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Re: All that's old is new again...

Posted by Scott L. Schofield on February 15, 2000, at 20:14:14

In reply to Re: All that's old is new again..., posted by SIGOLENE on February 14, 2000, at 15:12:04

> I tried MAOI's 2 years ago. And I had to stop them because It was really impossible to sleep with it.

This is not an uncommon side-effect, especially early on in treatment. I think insomnia is more frequently associated with Parnate than with either Nardil or Marplan. However, it does occur with all three frequently. Interestingly, several people have posted here recently stating that they actually found Parnate to be sedating. Making broad generalizations can often be counterproductive when evaluating the pharmacotherapy of affective-disorders.

> It's worse than SSRI's for sleep. So if you are already someone with sleeping difficulties it's better to forget MAOI's because you can't take an other sedating AD with it, like Desyrel for sleep.

Competent psychiatrists can treat MAOI-induced insomnia. Since so many people can claim that an MAO-inhibitor has saved their life, and that so many of these same people have had insomnia as a side-effect, it seems that treatment-emergent insomnia is not so great a concern as to warrant avoiding MAOIs. And again, one's experience with the side-effects of one drug cannot be extrapolated to all others.

Finally, the use of Desyrel (trazodone) to treat MAOI-emergent insomnia has been the first choice of many psychiatrists for nearly a decade.


- Scott


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Psycho-Babble Medication | Framed

poster:Scott L. Schofield thread:12171
URL: http://www.dr-bob.org/babble/20000209/msgs/21671.html