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

Posted by baseball55 on October 21, 2018, at 18:16:49

In reply to I take Parnate, new doc unfamiliar with MAOIs???, posted by Roslynn on October 18, 2018, at 13:46:52

> Hey guys,
>
> Stupid question...my pdoc retired and I'm having a hard time finding one who takes Medicare. The one I found who has available appointments is not familiar with the MAOIs, but I take Parnate.
>
> He said he would prescribe it for me since I'm already on it. I know this is not a great idea, but is it possible to have this doc treat me even though he's unfamiliar with my med?
>
> Anyone else have this happen?
>
I would expect that your new doc will educate himself about parnate and you can educate him as well. Some p-docs are scared of MAOIs because of drug and food interactions. But they are not as scary as they are made out to be. What is there to know? No SSRIs. No demerol (which nobody uses anymore) or tramadol. Inform anesthesiologist before any surgery. Careful with dried or aged meats or cheeses or fermented foods. Two-week washout before or after using an SSRI or another MAOI.

Insomnia can be a side effect, though you say you find parnate sedating. Postural hypotension can be a side effect, so you need to take care when rising from a lying or sitting position. As with TCA's, dry mouth is a common side effect. Carry a bottle of water around with you.

Other than that, they are safe (no dangers if you overdose, unlike TCA's or SSRI's), effective, and when they work they tend to work fast.

I have been on parnate for 8 years and, for the most part, done pretty well on it. Occasional problems with depression but nowhere near the prior problems of not being able to function for months on end, repeated hospitalizations, etc. At the beginning, I had terrible insomnia, for which I took a benzo and I nearly fell a couple of times when I got up in the middle of the night to pee and forgot to stand and hold on to something for a couple of minutes, till my BP stabilized.

> ~Roslynn


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poster:baseball55 thread:1101409
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