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Re: Personal MAOI diet experience: + other AD's Fonzie

Posted by Robert_Burton_1621 on July 3, 2015, at 23:44:49

In reply to Re: Personal MAOI diet experience: + other AD's Ktemene, posted by Fonzie on June 15, 2015, at 4:36:50

> Hello, I am new to MAOI's, and have recently begun taking Adderoll.
> Now, along with all the many food reactions possible, and other medication reactions, I do read on here and hear of people taking MAOI's in combination with other AD's such as SSRI's and SNRI's in low(ish) doses. Which on the strictest of terms in the literature given to me with Adderoll.
> I am only now taking the MAOI rout because I've been on at least 30 other AD meds with little to no success. Except for one, mirtazapine which I was on for around 3.5 years and thought it to be working. . . until . . . I found myself making very thorough and defined things to end my own life in such a way that I 1)could not be stopped 2) my folks or anybody I knew would NOT be the ones to find me 3) would (if something hadn't stopped me) would have been definite success. I absolutely ran out of options regarding meds, so I do have doubts or concerns regarding the question of 'if Adderoll doesn't work, what then???'
> But as I stated earlier, I read that people have used it in combination with other (normal) AD's like SSRI's and SNRI's.
> Can this really be done? Is it wise? Etc.
> Love to hear what the small community here has to say about it. AND what others have read/heard on the subject of boosting the MAOI's efficiency.
> Stay well folks
> Fonzie:)

Hi Fonzie,

I don't know where you have got your information about combining an MAOI with an SSRI or SNRI, but it ought not be done because of the risk of serotonin syndrome. These classes of medication should be off the cards. Any significantly serotonergic medication or with significant serotonin reuptake inhibitor potence should be avoided. This includes SSRIs, SNRIs, clomipramine and imipramine.

As for augmenting agents, first line would be lithium, others include nortriptyline, buproprion, aripiprazole, lamotrigine.




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