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Re: RIMAs vs MAOIs » ed_uk2010

Posted by SLS on August 15, 2010, at 15:20:28

In reply to Re: RIMAs vs MAOIs » SLS, posted by ed_uk2010 on August 15, 2010, at 14:30:58

> >I personally think that an antidepressant that inhibits MAO-A both selectively and irreversibly would be more effective than any MAOI or RIMA (or possibly even any antidepressant) that's currently available.
>
> Why would a selective & irreversible MAO-A inhibitor be more effective than Nardil/Parnate? I expect that such a drug would be somewhat better tolerated, but probably not more effective.

My experience with clorgyline is that it was more effective than Nardil or Parnate at a time when I was totally resistant to everything else. The US NIMH would use clorgyline when all else had failed. It was their opinion that it was the single most effective antidepressant in the world. It is unclear to me as to why it was never developed for marketing, but the patent must surely have expired 20 years ago. There may have been some concern over cardiac side effects. It is interesting, though, that clorgyline has been reported to arrest and even improve congestive heart failure.


- Scott


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