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What Are Mirnite Meltab And Tryptomer Prescribed For?

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Posted on Thu, 12 May 2016
Twitter Thu, 12 May 2016 Answered on
Twitter Fri, 24 Jun 2016 Last reviewed on
Question : I have been advised by doctor to try for two weeks tryptomer 25 mg tab at bed time for two weeks and if suits continue. Rarlier I was advised mirnite metlab 15 mg which I took for about 6 months and left in Feb 2015. Can you advise what is the difference between two medicines and what for these are used. It seems these are for depression. For about 4 years I was put on dexit 50 but which doctor advised me to take for whole life but when I was prescribed mirnite metlab doctor stopped daxit 50 on plea that it is bascicall for sress related problem and not depression. Can you clear my doubts on above and guide me what is best for me and I thank you in advance for that. I am a diabetic and skin allergy patient.
doctor
Answered by Dr. Suresh Heijebu (7 hours later)
Brief Answer:
Tryptomer is best suitable in presence of major depression

Detailed Answer:
Hello, Madam.

I can certainly understand your concern.

I have worked through your query in detail.

Both Mirnite Metlab and Tryptomer are both used for depression.

Tryptomer is a standard drug used for depression, where as Metlab is a second line agent used for Depression.

Dexit 50 is mainly a psychotropic drug acting on central nervous system, it's indicated mainly in psychotic States ( a state where delusional and hallucinatory beliefs are prominent)

In case if depression is a major symptom in your case at the moment, it's advisable to go with Tryptomer alone and either discontinue or taper the remaining drugs under expert physician consultation.

This drug will not worsen diabetic state nor it will worsen skin allergy.

Post your further queries if any.
Thank you.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Suresh Heijebu (3 days later)
Thanks. I give you my case history and request for your help.:
Skin. It is childhood problem which I am carrying on. Twice biopsy was done, one in 1976 and second in 2002 and the last findings were MUCULAR AMYLOIDOSIS. Many skin specialists consulted but no relief. Perhaps between 1977 to 2001 never bothered much about it because of my busy schedule and it has aggravated.

Gastro: It is also old problem. 3 times endoscopy was done in 2003 and findings were Esophageal Candidiasis, gastritis and Pylori + Last endoscopy was done in XXXXXXX 15 and same results. This time brush cytology and findings were negative for malignant cells, positive for fungal elements-consistent with candida species. HIV I &II reports also were negative.

Diabetes: Till 2006 three months average was around 6.5 and thereafter it remains in range 7.1 to 7.9

\B.P It remains in range 140=70 with Telma 40

Nero: SNCV test in 2007 and result was Sensori motor mixed polyneuropathy.
I was having uneasiness with my eight left and I went to Dr JD Mukerji in XXXXXXX I was under his treatment almost for 6 years but no improvement

Ortho: Number of times MRIs, X-Rays were taken. Only reply was it is age related problem. In 2016 Joint replacement Surgeon said that your left hip jointy replacemen

t. But X-rays from 2010 to 2016 states the same position. While Ortho consultants state there is no need for surgery, Surgeon says go for it. 2016 X-ray reports say Spine - Marginal osteophytes seen arising from vertebral bodies, height normal. no focal lytic or sclerotic lesion and end plates and disc spaces

normal report for Pelvis with both hips -Enteropathy seen in pelvis, osteoarthritic changes seen in pelvis

I am completely confused now what to do. I am presently taking medicines Telma 40, libo M 0.3,Tryptomer, Flodart Plus I have appointment with neuro tomorrow.
My problems are: I lost my sleep after I was put on antibiotic and fungus medicines on first endoscopy in 2004, which I have not been able to get back and have to depend on anti anxiety /stress medicine and second problem is with my right leg particularly knee and foot. If you can suggest some doctor in South XXXXXXX who can examine my case and help me out I shall be obliged I am also forwarding you latest blood test reports through email received fro Thyocare.

I have troubled you enough and seek your help
doctor
Answered by Dr. Suresh Heijebu (9 hours later)
Brief Answer:
Details of Relevant doctor suggested.

Detailed Answer:
Hello, Sir.

I can understand your concerns.

I have worked through your queries and attached reports in detail.

You seem to have following laboratory abnormalities.

1.Elevated CRP and Lip A-Risk of heart disease

2.Abnormal lipid profile-Risk of heart disease

3.Elevated Lipase-Due to fungal gastroenteritis.

4.Elevated Eosinophil count-Skin allergy.

Sleep disturbances are secondary to the use of Tryptomer in your case.
With regards to arthritic changes in hip, spine pelvis , I suggest you to see a Neurosurgeon in person to take a final call on surgical repair.

I recommend the following doctor to see your case.
Dr. XXXXXXX Patir

MBBS, MS, M.Ch (Neurosurgery)

E-mail & appointment
+91-0000
E-mail id - YYYY@YYYY

I am yet to know, why you were prescribed FLODART PLUS ?

Fungal candidiasis require treatment with oral pills of Itraconazole for 3-4 weeks.Please check with your physician if he shares my view and if can prescribe these pills to you.

Post your further queries if any.
Thank you.



Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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What Are Mirnite Meltab And Tryptomer Prescribed For?

Brief Answer: Tryptomer is best suitable in presence of major depression Detailed Answer: Hello, Madam. I can certainly understand your concern. I have worked through your query in detail. Both Mirnite Metlab and Tryptomer are both used for depression. Tryptomer is a standard drug used for depression, where as Metlab is a second line agent used for Depression. Dexit 50 is mainly a psychotropic drug acting on central nervous system, it's indicated mainly in psychotic States ( a state where delusional and hallucinatory beliefs are prominent) In case if depression is a major symptom in your case at the moment, it's advisable to go with Tryptomer alone and either discontinue or taper the remaining drugs under expert physician consultation. This drug will not worsen diabetic state nor it will worsen skin allergy. Post your further queries if any. Thank you.