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Re: Diane and Spironolactone combination
From: anonymous (anonymous@obgyn.net)
Sun, 6 May 2001 11:58:41 -0500 (CDT)
Ok will you please just dropped the Annette subject!! please dont bring
her up again or compare any of us to her...we all are differant people
and are entitled to our opinions!. Medical treatment is differant in
other countries.PLease learn to accept that Dr Sam and we all can get
along better. This is an open forum and we discuss our experiences. We
all will take your advice into conscideration but it wouldnt be prudent
to substite our own personal physicians advice with advice from the
internet. PCOSers..we all have an obligation to discuss our conscerns
about PCOS with our doctors...talk to your doctor before following
anyones advice on this board. If you dont like what your doctor tells
you..get a new doctor.
annon
>At Sat, 5 May 2001, =?iso-8859-2?q?Zalányi wrote:
>Hi Christa,
>
>I think we have discussed this earlier and this was the point where Annette joined in and nearly had blown up the board.
>So once again: medical prudence dictates that you treat the causes and not the symptoms of diseases. Therefore the causal treatment of PCOS are insulin sensitizers. I accept, that the hyperandrogen symptoms maybe so bad that some of you needs symptomatic relief of acne, hair etc. For this an antiandrogen is indicated. Antiandrogens are: cyproterone acetate, finasteride. As in some countries cyproterone acetate is not available, spironolactone is prescribed, which IS NOT AN ANTIANDROGEN per se. It is a diuretic with antiandrogen side-effects. But if you are on cyprot-ac already (Diane) no further antiandrogen is needed. Besides antiandrogens need some 3-6 mo to act, which further complicates to evaluate which medication helped you with which symptoms.
>
>Sam
>
>> Dr. Sam --
>>
>> I'm getting a lot of info from many different places which say that
>> sometimes the Diane is prescribed in combination with Spironolactone. I
>> understand that all doctors are not in agreement with treatments but
>> this is driving me crazy. I know all the information you give me is
>> valuable and I very much appreciate your time.
>>
>> To make matters worse, I need to find a new endocrinologist because mine
>> doesn't even know about the Diane.(We live in the US) But my
>> dermatologist was aware of it because he is the one who told me about
>> it.
>>
>> I'm going crazy.
>>
>> --
>> Christa :-)
>>
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