Posted by Jost on May 8, 2006, at 21:35:58
In reply to Re: MAOIs » Jost, posted by Don_Bristol on May 8, 2006, at 19:42:34
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> Hi Jost. PMFJI. From what you write I sense you have not taken any MAOIs. I am not sure of the mortality rate of ECT but my impression is that it is far less than that of people who have died or been left with heart/brian damage after a serious adverse reaction to food + MAOI.
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> From the figures in the 2002 AAPCC TESS ANNUAL REPORT in "American Journal of Emergency Medicine" (vol 21, number 5, Sept 2003) there were 81 moderately serious outcomes of MAOI + food and 28 major or death. One third were intentional with the remainder being unintentional. The figures for 2001 are slightly higher.
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> The statement you make about "very little discipline about what they eat" is rather astonishing. You then refer to a list which strangely includes "certain wines" perhaps because of the old canard about chianti. You might want to dig out some old statements by someone who I recall who found themselves in ER after eating a single slice of pepperoni on a pizza. That person may have been unusually sensitive to that combo of MAOI + pepperoni but I doubt they were necessarily weak willed or "ill disciplined" about their diet as you seem to suggest.
I'm not sure what PMFJI means. Could you clarify.I certainly wouldn't have written what I wrote if I hadn't used Maois, though.
I was on parnate for three years, at a very high dose, without any adverse reaction.
Let me clarify. My implication wasn't that anyone was "weak=willed" at all. Discipline isn't a matter of will-- in my book. It's a lot of things situational, habitual, temperamental-
I would think most people eat this or that without thinking whether it has fermented soy or cheese in it or if it's been sitting out too long-- I'm pretty careful, and I found myself occasionally almost eating things without thinking.
That's all I meant-- you do have to be a bit on guard about stuff, which isn't natural, and is a habit you have to work a little to get on track. But I also think it's a habit, and not so hard to develop for most.
I can see that "have little discipline" could have carried a meaning I didn't intend-- it wasn't put precisely. I meant that most people are more than able to be that careful and thoughtful. I meant that it is a bit unnatural to interrogate every piece of food you put into your mouth during the course of a day.
I don't criticize people who are less able take that approach to food.-- I had an eating binge phase--
There may be some deaths on maois and I'm all for finding ones that are safer-- no argument there. However, I also think that the brain effects of ECT are soft-pedalled, and wouldn't do that myself, under any circumstances. But it is an individual decision, absolutely.
My Psych D was very convinced that deaths from Maois were overstated. He used them a lot for a long time and only had one death--a suicide, which occurred on a plane, where there wasn't any medical help nearby. But he's the expert, not me.
Again, he focussed on certain types of red wine. I didn't ask what types, as I don't drink red wine.
Hope I've responded to all your point.
Jost
poster:Jost
thread:639045
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