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Re: Wellbutrin and MAOI - safe combo? - please advise Angela5

Posted by anita on September 22, 2000, at 22:35:51

In reply to Wellbutrin and MAOI - safe combo? - please advise, posted by Angela5 on September 20, 2000, at 2:03:00

Hi Angela,

MAOIs and Wellbutrin can be taken together, but only if you are already on an MAOI and adding Wellbutrin very slowly to it. Officially, it's not a recommended combo, but a lot of pdocs have tried it w/ no problem and it is used by many psychopharms.
However, it is probably not a good idea to add an MAOI, particularly Parnate, to your existing dose of Wellbutrin. There haven't been any studies on the safety of this as far as I know.

good luck,
anita


> My pdoc is considering putting me on an MAOI, but is unsure if Wellbutrin would be safe concurrently or if a waiting period would be necessary.
>
> I know that it is not recommended to take Wellbutrin with an MAOI, but I am pretty sure that I have read about it being done, and my pdoc remembers prescribing it a long time ago with no bad results.
>
> I only have a very, very basic knowledge of the pharmacology of all this stuff, but I know that reboxetine is safe with MAOIs (and in some studies has shown to lessen the hypertensive crisis risk). If I remember correctly, reboxetine works on noradrenaline. Since Wellbutrin works on noradrenaline (and weakly dopamine), I was reasoning that it would be safe also, i.e. no risk of serotonin syndrome. However, I'm not sure by what different mechanisms these drugs actually "work" (again, sorry for the poor understanding), so I don't know if my reasoning has any merit.
>
> Hopefully this made sense - any advice would be most welcome!
>
> Thanks,
>
> Angela


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poster:anita thread:44940
URL: http://www.dr-bob.org/babble/20000905/msgs/45093.html