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Re: maoi's next choice? » dondon

Posted by jedi on September 28, 2006, at 0:40:03

In reply to maoi's next choice?, posted by dondon on September 26, 2006, at 20:19:10

> I don't respond to ssris anymore. SHould I try an maoi now or a tca? Is there anyone here who don't respond to ssris but find relief from maois ?

Hi,
If your depression is diagnosed as atypical (overeat, oversleep, leaden paralysis, sensitivity to rejection) chances are good that a MAOI will be the best treatment. The problem is that many PDOCs will not prescribe a MAOI until most all other options are exhausted. Nardil augmented with clonazepam is the only combination that has worked on my atypical depression and social anxiety. I've been on 35+ different combinations of meds. For some people, Parnate or EMSAM work; these are less likely to cause weight gain. For me, the only thing that keeps me from gaining weight on Nardil is a couple of hours of exercise daily. Complete elimination of carbohydrates will stop the weight gain short term, but when you stop this kind of diet the weight comes right back. Another benefit of Nardil is it treats my borderline high blood pressure. While taking Nardil, I don't have to take any other blood pressure medication. Of course, you must follow a low tyramine diet and be very careful about any other medications you take.
Good Luck,
Jedi


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