Posted by Nadezda on October 18, 2008, at 10:39:27
In reply to Re: pdocs in michigan, posted by Jnew12 on October 18, 2008, at 9:32:42
In 1999, a study concluded that quite a few Michigan psychiatrists prescribed maois, although certainly not all.
Balon R, Mufti R, Arfken CL.
Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, UPC-Jefferson, Detroit, MI 48207, USA. rbalon@wayne.edu
OBJECTIVE: A survey examined prescribing practices for monoamine oxidase inhibitors (MAOIs) and explored reasons for the widely noted decline in their use. METHODS: A one-page questionnaire was sent in 1997 to 1,129 members of the Michigan Psychiatric Association. A total of 717 responses were received, for a response rate of 64 percent. Only data from the 573 psychiatrists who were currently practicing were used. RESULTS: Twelve percent of the respondents never prescribed MAOIs, 27 percent had not prescribed them for at least three years, and 17 percent had prescribed them from one to three years ago. Thirty percent of the respondents had prescribed an MAOI within the past three months, and 14 percent between three and 12 months ago. The most frequent reasons for not prescribing the drugs were side effects and interactions with other medications (46 percent), preference for other medications (30 percent), and dietary restrictions necessary for patients taking MAOIs (19 percent). Ninety-two percent of respondents believed that MAOIs were useful for atypical depression, 64 percent for major depression, 54 percent for melancholic depression, 56 percent for panic disorder, 44 percent for social phobia, 27 percent for dysthymia, 12 percent for obsessive-compulsive disorder, and 19 percent for posttraumatic stress disorder. However, only 2 percent said they would use MAOIs as their first-line treatment in atypical depression, and only 3 percent would use them a first-line treatment in social phobia. CONCLUSIONS: The results document the commonly held view that practicing psychiatrists believe MAOIs are efficacious but use them infrequently, primarily due to concerns about side effects and drug interactions.
~~~While 1999 is a bit in the past, I'd say Maois are having a comeback. Maybe I'm wrong, but if 44% had prescribed them within a year of the study, I find it hard to believe you couldn't find someone who would prescribe them now. I do think looking at University pdocs would give you a much better shot at finding people who would be knowledgeable
If you google articles, you should find pdocs who are doing research in this area-- who live in Michigan. They would be the best place to start.
You're making a really wise choice to stop the adderall for now. I hope you do go through with it. The right pdoc will help you control the ADD without subjecting you to the risks of taking things without his/her help.
Nadezda
poster:Nadezda
thread:857718
URL: http://www.dr-bob.org/babble/20081016/msgs/858084.html