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Re: Dr. Hoffman - alternative approaches

Posted by Daniel Hoffman, M.D. on March 23, 2005, at 22:22:37

In reply to Re: Dr. Hoffman - alternative approaches Daniel Hoffman, M.D., posted by KaraS on March 23, 2005, at 22:11:22

> Dr. Hoffman,
> Does the database include MAOI medications? So many physicians are reticent to prescribe them. Also, I have been afraid to try them but would be more inclined if a test showed that one of them would be a good match for me. Perhaps once this kind of testing becomes more mainstream, this would also encourage more physicians to prescribe MAOIs rather than just routinely handing out the latest SSRI.
> Thanks,
> Kara

Yes, the database includes MAOI's, but they don't fall under the "antidepressant" category. To the brain, they act similar to the "stimulants", which is often why only certain patients respond to them. rEEG had dramatically increased my use of MAOI's. American psychiatrists way under utilize these medications. Even a website by Harvard has chastised us for not using them the way European psychiatrists do. We're so afraid of litigation that we've scared ourselves and the public from considering these meds. None of my patients have had a problem with them, but it is initially scary to think about taking them. They are afraid of all the diet and medication restrictions. Several websites have reworked the foods you can eat categorizing them into high. medium and low risk. Newer MAOI's, which are reversible (but not available in the US) will not have the interactions that we see now. I think they are a definite viable option - but until rEEG I'd never used one. Shame on me!




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