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EMSAM / MAOI Augmentation

Posted by Darkness At Noon on July 12, 2007, at 7:37:10

Does anyone have experience augmenting MAOIs (particularly EMSAM) with other meds?

EMSAM has not yet worked for me, though I can still increase the dose and stay on it longer. But it is -- so far -- one of the more tolerable ADs, side-effect-wise, if I don't mind not having a sex life. So I'm looking for augmentation strategies which might work, but not freak out my pdoc.

My pdoc is talking about antipsychotics. I've added several to SSRIs, but they always left my mind groggy.

A number of pdocs appear to advocate stimulants with MAOIs. They haven't helped me with SSRIs or TCAs, but haven't caused problems either. But my pdoc is using the PDR labeling to fend them off, somewhat like holding off vampires with garlic. But that's all theoretical; I can't find references to people actually going hypertensive from adding small amounts.

There are also references to TCAs, at least those with minimal serotonin effect. Anyone ever try MAOI-TCA and survive to read Psycho-Babble?

Thanks for any experiences you can share.


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poster:Darkness At Noon thread:769125
URL: http://www.dr-bob.org/babble/20070710/msgs/769125.html