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September 25, 2003

Other Medications

Question from Jackson, Mississippi, USA:

My 18 year old daughter has had type 1 diabetes since she was 10 months old, and she also has Graves' Disease which was treated with RAI, but her thyroid levels are good now. She was on Paxil for depression for a couple of years while going through the thyroid ups and downs. I know depression can be common in people with diabetes and thyroid disorders, but she has been off the Paxil for a couple of years now and is showing signs of depression. I am concerned about side effects of Paxil when used in the long term, but I am considering talking to her and her doctor about prescribing it again. What is your experience with teenagers and long term use of Paxil?

Answer:

If her thyroid blood work has been normal for many years on thyroid replacement medication, it is highly unlikely that this has anything to do with her depression. I would ask these questions about her medications not only to her diabetes team but also to her psychologist/psychiatrist since they would know her better and understands the pros and cons of any medication recommendation.

SB