Posted by sowhysosad on April 14, 2009, at 23:14:13
In reply to Anyone been described an MAOI in the UK?, posted by sowhysosad on April 14, 2009, at 16:10:11
Helps if the subject makes sense! I blame depression-induced brain fog.
> Just wondered what NHS pdocs' attitude towards MAOI's is. Have you ever been given a scrip for phenelzine or tranylcypromine in the UK? What was your diagnosis?
>
> Did they prescribe an MAOI only as a last resort? Did they - as I suspect - massively overstate the risk of the "cheese effect"?
>
> As I wean off a tricyclic the atypical features of my depression (over-sleeping, binge eating) are becoming more prevalent, so my best bet for remission would either be fluoxetine or an MAOI like phenelzine or tranylcypromine.
>
> According to the NICE guidelines they prefer phenelzine over tranylcypromine for some reason, which is odd given that phenelzine is hepatoxic AND causes weight gain. Maybe because tranylcypromine is more likely to cause a hypertensive crisis?
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poster:sowhysosad
thread:890688
URL: http://www.dr-bob.org/babble/20090408/msgs/890788.html