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Seroquel for Nardil Induced Insomnia

Posted by flipsactown on May 8, 2004, at 21:34:44

I can't believe it! I just got a phone call from my outgoing pdoc's office where I sent a fax. He was the one that was adamant that Trazodone was very contraindicated with Nardil, so now he Rx's Seroquel which I understand is for bipolar and schizophrenia. I have unipolar depression mainly caused by chronic low back pain which I suffered in 1980's when I was struck by a truck.

I have an appointment with a new pdoc later next week but because I have not gotten any quality sleep since I started Nardil 4 weeks ago, I was desperate to get an Rx for insomnia. Do you good people think Seoquel is appropriate for unipolar depression? It appears to me that this outgoing pdoc is not going to give me the satisfaction of proving to him that Trazodone is being used for Nardil induced insomnia.

I have decided not to pick up the Seroquel which is already waiting for me at Kaiser Pharmacy. I will wait until later next week when I see my new pdoc and hope that he will be more open in the use of Trazodone for insomnia. Anyway, I have some left over Remeron which I can take to help me sleep, but I don't want the weight gain either. I gained 40 lbs on Remeron. I would rather take my chances on Trazodone. Your thoughts will be much appreciated.

Again here is the website addressing Trazodone:

http://www.currentpsychiatry.com/2002_06/06_02_maoi.asp

"Trazodone is frequently employed as a remedy for
MAOI-induced insomnia.19 Mirtazapine can be used safely
in combination with MAOIs, and the agent has been
reported to acutely treat serotonin syndrome.20"

19. Nierenberg AA, Keck PE Jr. Management of
MAOI-associated insomnia with trazadone. J Clin
Psychopharmacol 1989:9(1):42-5.

20. Hoes MJ, Zeijpveld JH. Mirtazapine as a treatment
for serotonin syndrome. Pharmacopsychiatry 1996;29(2):81.

FST


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poster:flipsactown thread:344927
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