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About Dr Alan Galbraith
Expertise
I can answer most questions on most drugs. Answers can be given in either technical or layperson terminology. My main areas of interest are psychiatric, gastrointestinal and cardiovascular drugs.

Experience
I have been a university lecturer/head of department for almost thirty years, but am now retired. My research interests were alcohol, smoking and cardiovascular disease.

Organizations
Institute of Biology, London.

Publications
Author of "Fundamentals of Pharmacology" 5th Edition published in November 2007 by Pearson Education, Australia.

Education/Credentials
BSc(Hons);MSc;PhD;MIBiol; Cert Biol; HECert

You are here: Experts > Health/Fitness > Pharmacology > Pharmacy > phobia depression

Pharmacy - phobia depression

Expert: Dr Alan Galbraith - 10/22/2009

Question
QUESTION: dear sir,
how is DULOXETINE 30 MG for depression and anxity, is it effect to liver? and what are its sexual side effect.

ANSWER: Dear Majid

The sexual adverse effects and percentage affected are as follows: erectile dysfunction (impotence), (5%); ejaculation disorder (4%); abnormal orgasm, delayed ejaculation (3%); anorgasmia (no orgasm) (at least 1%).

It does not appear to affect the liver but should only be used with caution in persons with abnormal liver function.

Regards

Alan Galbraith

---------- FOLLOW-UP ----------

QUESTION: dear sir,
can i take nortripytilne 10 mg at bet time along with fluvoxamine 50 mg , there will be any interaction if i take fluvoxamine 50 mg in the morning and nortripytiline 10 mg at bed time or i can have it , is it safe?

Answer
Dear Majid

Fluvoxamine can increase the toxicity of nortriptyline therefore the combination must only be used under careful supervision. Check with your prescriber as to this. Personally I would not recommend this combination.

Regards

Alan galbraith

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