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Re: I take Parnate, new doc unfamiliar with MAOIs???

Posted by Roslynn on October 19, 2018, at 14:15:34

In reply to Re: I take Parnate, new doc unfamiliar with MAOIs???, posted by PeterMartin on October 19, 2018, at 2:10:02

> I went through a similar situation when my pdoc retired at the end of last year.
>
Hi Peter, thank you for your reply :)

> Honestly I think you've done the hardest part which is to get in with a doctor who will continue to prescribe you Parnate (MAOI). I was afraid that even though I'd been on Marplan successfully for 7yrs any new/younger doctor might not be comfortable continuing me on it. It's difficult to call in advance and ask if a doctor would or would not prescribe an MAOI w/o sounding like you're drug seeking.

Yes, he said as long as I was familiar with the food/drug interactions, he could prescribe it.
>
> So in my view you're fortunate (as I was) to find another doctor to keep you on your current meds. It's true he's not familiar w/ it but everyone reacts different to all types of medicines. A lot of the suggestions will be the same. If you feel worse or have hypertension issues...lower the dose. If you keep getting depressed maybe it's time to try something else.
>
> There really isn't that much unique about MAOI treatment so long as you're aware of what you should and shouldn't be taking. Like if he suggests adding any additional medicines I'd definitely search here and check an interaction checker just to be safe....
>
> Just my pov but a much worse problem would be to have to come off Parnate (granted it's working) because you couldn't find a doctor willing to prescribe it.

One of my only concerns, and I should have mentioned this in my original post, is that I'm still in the beginning stages of taking the Parnate because I'm increasing the dose extremely slowly. So I'm still titrating upwards. I wonder if he'll be able to help me with dosing at all? What if in the worst-case scenario I needed to withdraw from it? (I mean, I don't expect to but you never know.)

Thank you for your help, I really appreciate it!

~Roslynn


"If I could survive one more day or one more hour, I might find a way to get back home."

-Elizabeth Smart

 

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poster:Roslynn thread:1101409
URL: http://www.dr-bob.org/babble/20180728/msgs/1101433.html