Posted by schleprock on September 28, 2012, at 23:31:06
In reply to SLS- Need articles on MAOIs + Nortryptiline, posted by ChicagoKat on September 27, 2012, at 20:09:19
> Hi Scott,
>
> Sorry to bother you with this b/c I believe you made a few suggestions to me a while ago, but I was such a mess then I didn't make a note of them. Plus, Jono said you are much better at finding articles online :)
>
> If it's not too much trouble for you I need articles I can give my pdoc on the use of MAOIs + TCAs (and I know you guys suggest Nortryptiline, so I will suggest that to him too). My pdoc is well aware that they are sometimes used together, but he is unsure whether they should be started together or separately. I also need info on Nortryptiline dosage - if you can't find an article on that you can just tell me, he goes with whatever I say since I am a PharmD, plus I've told him how intelligent you are and how you really know your stuff when it comes to psychotropics. Oh, FYI, I will be on a fairly low dose of Nardil - 45mg/day - b/c of the ataxia I experience at higher doses.
>
> Thanks for any info you can provide. Are you feeling any better? I really hope so.
> All my best,
> Kat
> p.s. If you don't have time to do this or are feeling too miserable to do it, don't worry, I have Jono's info, so it's no biggie. Take care :)I believe there are some articles on psychotropical.com (a site from an Austrailian doctor - get it?) Also, if you can locate a copy of "The Prescriber's Guide" by Stephen M. Stahl, in the final section of the Nortriptyline (and other tca) enteries, he mentions: "For the expert only: although generally prohibited, a heroic but potentially dangerous treatment for severely treatment-resistant patients is for the expert to give a [tca] other than clomipramine simultaneously with an MAOI for patients who fail to respond to numerous other antidepressents." Then he mentions starting both at low doses after appropriate drug washout, then alternately increase drug dosage every day to a week. You might be able to find something by googling "Stahl" "nortriptyline" and "MAOI", etc.
poster:schleprock
thread:1026848
URL: http://www.dr-bob.org/babble/20120922/msgs/1026982.html