Posted by McPac on June 19, 2003, at 3:39:59
In reply to Re: Ron/Ace, Re: Mcpacster- how are you bro?! » McPac, posted by ace on June 19, 2003, at 1:19:41
Hey McPacter!
>>>>>>>Hi Ace!
Lets sort this out brother. OK, first you asked about the RIMA's - there is one that I know of called MOCLOBEMIDE (Aurorix).
>>>>>Ace, I don't think it's approved in the U.S.?
This MAOI is a 'newer' one. Now, I have heard this is used for OCD, depression, and anxiety. I've heard some very good anecdotes about it. Some people require higher doses as time goes on to maintain therapeutic efficacy but don't worry about for now. With Moclobemide the food restrictions are far less (I'm not even sure you have any).
>>>>>>>>>I don't think there are any food restrictions for the "Moc".
OK, something struck me on the head about your comments with Nardil. I think it maybe a manifestation of OCD - ie your worrying about the food. I could be wrong so call me a piece of dogfood if I am!
>>>>>>>Ace, EXCELLENT observation on your part brother...EXCELLENT (in fact, I wondered if somebody might think that!)....but the answer is No, it's not an ocd thing. I just eat out so much---at work, with friends, restaurants, wherever---that I would always be faced with foods that I wouldn't know how I'd react to....and as for food, I'll eat just about anything without hesitation...I like to grub, lol....the RIMA's (like "Moc") would solve that problem (no food restrictions)...but I don't think it's US approved (typical---keep the good drugs out to protect the crummy ssri monopoly, lol)
But anyhow, with Nardil I had the same worry's before- but they were baseless. At the resturants I really believe you wouldn't have to frig around to much with menues - just avoid the cheese and soy sauce and a few others. I can say I do not notice AT ALL the food restrictions, although I don't eat out much (no $$!!!)
Here are some thoughts on meds
1. Augment Zoloft with Trazadone
2. Augment Zoloft with Anafranil low dose
3. Augment Zoloft with low dose benzo
4. Augement Zoloft with Buspar>>>>>Ace, I have read that Buspar is added to SSRI therapy for people that can't tolerate the ssri-induced anger/irrit. problem but I've never read anybody here mention that....don't really know if it is effective for that
5. Augment Zoloft with GabapentinTry... these replacements for Zoloft
>>>>>>>I'd love to find a replacement but it's got to work for both depression AND ocd...without the anger effect...
1. Moclobemide>>>>>>>>>>I think that's the one I'd like to try! (Again though---no FDA approval in U.S.? Gee, that blows.
2. Tramadol>>>>>>>>I'll have to read up on that one Ace.
3. Trazadone>>>>>>>>>>>>Ditto! (have to read up on it)
4. (the MIGHTY) Nardil>>>>>>>>>Nardil IS awesome! (I don't remember exactly how effective it was for me for ocd...I wasn't on it too long....but I ALWAYS remembered it VERY favorably.
5. Parnate
of course you can augment the above. ALL of these drugs I mention have shown efficacy in OCD and depression (Not sure of Gabapentin for depression but)
I think you might be better off finding a new 'main' drug and then considering augmentation if need be.
>>>>>>>>>>>>You may be right Ace...I've LONG thought this but the Zoloft works so well for my ocd and depression; but I HATE the side effects....these ssri's INDUCE anger/irrit. in me and I know that I'd be better off without THAT effect! But the ocd always screws alternative choices up---there are tons of anti-dep's BUT finding one that works great for depression and OCD significantly reduces the choices!
But it's no good what is happening- we don't want therapeutic response at the expense of you getting angry and irratable.
>>>>>>>>I agree....there's got to be a better way
Tell us what you think brother!
>>>>>>>>>>I'd like to try something like Moclobemide (or Reboxetine--NOT approved here either! what a joke!)......that sounds good...but no FDA approval.........I'll have to read about Tramadol and Trazadone (just no anger effect, please!) I am NOT angry/irritable by nature...this is drug-induced and it bites the giant one!......Take care Ace!
poster:McPac
thread:234393
URL: http://www.dr-bob.org/babble/20030614/msgs/235017.html