Posted by stargazer on August 1, 2006, at 6:43:46
In reply to Print this out and take to your doc, posted by UgottaHaveHope on August 1, 2006, at 4:37:23
I just typed a big long message and lost it so here's a brief summary of it.
That prof should never had said not to ever use MAO's for depression. First of all he is a GP, secondly, he is admittedly a "generalist". He is clearly not in any position to make that statement against using MAO's. He is just unfamiliar with them and considers the newer meds the "gold standard" of treatment.
I have taken MAO's back in the early 80's when only TCA's and MAO's were available. After failing a trial of TCA's (anticholinergic effects)my doc started me on Nardil without any hesitency. Remember the choices were not there. I had an almost immediate good response and took Nardil for many years. Also back then the school of thought was to discontinue an AD once the depression had lifted. The next time my depression surfaced, we tried Nardil and it didn't work. So we tried another MAO with success, either Parnate or Marplan. So my experience then was a good one. Then disaster stuck and Marplan was discontinued by Roche because of all the newer, more effective AD's that had been developed, starting with Prozac, I tried them all. Some worked for awhile, some didn't work, some made me worse and everything in between.
Now, I am back on Marplan, re-released I'm assuming due to the demonstration of those former users who have not achieved the same results with the newer,improved meds. For me, Marplan seems to be working again. It's only been about 2 mos but I have good feeling about it.
I'm glad I tried it again. My doc had no problem prescribing it. He gave me a handout on dietary restrictions and a prescription for Nifedipine, for any BP crises. But the risk is worth it to me if it means feeling whole again and not trying every medication that is developed for the rest of my life.
It is worth it for now.............SG
poster:stargazer
thread:672312
URL: http://www.dr-bob.org/babble/20060724/msgs/672506.html