|homo vanillic acid
Jun 12, 2006
Dear Dr. Horwath, I'm a HIV pos male, seroconverted one year ago. Immune system is still adapting, but quite ok (CD4 580, 28%). Was on sipralexa (escitalopram) for about 6 months, have stopped the sipralexa after gradually lowering the dose over 2 months. My HIV physician is now addressing a hypertension problem (cardiac echo shows thickening of muscles, have been hypertensive for about 2 years based on those measurements). Heart/kidney scans are ok, slight thickening of heart muscle, no elevated catecholamines in urine, excess homovanillinic acid in urine. I'm on a mild dosage ACE inhibitor now. Might these elevated homovanillinic acid titers be caused by recent sipralexa usage? As a biochemist, i know the homovanillinic acid is a dopamine metabolite. I've never taken drugs (the recreational ones), so never toyed with my neurotransmittors :)... Now dopamine disorders are aplenty and linked to spooky stuff such as schizofrenic behaviour... Woud you care to enlighten me? Yours, European biochemist
| Response from Dr. Horwath
No, using escitalopram would not elevate your homovanillic acid titers. And more importantly, escitalopram is not associated with elevated blood pressure.
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