I am suffering from anxiety on medication from 02 yrs. Tab clonil 25 mg hs, tab fluvoxamine 25 mg bd, tab clonazepam .5 mg bd presently detected fatty liver. So this medicine is caused or not. Suggest me.

Dr. Sushil Kumar SompurPsychiatrist19yrs exp

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It's important to address both your anxiety and the newly detected fatty liver with care. Regarding the relationship between your medications and fatty liver: Medication and Liver Health: The medications you are taking ? Clonil (which typically contains clomipramine), fluvoxamine, and clonazepam ? are commonly used to treat anxiety and its related disorders. While these medications can have various side effects, a direct causation of fatty liver is not typically prominent among them. However, every individual reacts differently to medication, and there can be rare instances where liver function is affected. Causes of Fatty Liver: Fatty liver disease is more commonly associated with lifestyle factors such as obesity, high cholesterol, diabetes, and excessive alcohol use. It's important to consider these factors along with medication when assessing the cause of fatty liver. Consulting Your Healthcare Provider: It's crucial to discuss your concerns with your doctor. They can evaluate whether your medications might be contributing to the fatty liver and consider any necessary changes to your treatment plan. They can also provide guidance on managing fatty liver, which often involves lifestyle modifications like diet changes, increased physical activity, and weight management. Managing Anxiety and Fatty Liver: Treatment for fatty liver generally focuses on addressing the underlying causes, such as improving diet and exercise habits. For anxiety, continuing with your prescribed medication under medical supervision and possibly incorporating therapy, such as cognitive-behavioral therapy (CBT), can be effective. It's important to manage both conditions in a way that is complementary and doesn't exacerbate either condition. Remember, individual responses to medication can vary, and your healthcare provider is best positioned to give you personalized advice based on your overall health, the specifics of your medications, and your liver health. Regular medical follow-up is essential to ensure both your anxiety and fatty liver are being effectively managed. 

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