Posted by Peter on February 25, 2003, at 10:51:45
In reply to Re: New Thoughts » Peter, posted by Ritch on February 25, 2003, at 9:04:29
> Peter, you mentioned a multiple week washout. Are there meds you would be continuing while you washout the others? I figured you would stay on your Lamictal at least. Or is it just the Adderall you would have to drop and then add it back once you are on the Nardil? Just curious how your pdoc was going to handle the washout (what meds get stopped when, started when, etc.).
>Hey Mitch:
The multiple-week washout was referring to if I started Straterra and it didn't work, I'd have to have it all washed out of my system for at least 2 weeks before starting up an MAOI. That's all I meant. I guess Straterra is counted as an antidepressant when it comes to not being able to have any of it in your system when beginning an MAOI. If I skip the straterra trial and go right to Nardil, pdoc said there's nothing I have to wash-out from now; I would stay on the lamictal and lower the adderall dose - only because it makes my heart-rate a little high so he would want to be cautious about that and lower it before I take the Nardil. I also asked him if there could be any difficulty discerning between an adverse reaction to Nardil and withdrawel feelings from adderall, and he said it would be easy to discern an adverse reaction to Nardil no matter what other meds you're lowering or increasing when you take it. Everything else-the klonopin, temazepam, ambien, and lamictal-I don't have to adjust before beginning the MAOI. But I do have to adhere to the diet beginning 2 days before I start the Nardil. I hope that answers your question-my ADD is really flaring up today. Have a good one,
Peter
poster:Peter
thread:202089
URL: http://www.dr-bob.org/babble/20030224/msgs/203694.html