you may need to.
Regards
Dr Sundar