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To MAOI or not to MAOI

Posted by tensor on April 1, 2013, at 16:14:00

I'm going to add Lamictal to my mirtazapine 30mg, amitriptyline 100mg and clonazepam 2mg, to see if it can prevent this downward spiral with depression and anxiety.
For the first time in my life I'm actually considering MAOIs if the above fails. They are not used here afaik, maybe in special cases I don't know, but my pdoc was aware of them and their issues.
I guess the eternal question is Parnate vs Nardil. Given my history of GAD, SA and TRD I'm sure one is preferred over the other. Which one is harshest on the liver?
I would like to combine it with Remeron for sexual and GI problems. Being a 5HT2A-antagonist it should be protective against serotonin overload.

How is it living with MAOI? Do they keep their efficacy or does it usually fade with time? Diet restrictions?

Would like to hear what you have to say.

/tensor


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poster:tensor thread:1041494
URL: http://www.dr-bob.org/babble/20130322/msgs/1041494.html