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Re: Depression Can Be Fatal! yxibow

Posted by ed_uk on April 7, 2006, at 16:55:18

In reply to Re: Depression Can Be Fatal! JaclinHyde, posted by yxibow on April 7, 2006, at 2:13:55

>But not clorpheneramine maleate, benadryl

Most people on MAOIs take Benadryl with no problems. Even so, I wouldn't particularly recommend it. There are plenty of other antihistamines to choose from.

>Yes, pseudoephedrine hydrochloride is not the most effective thing on this planet but it at least for me clears my head on a really stuffy day (and then I have to take extra anxiety medicine usually, depends. I don't touch the 12/24 hour stuff, because that means you have to wait 12/24 hours if it messes with your body.)

A stuffy head is hardly comparable in importance to intense depression or anxiety. Having to avoid pseudoephedrine may be inconvenient, but it's really not that important. Have you tried a steroid nasal spray?

>Dextromethorphan is really the only effective thing here

There isn't much evidence to support the efficacy of dextromethorphan. I wouldn't generally recommend it. If a cough is present, the underlying cause should be treated. Mild coughs don't usually last long anyway.

>we can't go and get a little bit of codeine like in Canada (unless the changed that.) Of course that is also contraindicated.

I have only heard of one anecdotal case report of an interaction between an MAOI and codeine. Most people find that codeine does not interact with MAOIs. Nevertheless, taking codeine for a cough is not usually necessary.

>Well I'm a vegetarian ... so a MAOI would be out, since it includes most soy products

Fermented soy products, not all soy products.

>I eat bananas at all stages -- avoiding a banana because its one day too old and having a hypertensive crisis --- good lord

That would be extremely improbable. Fruit contains only tiny amounts of tyramine. You don't need to worry unless you're eating the banana peels as well.

>Avocadoes

They is a single case report of an alleged interaction. It is not of general importance.

>That means no trips to Taco Bell or whatever chain in your state has it since trace amounts could show up.

Trace amounts are irrelevent. Hypertension will only occur following a large 'dose' of tyramine. Even cheddar cheese would be safe in trace amounts.


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poster:ed_uk thread:627880
URL: http://www.dr-bob.org/babble/20060403/msgs/630224.html