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Re: Withdrawal period needed before starting an MAOI » europerep

Posted by baseball55 on December 22, 2014, at 21:13:57

In reply to Re: Withdrawal period needed before starting an MAOI » Hello123, posted by europerep on December 20, 2014, at 16:27:14

> I agree with baseball55 though. Going for a "classic" MAOI like phenelzine or tranylcypromine seems to be the most straightforward option. They're powerful drugs. And I think that, at higher doses, selegiline (Emsam) loses its MAO-B selectivity anyway, though I would have to look that up to be certain.
>
> That's mainly what I was gonna say...
>
Selegiline does lose MAO-B selectivity at higher dosages. I'm not sure what the dosing is for oral selegiline. I was told that 9mg and up of Ensam was no longer selective for MAO-B and required dietary restrictions.

As far as a 2-week course. Please. It's just ridiculous. My p-doc, when I was hospitalized a few years back, was annoyed at how clueless most psychiatrists are about MAOI's today. He had me moved to McLean where the doctors know how to use these older drugs. At McLean, they gave me a one-page sheet listing the dietary restrictions. One page. That was all.
>


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