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Re: hand holding » Lorraine

Posted by Elizabeth on July 31, 2001, at 17:34:53

In reply to Re: hand holding, posted by Lorraine on July 31, 2001, at 11:03:39

Hi Lorraine.

> > > >I'd try rxlist.com
>
> Yes, I use this and drkoop.com drug checker for drug interactions.

I'm not sure about drkoop.com. I think that both sites would probably tend to come up with nonexistent drug interactions.

> I've been on the Neurontin long enough (6 mos) to know that it is not the answer to this problem, although it does help smooth things out generally. My pdoc prescribed Ativan for me to try out.

Good luck with that. How much Neurontin were you taking, incidentally? I've heard wildly variable claims about what the effective dose range is.

> Now what they say about Effexor withdrawal is to augment it with a long half-life med like Prozac to ease the transition. I wonder if a similar argument would work with MAOs?

Umm. I'd avoid Prozac if you've taken a MAOI recently! (Benzos do help with MAOI withdrawal, though.)

> Are there some that have a longer half-life?

Nardil and Parnate are both very short-lived. I don't know about others.

> But then there is a wash-out switching from one MAO to another, right?

Yes, although some people feel that this is only a problem when switching between hydrazine and non-hydrazine MAOIs.

> I'm assuming that if you felt anxious on withdrawal, that Parnate was medicating the anxiety when you were on it. I'm not sure that this logic holds though.

Rebound anxiety does suggest that the drug is an anxiolytic, yes. (Parnate controlled my panic symptoms well, BTW.)

> Let us know what the serum level check reveals. It could be an important piece of information about your metabolism.

Funny you should mention that. The serum DMI level was 456 ng/mL (therapeutic dose range is supposed to be 150-250). So my pdoc (well, the guy who's covering for him) wanted to repeat the test, so I went in today and got more blood drawn. AFAIK I did it right (blood draw 10-12 hours after last dose).

-elizabeth


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poster:Elizabeth thread:67742
URL: http://www.dr-bob.org/babble/20010731/msgs/72768.html