Posted by elleff on June 23, 2007, at 8:34:43
In reply to Combing MAOI's with stimulants, posted by malcolm664 on June 20, 2007, at 13:05:48
Marked daytime sleepiness, usually in the early afternoon, is a well recognised potential side-effect of MAOIs (see http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=3273886&ordinalpos=26&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum).
I know of someone who has successfully treated this (caused by Parnate) with the addition of Modafinil. I'm afraid I don't know the doses used.
Although the PI cautions against using MAOIs while on Modafinil, a combined regime of Phenelzine and Modafinil was safe in this case report (http://ajp.psychiatryonline.org/cgi/content/full/161/9/1716-a).