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Re: Are MAOI's used when SSRI'S dont work? » emmanuel98

Posted by floatingbridge on June 23, 2011, at 0:50:05

In reply to Re: Are MAOI's used when SSRI'S dont work?, posted by emmanuel98 on June 22, 2011, at 20:40:12

Emmanuel, my (?) pdoc is maybe the same age (funny that I have never asked him) and he just about breaks into a sweat when I bring up any maoi. I really don't know why, and he was quite cross (it seemed) that I arm wrestled him for emsam.

My first cold call today (the doctor was very kind) asked me why I was interested
in a doctor who would consider maoi's. He paused, then asked why I wanted one. I explained briefly, and he then referred me to another doctor who, gosh, I don't think he said 'heavy' stuff, but maybe said something more like this doctor was a very solid guy.

I felt the first doc was pretty upfront and
respectful. He said to try this other doc first, and I could come in to discuss pharmacology with him and possible treatments. I appreciate him not wasting my time by having me come in (whew!) and spent time asking questions. The other doc who I haven't heard from has
been in practice 45 years. That might place him near the generation of your doctor.

My experience here is that asking for an maoi is like dropping a bomb. One doctor reccommended it once--younger,
maybe 40, at Stanford, but I blinked and my (?) pdoc just dug in his heels against it.

I am asking him about his refusal directly this week. I want to know why. He has mentioned insomnia, but I have alwayd had insomnia; granted the insomnia from the emsam was far and away of a dfferent quality that I wonder if it changes the sleep architecture too greatly. That I could understand, since I have health issues. But if it doesn't flat
out wreck it beyond correction, I can't imagine the source of his aversion.

I also have a call out to the second
referral.

My trial of emsam was interfered with--started, then cut back to a third of a patch. When I retried a full patch, it didn't kick in, but that could be illusional. Since I took it off my arm last week my cognitive functioning is worsening.

Have you ever experienced a mental sharpening on any maoi (I have add), a mental clarity?

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URL: http://www.dr-bob.org/babble/20110619/msgs/989149.html