Posted by Caedmon on May 9, 2006, at 19:30:31
In reply to Re: MAOIs » Jost, posted by Don_Bristol on May 8, 2006, at 19:42:34
Hi Don,
The figures you quoted, were they from http://www.emedicine.com/EMERG/topic318.htm ? You posted a link to the aapcc's website, but I honestly couldn't make heads or tails of anything on it.
I think it's important to note that those figures to do not differentiate among overdose, drug, and food interactions. It is my understanding that drug interactions tend to be the most dangerous and possibly more common, too.
> >> Dying from an MAOI-related hypertensive
> >> reaction is extremely rare.
>
> > http://www.acnp.org/G4/GN401000046/CH046.html
> > states that[yxibow]: Dying is rare, you're right. However the chance of a stroke and unilateral or bilateral neurological damage is higher. Its worse than death. Its immobilization and life debilitating. But I'm not trying to scare those on MAOIs who have proper instructions from their doctors, and who do not eat the foods that would make themselves vulnerable. As one pointed out, eating out is a difficulty and a pleasure lost. But if it is necessary to come to an MAOI -- well, that's between you and your doctor>>
I think those statistics noted a rate for both CVA and death.
Maybe it's just me, but I perceived your post as quite unecessarily negative. I take an MAOI and I have eaten out. Pleasure is not "lost". I have to ask what's in the food I'm eating sometimes, that's all. Many people do that for a variety of health reasons.
When you say "if it is necessary to come to an MAOI -- well, that's between you and your doctor," the tone (which is always difficult to percieve just through writing), seems to be one of, "Oh well, if you want to do something so silly, be my guest, but it's not responsible." That's just how I read it. Maybe you could clarify, if I am reading it wrong. (I have "rejection-sensitive" depression and social phobia, so I can be reading into things without cause.) Otherwise, it does seem to be a sort of judgement call on behalf of others, without really knowing their situations... and I always feel this is risky in boards like these, where stories and advice on mental health are shared.
How many antidepressants do you believe people should try first, before trying an MAOI?
In my own case, I considered ECT. But the cost is prohibitive, and I already am suffering from memory problems secondary to depression. An MAOI seemed much more logical.
Be well,
- C
poster:Caedmon
thread:639045
URL: http://www.dr-bob.org/babble/20060504/msgs/641921.html