Posted by Polarbear206 on January 24, 2008, at 14:25:52
In reply to Help Me Make the Case for Nardil, posted by bleauberry on January 23, 2008, at 17:42:18
> I am ready to make the sales pitch to my doc for a trial of nardil. I need help from you good folks in making my case. History = depression, tons of meds, ECT.
>
> The doc is a GP. He says he does not know any psychiatrists in my entire State that use maois. I don't want a pdoc anyway. Too expensive, not any better than a real good GP. Actually I like a good GP better because they see more of the whole picture. If I needed a pdoc for nardil it would literally be a walk through the Yellow Pages phone book calling everyone one at a time until I found one who has patients on nardil. I want to stick with the GP.
>
> The GP is cool. He is well experienced with tricyclics, antipsychotics, lithium, ssris, benzos, and stimulants. He is not a run of the mill SSRI GP.
>
> He is up to the task of new things if the evidence and sales pitch I present him are convincing. It was I would convinced him to add zyprexa to prozac. He didn't even know what zyprexa was back then. This was years before the combination became popular, and years before antipsychotics were used as mood stabilizers or antidepressant augmentors. I showed him the early studies from pubmed and made my case. I was the first patient he ever had on zyprexa. Now 10 years later he prescribes zyprexa like most docs do ssris, like candy. But it was he and I as a partnership that ventured into uncharted waters at the time. That is why I have the faith there is a good chance I can sell him on nardil. He does not have any other patients on nardil and never has. So again, just like zyprexa, this would be a first for both of us.
>
> Whatever you can think of to help me make my case would be SSSOOOO much appreciated. I am well versed on nardil. It will probably be me telling him what I can't eat, what side effects I can expect, etc, rather than him telling me.
>
> Thank you in advance your time. Long posts, short posts, I'll take them all gladly, the more the better.
If you are going to present him with literature on MAOI's, make sure you get it from a scholarly site such as pubmed.gov MAOI's are superior to other AD's and there has been a steady increase with the use of these drugs with good results for tx. resistant depression. Here is a link for MAOI users. They probably can really give you some pointers. http://health.groups.yahoo.com/group/maois/Good Luck.
PB
poster:Polarbear206
thread:808590
URL: http://www.dr-bob.org/babble/20080124/msgs/808736.html