Posted by sowhysosad on April 15, 2009, at 14:06:36
In reply to Re: Anyone been described an MAOI in the UK? » sowhysosad, posted by jms600 on April 15, 2009, at 6:40:52
Thanks jms. I've heard moclobemide is pretty useless compared to the irreversible MAOI's, so I probably wouldn't bother trying it even if offered.
The latest NICE guidelines say there's not enough evidence for SSRI's+atypical antipsychotic combos, so I can't see them suggesting Symbyax either.
Looks like fluoxetine's my best bet then, but I'll mention phenlelzine to the junior pdoc for what it's worth. Sadly he knows less about meds than I do...
> My doctor is very much against prescribing an MAOI (I too live in Britain). From what I have read and heard phenelzine would really help my severe anxiety but my doctor doesn't want to go near MAOIs. Saying that, he has tried on other patients - and said he would consider using - moclobemide which is a reversible MAOI. It's not as effective as drugs such as Parnate or Nardil, but it still may be worth considering - especially as it's dietary restrictions aren't as bad.
>
> I read about Symbyax just being licensed for treatment resistant depression the other day. It's basically a mix of Prozac and Zyprexa. What it's like for atypical depression I don't know, but it may be worth considering.
>
poster:sowhysosad
thread:890688
URL: http://www.dr-bob.org/babble/20090408/msgs/890906.html