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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by West on November 12, 2008, at 8:12:30
I am concerned about taking lymecycline which i am prescribed by a GP here with the Tianeptine i have to take clandestinely without the knowledge of my doctor.
I still pick up my prescription for Cymbalta despite not taking it because i fear if i don't i'll longer be able to receive the modafinil i am also prescribed to help with my depression
There are some posts about hepatoxicity involving the oxidation of fatty acids, or something along those lines, and to avoid taking aspirin, tetracyclines and others whilst taking Tianeptine.
If both medicines weren't so crucial in their own right i wouldn't hesitate in stopping the antibiotic. Will i die of liver disease?
Posted by desolationrower on November 12, 2008, at 11:29:38
In reply to Has ANYONE taken Tianeptine + Tetracycline AB, posted by West on November 12, 2008, at 8:12:30
Hm, i don't know to much about liver function.
Inhibition of microsomal triglyceride transfer protein: Another mechanism for drug-induced steatosis in mice
Résumé / Abstract
Although many steatogenic drugs inhibit mitochondrial fatty acid β-oxidation, limited information is available on possible effects on hepatic lipoprotein secretion. In the endoplasmic reticulum (ER) lumen, microsomal triglyceride transfer protein (MTP) lipidates apolipoprotein B (Apo B), to form triglyceride (TG)-rich very low density lipoprotein (VLDL) particles, which follow vesicular flow to the plasma membrane to be secreted, whereas incompletely lipidated Apo B particles are partly degraded. We studied hepatic MTP activity, the lipoproteins present in the ER lumen, and hepatic lipoprotein secretion 4 hours after administration of a single dose of amineptine (1 mmol/kg), amiodarone (1 mmol/kg), doxycycline (0.25 mmol/kg), tetracycline (0.25 mmol/kg), tianeptine (0.5 mmol/ kg), or pirprofen (2 mmol/kg) in mice. These various doses have been shown previously to markedly inhibit fatty acid oxidation after a single dose, and to trigger steatosis either after repeated doses (doxycycline) or a single dose (other compounds) in mice. In the present study, amineptine, amiodarone, pirprofen, tetracycline, and tianeptine, but not doxycycline, inhibited MTP activity in vitro, decreased ex vivo MTP activity in the hepatic homogenate of treated mice, decreased TG in the luminal VLDL fraction of hepatic microsomes of treated mice, and decreased in vivo hepatic lipoprotein secretion (TG and Apo B). In conclusion, several steatogenic drugs inhibit not only mitochondrial β-oxidation, as previously shown, but also MTP activity, Apo B lipidation into TG-rich VLDL particles, and hepatic lipoprotein secretion. Drugs with these dual effects may be more steatogenic than drugs acting only on β-oxidation or only MTP.Thats a place to start looking. I know tianetptine is metabolised by B-oxidation, so it could affect dosage. I think tetracyclines cause liver problems by blocking b-oxidation, and thus causing fatty acid accumulation in the liver.
if it was me, i'd take both medicines, and just avoid dietary fat, alchohol, and pick up some lecithin while i was taking both.
-d/r
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