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Re: When to consider MAOI therapy? » Colleen D.

Posted by bennyj on January 28, 2006, at 13:06:24

In reply to When to consider MAOI therapy?, posted by Colleen D. on January 27, 2006, at 19:26:28

I would encourage to try a maoi if your doc is open to it...mine was a little reluctant at my suggestion to try nardil but he eased up on it after I showed him I did a bit of research into it (nardil is besti for social phobia over ssri's in the literature). SSRI's and SSNR's, although working initially for depression, have always ended up increasing anxiety horribly for me...as they can do for bpII patients. But nardil doesnt do this to me, it provides a nice lift in my depression even at a small dose. The diet restrictions are not difficult at all...for me I can dabble a little with cheeses and soy products without much of an impact...headaches are a warning. If you do start make sure you have adhered to the basic diet for a week or so prior to starting. Your doc may wish to bring you off that tricyclic for sleep though...adverse reaction could be possible.
keep smiling,
Ben

nardil 30mg
lamactil 25mg
trazodone 150mg

> I've taken ADs since 1998. Here's the list:
>
> Zoloft
> Effexor
> Remeron
> Elavil
> doxepin
> Lexapro
>
> I'm still using doxepin for nerve pain and insomnia. Effexor pooped out on me and the rest have proven themselves ineffective during fair trials. As far as the MAOI dietary recommendations go:
>
> Chianti wine and vermouth, beer, whiskey, etc. - no problem; I only drink a beer or two when I am really depressed. Soy products are not a big deal either. Cheese - I could give to up in exchange for relief. It sounds like cream cheese and cottage cheese are okay. Fish - I have developed a distaste for most of it over the years. I have probably eaten too much over the course of my lifetime on the shores of Lake Huron. I don't consume ginseng. Protein extracts - I like fresh meat cooked at least medium. I could avoid cold cuts with little problem. Sauerkraut - I only cooked it for my soon-to be- ex. Shrimp paste - I've never eaten it. Canned soups - no problem there. Brewer's yeast or extracts - no biggie.
>
> What else does one's pdoc consider when deciding if you are or are not a good candidate for MAOIs?
>
> Any info is greatly appreciated.
>
> Colleen
> MDD, OCD, GAD and SP


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poster:bennyj thread:603600
URL: http://www.dr-bob.org/babble/20060122/msgs/603746.html