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Re: ECT - Scott

Posted by Elizabeth on May 13, 2000, at 14:05:02

In reply to Re: ECT - Scott, posted by Cam W. on May 12, 2000, at 22:37:02

> I was paraphrasing from a study I had read. If a pregnant woman were taking an MAOI, after failing other ADs, I believe that many docs would opt for ECT rather than risking damage to the fetus.

This seems like a poor strategy to me. I'm pretty sure there is little evidence either way as to whether MAOIs have any teratogenic effects, so you'd be taking a risk, but I think the risk of ineffective ECT (ECT is believed to be a poor antidepressant for those with atypical features, the group most likely to be taking MAOIs) is greater. IMHO, a better argument can be made for substituting ECT for tricyclics or lithium.




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