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Re: obviously you need to combat the hypotension.

Posted by cumulative on March 3, 2008, at 13:56:48

In reply to Re: obviously you need to combat the hypotension., posted by Elizabeth Williams on March 3, 2008, at 8:21:40

Hey, here's the page, hope it's helpful:

http://www.dr-bob.org/tips/split/MAOIs-in-high-doses-and-wi.html

From: "Steven L. Dubovsky" <Steven.Dubovsky@UCHSC.edu>
Date: 15 Apr 95 08:47:17 MST-0700
Subject: MAOIs in high doses and with stimulants

It is common practice where I come from to combine MAOIs and stimulants for MAOI-induced hypotension and treatment resistance. This is also mentioned in Jan Fawcett's book of a number of years ago. Also, remember Feighner's report of MAOI + TCA + stimulant in ECT-resistant depression. I have tried this a number of times and found it helpful. Since half the caucasian population are (is?) rapid acetylators, higher doses of Parnate are frequently necessary.

---

"MAOIs plus methylphenidate (Ritalin) has not been a problem in my hands although theoretical risk requires discussion with patient, consent, and available nifedipine. Very useful for orthostatic hypotension."


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