Posted by jedi on July 2, 2006, at 0:04:27
In reply to Re: maois are the only meds that made non depressed .., posted by jealibeanz on June 27, 2006, at 12:05:24
> Bringing this one back to life... what to know if I should put any thought into asking my family doc or hoping he'd suggest one for me.
Hi,
Generally a MD will only prescribe a MAOI after many other options have tried and failed. Some MDs and even PDOCs will not prescribe them at all; probably out of a perceived fear of lawsuits or the patient hurting themselves. This is too bad because IMHO a MAOI should be 2nd tier and not last resort when it comes to major atypical depression and social anxiety.Not just any patient can be trusted with a MAOI. You have to show your MD that you are knowledgable and stable enough to follow an ordered regiment of meds and diet. The diet really isn't that difficult, but you can't space out and take three tablespoons of some over the counter cough syrup. I have known many depressed people that I know could not be trusted taking a MAOI, so I can see the doctor's point when they refuse to prescribe them.
When I ask a new doctor to prescribe Nardil for me, I write a letter outlining the medications I have taken and include several research studies showing how the med works in many treatment resistant patients. In fact, I do this when I am asking for any different med and give them enough time to digest it before my appointment. This way I am sure to get all of my points in before my 10 minutes is up! Some doctors appreciate this effort and others are too arrogant to believe they can learn anything from a layperson. If you get one of those, you might as well cut your loses and move on. Just my opinion.
Good Luck,
Jedi
poster:jedi
thread:306200
URL: http://www.dr-bob.org/babble/20060701/msgs/663380.html