fatnews.com

Discussion Forums
NEW!

Discussion Forums

Recent Forum Topics
NEW!

Recent Forum Topics
We welcome your comments, experience, expertise and insight on various topics about weight loss in these discussion forums.

STORE

The Store

SEARCH THIS SITE


Advanced Search

SEARCH THE WEB

Google

CONTACT US

  • Contact Us
  • Submit your suggestions to improve this site
  • Submit an article you would like reviewed
  • Suggest a drug, nutrient or diet you would like reviewed
  • TABLES

    BMI Table for adults
    BMI Table defining childhood obesity
    Glycemic Index Tables

    MEMBERS

    Login
    Register

    MAILING LIST

    CATEGORIES

    (Tip: To find articles about a particular subject, either search for a particular word, click "Category View" above, or select the category you are interested in from the list below.)
    5-HTP (5-Hydroxytryptophan)
    Abilify (aripiprazole)
    Acarbose (Precose)
    Accountability
    ACE Inhibitor
    Acetyl-L-Carnitine
    Acomplia (rimonabant)
    Actonel (risedronate)
    Actos (pioglitazone)
    Adiponectin
    Aging
    AIDS
    Air Conditioning
    Alcohol
    Alcoholism
    Alii (orlistat) - (also see Xenical)
    All-you-can-eat
    Allergies, Food and Brain
    Almonds
    Alpha Lipoic Acid
    Aluminum
    Alzhemier's Disease
    Amantadine (Symmetrel)
    Ambien (zolpidem)
    Amino Acids
    Amitriptyline (See Elavil)
    Amphetamines
    Amylase inhibitors (See Starch Blockers)
    Anafranil (clomipramine)
    Angina (chest pain)
    Animal-based diet
    Antibiotics
    Antidepressants
    Antihistamines
    Antipsychotic drugs
    Anxiety
    Arginine
    Arthritis
    Articles by others
    Artificial sweetners (general)
    Aspartic Acid
    Aspirin
    Asthma
    Attention Deficit Hyperactive Disorder -- ADHD
    Autism
    Avandia (rosiglitazone)
    Axokine
    Bariatric Surgery (See Weight Loss Surgery)
    Behavioral Therapy, Cognitive
    Belviq (lorcaserin hydrochloride)
    Benefits of weight loss
    Benzodiazepines
    Beta Blockers
    Binge Eating
    Bioidentical hormones
    Birth Control Pills
    Blacks
    Blood Donation
    Blood Pressure
    Blood Pressure Drugs
    Blood Pressure Drugs INCREASED Death in Older women
    Blood sugar
    BMI not perfect
    BMI Table
    BMI, Healthiest (Healthiest BMI)
    Body Composition
    Bone Fractures
    Bone mass
    Book - Blue Zones
    Book - Cholesterol Myths (by Uffe Ravnskov, MD, PhD)
    Book - Deadly Medicines and Organised Crime (by Prof. Peter Gøtzsche, MD)
    Book - Deadly Psychiatry and Organised Denial (by Prof. Peter Gøtzsche, MD)
    Book - Good Calories, Bad Calories (by Gary Taubes)
    Book - Malignant Medical Myths
    Book - Our Daily Meds
    Book - The Black Swan
    Book - Why We Get Fat (by Gary Taubes)
    Brain Allergies (See Allergies, Food and Brain)
    Breakfast
    Breast-feeding
    Broda Barnes, MD, PhD (thyroid expert)
    Bromocriptine (Ergoset)
    Bulimia
    Bupropion (See Wellbutrin)
    Byetta (exenatide)
    C-reactive protein
    Caffeine
    Calcium
    Calcium Channel Blockers
    Calorie content of food
    Calorie Density of Food
    Calorie Intake
    Calorie intake, Underreporting
    Calorie Restriction
    Cancer
    Cancer screening (Does it do any good?)
    Cancer treatments
    Cancer, Bladder
    Cancer, Bowel
    Cancer, Brain
    Cancer, Breast
    Cancer, Cervical
    Cancer, Colorectal
    Cancer, Endometrial
    Cancer, Gallbadder
    Cancer, Kidney
    Cancer, Leukemia
    Cancer, Liver
    Cancer, Lung
    Cancer, Multiple Myeloma
    Cancer, Non-Hodgkin Lymphoma
    Cancer, Oesophageal
    Cancer, Oesophageal (adenocarcinoma)
    Cancer, others
    Cancer, Ovarian
    Cancer, Pancreatic
    Cancer, Prostate
    Cancer, Stomach (gastric cardia)
    Cannabis (marijuana)
    Caralluma fimbriata
    Carbohydrates
    Carnitine, L- (L-carnitine)
    Carpal tunnel syndrome
    Celexa (citalorpam)
    Cell Phones
    Cereal
    Chelation Therapy, EDTA
    Chemtrails
    Chewing
    Childhood Illnesses
    Childhood neglect and abuse
    Childhood Obesity
    Chitosan
    Chocolate (cocoa)
    Cholesterol
    Cholesterol drugs
    Cholesterol Hypothesis Skeptics
    Cholesterol Myths
    Cholesterol, HDL
    Chromium
    Chronic Fatigue
    Citrus aurantium
    CLA (Conjugated Linoleic Acid)
    Clozaril (clozapine)
    Cobalt
    Cochrane Collaboration
    Codonopsis Eupolyphaga
    Coffee
    Coffee, Decaffeinated
    Cognitive function
    Commercial Weight Loss Programs
    Computer Use
    Conflicts of Interest
    Congestive Heart Failure
    Constipation
    Contrave (Wellbutrin (bupropion) plus naltrexone)
    Copper
    CoQ10 (Coenzyme Q10, ubiquinol, ubiquinone)
    Cortisol (stress hormone)
    Cost of food
    Costs associated with obesity
    Cravings
    Cymbalta (duloxetine)
    Daniel Amen, MD
    Death, Risk of
    Deaths from obesity
    Definitions
    Dental Amalgams (mercury fillings)
    Depo-Provera (depot-medroxyprogesterone acetate)
    Depression
    Desire to Lose Weight
    DHEA
    Diabetes
    Diabetes drugs
    Diagnosed Overweight by a Doctor
    Dialysis
    Diet drug use
    Diet Pills (General Info)
    Diet soda
    Dietary Counseling
    Diethylpropion (Tenuate)
    Dieting (General)
    Dieting, Intermittent
    Dinitrophenol
    Disability
    Discrimination against obesity
    Diuretics
    Diverticulitis
    Doctor - Abram Hoffer, MD, PhD
    Doctor - Boyd Haley, PhD
    Doctor - Dr. Kailash Chand
    Doctor - H. Gilbert Welch, MD (author of Overdiagnosed and Less Medicine, More Health)
    Doctor - Irving Kirsch, PhD
    Doctor - Jason Fung, MD
    Doctor - Joel Kauffman, PhD (author of Malignant Medical Myths)
    Doctor - John Abramson, MD (author of Overdosed America)
    Doctor - Jonathan Wright, MD (pioneer in natural medicine)
    Doctor - Kimber Stanhope, PhD
    Doctor - Malcolm Kendrick, MD author of "The Great Cholesterol Con"
    Doctor - Marcia Angell, MD
    Doctor - Mary Enig, PhD
    Doctor - Michel de Lorgeril, MD
    Doctor - Peter Gøtzsche, MD
    Doctor - Robert Lustig, MD
    Doctor - Suzanne Humphries, MD
    Doctor - Uffe Ravnskov, MD PhD
    Doctor - William Wilson, MD
    Doctor trends
    Don't fall for this
    Dopamine agonists
    Drug company lies
    Drug Company Money
    Drug Company Salesman
    Drug Company Tactics
    Drug-induced Side Effects
    Dry Skin
    Duodenal Switch (weight loss surgery)
    Eating time of day
    Economic Issues and Obesity
    Education
    Eggs
    Elavil (amitriptyline)
    Elderly
    Elderly, risk of obesity
    Empatic (Zonegran plus Wellbutrin)
    Environmental chemicals
    Ephedrine/Ephedra
    Epigenetics
    Erectile Dysfunction
    Escitalopram (Lexapro)
    Estrogen replacement therapy
    Evening Primrose Oil
    Every Other Day Modified Fast
    Excalia
    Exercise
    Exhaustion
    Fast Food
    Fasting, Intermittent
    Fat Cells
    Fat Intake (Dietary Fat)
    Fat loss
    Fat Oxidation
    Fat Replacers
    Fat, Body (Body Fat)
    Fat, Dietary
    FDA (U.S. Food and Drug Administration)
    Fen-Phen
    Fertility (see Pregnancy)
    Fiber (Dietary Fiber)
    Fiber supplements
    Fidgeting
    Fish
    Fish Oil (omega-3 fatty acids)
    Flaxseed
    Food Allergies (See Allergies, Food and Brain)
    Food Cues
    Food Diary
    Food Intake statistics
    Food preferences associated with obesity
    Food Pyramid
    Food Safety
    Food's effect on appetite
    Foods associated with higher and lower body weight
    Foods Associated with Weight Gain
    Forskolin (from the plant Coleus forskohlii)
    Fosamax (alendronate)
    Fructose
    Fruit
    Fucoxanthin
    GABA
    Gallbadder Disease
    Gallstones
    Garlic
    Gastro-esophageal reflux disease
    General Health Checks
    Genes and genetics
    Geodon (ziprasidone)
    Ghrelin
    Ginger
    Ginseng
    GLA (Gamma Linolenic Acid)
    GLA - Gamma Linolenic Acid
    Glucomannan (konjac root)
    Glucophage (metformin)
    Glutamine (amino acid)
    Glycemic Index
    Glycemic Index Tables
    Glycomacropeptide
    GMO foods (genetically modified organisms)
    Grains
    Grapefruit
    Green coffee bean extract
    Green Tea
    Group Therapy
    Growth Hormone
    Guar gum
    Gut Bacteria
    Gwen Olsen
    Habits associated with obesity
    Habits of being lean
    Hair Loss (caused by weight loss)
    Haldol (haloperidol)
    Hawaiian Diet
    HCG (human chorionic gonadotropin)
    Headaches
    Health Insurance
    Health Risks of obesity
    Heart Attack (myocardial infarction)
    Heart Disease
    Heart Disease, Coronary - Skeptics of the Cholesterol Hypothesis
    Heavy metal toxicity
    Herbal formula, Number Ten
    Herbal formula, PM-F2-OB
    Hibiscus tea
    High Carbohydrate Diet
    High-Fructose Corn Syrup
    High-Protein / Low-Carb Diets
    Histamine levels
    History
    Holiday Weight Gain
    Homocysteine
    Hoodia
    Hop extract, isomerized
    Hunger
    Hydralazine
    Hydrogenated vegetable oil (partially hydrogenated oil)
    Hydroxycitrate (HCA)
    Hypoglycemia
    Hypothyroidism, including Type 2 Hypothyroidism
    IGF-1 (insulin-like growth factor-1)
    Income level
    Infections
    Infertility
    Influenza (Flu)
    Injuries
    Insulin
    Insulin sensitivity
    Interview with Patients
    Interview with Stephen Gullo, PhD
    Interviews with Doctors
    Iodine
    Jenny Craig Weight Loss Program
    Joan Mathews Larson, PhD
    John Ioannidis
    Just for Fun
    Kidney Disease
    Kidney stones
    Kidney Stones
    Konjac root (See glucomannan)
    Krill Oil
    Lap Band Surgery
    Lead (heavy metal toxicity)
    Lean, things associated with being
    Legumes
    Leptin
    Lesbians
    Leucine (amino acid)
    Life Expectancy
    Lipolysis (release of fat from fat cells)
    Liposuction
    Lipozene (see glucomannan)
    Liquid Calories
    Liraglutide
    Longevity
    Lorcaserin (also see Belviq (lorcaserin hydrochloride))
    Low Calorie Diet
    Low Carbohydrate Diets
    Low Fat Diets
    Low Stomach Acid
    Lp(a)
    Ludiomil (maprotiline)
    Luvox (fluvoxamine)
    Magnesium
    Maitake mushroom
    Mammography
    Marijuana (see Cannabis)
    Mark Starr, MD
    Married or Single
    Meal Frequency
    Meal Replacement Shakes
    Measurments of obesity
    Meat, Red
    Mediterranean Diet
    Medium chain triglycerides (MCT's)
    Men, studies about
    Menopause
    Menstruation
    Mercury
    Mercury fillings (Dental amalgams)
    Meridia (sibutramine)
    Metabolic syndrome (also see Insulin Sensitivity)
    Metabolism
    Mifeprex (mifepristone)
    Milk and Dairy
    Mineral aspartates
    Mirapex (pramipexole)
    Mirtazapine (antidepressant Remeron)
    Moban (molindone)
    Monounsaturated fat (Olive Oil and Canola Oil)
    Mortality associated with obesity
    Motivational techniques for losing weight
    Movies
    MSG (monosodium glutamate)
    Multiple Myeloma (See Cancer, Multiple Myeloma)
    Myths, Medical Myths
    N-Acetyl-Cysteine (NAC)
    Naltrexone
    Nasal Blockage
    Nassim Taleb
    Natural Treatments
    Nestatin-1
    Neurontin (gabapentin)
    Niacin (vitamin B3)
    Nicotine
    Night Eating Syndrome
    Night workers/shift workers
    No Dinner Diet
    Nonalcoholic fatty liver disease
    Nortriptyline (See Pamelor)
    Nutrasweet (aspartame)
    Nuts (also see Almonds)
    Obesity Forecasts
    Obesity Guidelines, NIH
    Obesity statistics
    Obesity Statistics, US States
    Obesity, Causes of
    Obesity, Factors associated with
    Oleoyl-estrone
    Olestra
    Olive Oil
    Omega-3 Fatty Acids (fish oil)
    Omega-6 Fatty Acids
    Onions
    Oolong Tea
    Opinion
    Orthomolecular Medicine
    Over-treatment
    Paleo Diet
    Pamelor (nortriptyline)
    Parent's influence on obesity
    Parkinson's Disease
    Paroxetine (antidepressant Paxil)
    PCSK9 inhibitors (cholesterol-lowering drugs)
    Pedometer
    Periactin (cyproheptadine)
    Periodontal Gum Disease
    Personal stories about weigh loss
    Phen-Pro (Phentermine-Prozac or other SSRIs)
    Phendimetrazine (Bontril)
    Phentermine
    Phenylephrine
    Phosphodiesterase type-5 inhibitors, sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra)
    Plastic's effect on body weight
    Plate Size
    Pokeweed extract
    Polar Weight Management Program
    Polio Vaccine (Salk Vaccine)
    Polycystic Ovarian Syndrome
    Polyunsaturated Fat
    Port, Sidney (UCLA statistician)
    Portion size, effect on calore intake
    Post-traumatic stress disorder
    Postnatal weight gain (immediately after birth)
    Postpartum depression
    Potassium
    Pramlintide (see Symlin)
    Predicted Weight Loss
    Pregnancy
    Pregnant women, effects on offspring
    Prejudice against obesity
    Prevalence of Obesity
    Prices for drugs
    Prolixin (fluphenazine)
    Prostate, Enlarged
    Protamine
    Protein (general)
    Protein Leverage Theory
    Protein Source
    Protein supplement
    Protein, High, Diet
    Protein, Low, Diet
    Protein, Soy
    Proton pump inhibitors
    Prozac (fluoxetine)
    PSA Test (Prostate Specific Antigen)
    Psychiatric Drugs
    Pu-erh Tea (Chinese Black Tea)
    Pursuing Weight Control
    Pyruvate
    Qsymia (phentermine and topiramate) (formerly Qnexa)
    Quality of Life
    Radiation (background ionizing radiation)
    Rate of Eating
    Raw food diet
    Red Yeast Rice
    Resistant Starch
    Resveratrol
    Rhodiola rosea (Golden root or Arctic root)
    Rice
    Richard Moore, MD, PhD
    Risperdal (risperidone)
    Ritalin (methylphenidate)
    Robert Skversky, MD
    Robert Whitaker (author & journalist)
    Rubidium
    Saccharin (artificial sweetner)
    Saturated Fat
    Sauna
    Scams
    Schizophrenia
    Seizures
    Self-help weight loss
    Self-reported height and weight
    Self-reported intake
    Serentil (mesoridazine)
    Serlect (sertindole)
    Seroquel (quetiapine)
    Serotonin Syndrome
    Serzone (nefazodone)
    Sex and Sexual Activity
    Sexual abuse
    Shift Workers
    Sick Days
    Simmondsin (jojoba plant seed extract)
    Skinny on Obesity video series
    Sleep
    Sleeping pills
    Smoking's effect on weight
    Snacks
    Snoring
    Social Influence
    Sodium Intake
    Soft drinks (Coke, Pepsi, etc.)
    South Beach Diet
    Splenda (sucralose)
    Spouses
    SSRI's
    Starch Blockers (Amylase inhibitors)
    Statin Nation (documentary)
    Statins
    Stearic Acid (in beef and chocolate)
    Stents (coronary artery stents)
    Strattera (atomoxetine)
    Strength Training
    Stress
    Stroke
    Sugar Addiction
    Sugar intake
    Suicide
    Sumatriptan
    Sun Bathing, Benefits of
    Surmontil (trimipramine)
    Symlin (pramlintide)
    Symlin (pramlintide)
    Sympathetic Nervous Activity (SNS)
    Taranabant
    Taste
    Taubes, Gary
    Taxes and Obesity
    Tea
    Television Watching
    Temperature, House
    Tenuate (See diethylpropion)
    Tesofensine
    Testosterone
    Thermogenesis
    Thermography
    Thiomersal (mercury-containing preservative)
    Thorazine (chlorpromazine)
    Thyroid Function
    Thyroid supplement
    Thyroid, Desiccated
    Timeline related to obesity discoveries
    Tofranil (imipramine)
    Tofu (soybean curd)
    Tonsils
    Too much medicine
    Topamax (topiramate)
    TOPS (Take Off Pounds Sensibly)
    Trans Fats
    Trazedone (antidepressant)
    Tricyclic antidepressants
    Triglyceride levels
    Tryptophan
    Underreporting weight
    Urinary incontinence
    Vaccines
    Vegetable-based Diet
    Vegetables
    Vegetables, Raw
    Vegetarians
    Venlafaxine (antidepressant Effexor)
    Ventricular arrhythmias
    Vertical Banded Gastroplasty
    Very-Low-Calorie Diets
    Vibration, Whole Body
    Vinegar
    Virus and Bacteria associated with obesity
    Virus, obesity (adenovirus-36)
    Visual Cues
    Vitamin C
    Vitamin D
    Vitamins
    Waist measurement
    Waist-to-Hip Ratio
    Wansink, Brian (studies done by)
    Water
    Weighing, Self
    Weight cycling (gaining and losing)
    Weight gain
    Weight Lifting
    Weight Loss Expectations
    Weight Loss Programs
    Weight Loss Strategies
    Weight Loss Success (what successful weight losers do)
    Weight Loss Supplements
    Weight Loss Supplements, Adulterated
    Weight loss surgery
    Weight Loss Surgery - Laparoscopic Sleeve Gastrectomy
    Weight Loss, Benefits of
    Weight loss, Rate of
    Weight loss, risks of
    Weight Maintenance
    Weight monitoring
    Weight Perception
    Weight Watchers
    Weight-gaining drugs
    Wellbutrin (bupropion)
    Wine, Red
    Women, studies about
    Work, Lost Days
    Xenical (orlistat)
    YouTube videos
    Zerona laser
    Zetia (ezetimibe)
    Zinc
    Zocor (simvastatin)
    Zoloft (sertraline)
    Zonegran (zonisamide)
    Zyprexa (olanzapine)

    ARCHIVES

    September, 2017
    August, 2017
    July, 2017
    June, 2017
    May, 2017
    April, 2017
    March, 2017
    February, 2017
    January, 2017
    December, 2016
    November, 2016
    October, 2016

    ARCHIVE SUMMARY

    View by Date
    View by Category

    RSS / XML


    RSS 1.0
    RSS 2.0
    RSS Atom

    WEATHER

    Weather around the country
    Home page  >  Article | Previous article | Next article

    QUICKLINKS AND VIEW OPITONS

  • Articles with Recent Comments
  • Recent Forum Topics
  • Summary View
  • Headline View
  • Archive of Quotes
  • Adding 5-HTP to Phen-Pro: An interview with Dr. Dennis Padla


    Posted by .(JavaScript must be enabled to view this email address)
    Wednesday, September 10, 2003 4:27 pm Email this article
    Psychiatrist Dr. Dennis Padla 5-HTP may help patients who have plateaued but may also increase the incidence of some side effects.

    This interview was first published in Obesity Research Update, September-October 2000, Volume 5 Number 5 Page 37.

    Dennis Padla, M.D. is a psychiatrist in St. Joseph, Mich. board certified in general and forensic psychiatry and an adjunct professor for the physician assistant program at Western Michigan University.

    He previously co-authored a paper showing that the combination of phentermine and Prozac caused as much or more weight loss than Fen-Phen and that lower doses (20 mg) of Prozac were more effective than higher doses (40 mg). (See ORU, Oct. 1997, p. 73.)

    Dr. Padla can be reached by phone at (616) 983-3885, or by fax at (616) 983-5763.

    Hobbs: How often do you use each of these SSRIs or drugs with phentermine and what doses do you use?

    Padla:

    - Prozac 50 percent of patients 10-20 mg

    - Celexa 20 percent of patients 20-40 mg

    - Effexor XR 20 percent of patients 75 mg

    - Zoloft 5 percent of patients 25-50 mg

    - Wellbutrin 5 percent of patients 150 mg bid

    - Trazodone 0 percent of patients   —

    - Luvox 0 percent of patients   —

    - Serzone 0 percent of patients   —

    - Paxil Never. Paxil can cause weight gain.

    Hobbs: How do you decide which drug to use?

    Padla: I use Prozac when a patient wants a drug with a familiar name. I use Celexa when a patient is afraid of Prozac or tries Prozac and complains of vague side effects. Effexor works best in patients who are more depressed. And I use Wellbutrin to avoid sexual side effects.

    Hobbs: What side effects are most common with each drug?

    Padla: Sleep disturbance and sexual dysfunction with Prozac. Sedation with Celexa. Headache and nausea initially with Effexor especially if they have missed some doses and are starting again, and diarrhea with Zoloft.

    Hobbs: Do you ever add 5-hydroxytryptophan (5-HTP) to Phen-Pro (Phentermine-Prozac or other SSRI)?

    Padla: Yes. I give it along with 50 mg of vitamin B6.

    Hobbs: In what percent of patients?

    Padla: 20 percent.

    Hobbs: When do you add 5-HTP?

    Padla: I’ve used it mostly in patients who’s weight loss has plateaued—that is they have stopped losing weight—and those patients who have a bias against serotonin reuptake inhibiting drugs and prefer something “natural”.

    Hobbs: Does it help to break plateaus?

    Padla: Not as much as I’d like—it’s hit or miss.

    Hobbs: How often does it work?

    Padla: 30-40 percent of the time.

    Hobbs: Does it reduce cravings?

    Padla: It reduces sugar cravings somewhat. It’s very much like SSRI’s in that respect—maybe equivalent in efficacy.

    Hobbs: Does 5-HTP help reduce the symptoms of PMS?

    Padla: Probably, but I still prefer the SSRI’s for reducing PMS.

    Hobbs: Do you know why it is that sometimes 5-HTP doesn’t help?

    Padla: No, I don’t. I can’t tell who it is going to help and who it isn’t.

    Hobbs: Do patients notice any subjective differences when 5-HTP is added to Phen-Pro?

    Padla: No.

    Hobbs: Does it provide better appetite suppression?

    Padla: Yes, it does in some patients, but not by a tremendous amount.

    Hobbs: Does it help to reduce night time eating?

    Padla: I don’t know.

    Hobbs: Have patients reported any effect on insomnia, headaches, fibromyalgia?

    Padla: Some patients have reported an improvement in sleep although I’ve also had reports of insomnia with the addition of 5-HTP. I think headaches are probably more common with the addition of 5-HTP. I haven’t tried it for fibromyalgia.

    Hobbs: What is the average weight loss with Phen-Prozac versus Phen-Prozac-5HTP?

    Padla: I don’t know. I haven’t calculated it yet. However my feeling is that the difference is probably minimal.

    Hobbs: Do patients report any effect on mood with the addition of 5-HTP?

    Padla: No, not that I have noticed.

    Hobbs: Do patients report any effect on energy or fatigue?

    Padla: Yes. Some patients have reported a decrease in energy with the addition of 5-HTP.

    Hobbs: Have you had any reports of daytime sleepiness?

    Padla: Yes, sometimes.

    Hobbs: What time of the day do you give it—before meals or before bedtime?

    Padla: At breakfast or lunch along with phentermine or at bedtime.

    Hobbs: Is 5-HTP any less effective when taken with food?

    Padla: Not that I have seen.

    Hobbs: Do you ever vary the dose depending on the response, that is increase the dose if it doesn’t seem to be working?

    Padla: Yes. I start with 50 mg per day and increase it to 100 mg, 200 mg or 300 mg if necessary.

    Hobbs: What is the smallest dose that you have found effective?

    Padla: 50 mg per day.

    Hobbs: What is the largest dose that you have found necessary?

    Padla: 300 mg, although patients did not like staying on this dose for too long.

    Hobbs: Why is that?

    Padla: Side effects.

    Hobbs: Do you ever vary the dose depending on a woman’s cycle or if a person is under additional stress?

    Padla: No, I have not tried adjusting the dose under these situations.

    Hobbs: Do you keep patients on 5-HTP continuously?

    Padla: Yes, if it’s effective. However, if it doesn’t seem to be working after two months I have them stop.

    Hobbs: Do you have any patients taking it intermittently only when they feel it is necessary?

    Padla: No.

    Hobbs: Have you noticed any difference in response between men and women?

    Padla: No, not that I have seen.

    Hobbs: Have you found any difference in the response to 5-HTP depending on which SSRI you used?

    Padla: I have not tried to analyze this.

    Hobbs: With the addition of 5-HTP how much more common are: Nausea? Headaches? Sexual dysfunction?

    Padla: Nausea and headaches are probably about 10 percent more common with the addition of 5-HTP. I don’t know if sexual dysfunction is more common or not with the addition of 5-HTP.

    Hobbs: Have you had any suspected cases of serotonin syndrome with the addition of 5-HTP?

    Padla: No—never. I haven’t had any suspected cases with and of the combinations used for weight loss with or without 5-HTP.

    Hobbs: Have you tried adding carbidopa with 5-HTP as Richard Rothman suggests?

    Padla: No.

    —END

    Articles on the same subject can be found here:


    COMMENTS

    Please feel free to share your comments about this article.


    Name:

    Email:

    Comments:

    Please enter the word you see in the image below:


    Remember my personal information

    Notify me of follow-up comments?



    © Copyright 2003-2017 - Larry Hobbs - All Rights Reserved.