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.