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Re: how to get a Dr to rx MAOIs » shasling

Posted by Jedi on September 21, 2005, at 2:20:04

In reply to how to get a Dr to rx MAOIs, posted by shasling on September 20, 2005, at 16:19:21

> Anhedonia, lethargic depression for years.

Hi Shasling,
I'm from a small town about 150 miles from any major city. When I was seriously depressed the first time, I was lucky enough to find a PDOC that knew enough about atypical depression and social anxiety that he used Nardil on about the fourth trial. Thank God. When I came out of the depression, it was like night and day. Then this doctor left town and after a year or two I wanted to try Parnate, in hopes of maintaining the antidepressant effect and losing the sexual and weight gain side effects. After trials with several of the newer antidepressants and Parnate, nothing worked and I found myself back in major depression. At least this PDOC put me back on Nardil before he retired from practice, so I could recover to a somewhat normal level of dysthymia. I then traveled to see a PDOC that was suppossed to be one of the best in the country. At the time I was taking Nardil and Wellbutrin SR. He said this combination could kill me, and recommended ECT. I said I was saving that one for the last resort. I then saw one more PDOC who put me through nine months of different trials and refused to go back to what had worked in the past, Nardil. His reasoning for this was my tendency to adjust my own medications. I'm sure he would have rather seen me dead on a nice safe SSRI than try a MAOI. Finally I switched GPs and did about fifty pages of research to convince him that the Nardil was the only thing that would work for me. Since then, about three years ago, I have tried augmenting with different meds, but I will never go off Nardil until a med comes out that is proven to be as effective with less side effects. Good luck, the search for a knowledgeable MD with guts can be very difficult.
Take care,
Jedi


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