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To: techdiver@opal.com
Subject: Re: Prozac
From: hgartner@ra*.or* (Harold Gartner)
Date: Wed, 1 Feb 1995 22:48:29 -0800
>I'll take your statement that you intend no pun or offense at face value.
>Ok, on what do you base your statement?  I responded earlier to Alex about
>a situation we had.  I don't know if the post made the list, but I
>intended that it should.  We had a student using Prozac and called DAN.
>They didn't have enough information to make a call and sent us back to the
>prescribing doctor who knew nothing about diving.  So, does anyone have
>any solid information on this?  Not flaming you, Harold, but there are
>millions of folks using this drug and I'll wager anything there are some
>on this list.  Same thing goes for Paxil, Zoloft, and the other serotonin
>re-uptake inhibitors.  This kind of question is going to come up again.
>Any physicians out there with experience/information?
>
>Thanks in advance,
>
>Jim Payne
>
Jim,
I'll admit that my response was a quick "off the cuff" remark; I'm familiar
with the drug as both my wife and my son use it or have used it.  My wife
used the drug for chronic pain which results from a brain malformation; my
son (who is also a diver) has used it for depression.

If one reads the package insert (PDR) you'll find that side effects include
anxiety, nervousness, infrequently seizures, interference with cognitive
and motor performance, and the list goes on for pages.  In particular, the
effects of the drug in combination with other CNS agents (O2 at high
PO2's?) are unknown.

I've taken the position that my son could dive, after his problems were
stable and when we were confident of his reaction to the drug, but only to
shallow depths -- no more than 60 - 80 feet.  I wouldn't think of letting
him join me on tech. dives.  I think I'd have to be nuts to allow him to
join me, while he's taking Prozac, to depths of well over 130fsw, let alone
take a trimix dive to 250fsw or so.  Hence, my comment about deep diving
where the effects of the drug are more likely to be pronounced and the
effects of other drugs such as Nitrogen and O2 may have major effects.

Hal

Harold Gartner
hgartner@ra*.or*
CompuServe ID 71470,1423
6900 Via Alba
Camarillo, California
805 482-9743

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