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Re: maoi poop out. SLS

Posted by undopaminergic on May 17, 2020, at 7:50:47

In reply to Re: maoi poop out., posted by SLS on May 16, 2020, at 19:41:28

> Hi, UD.


> Have you known anyone to combine a MAOI with mirtazapine? I've never seen it suggested. Is there any risk of a hypertensive reaction?

Now that you mention it, yes, I overlooked that. Even in the absense of a MAOI, mirtazapine increases pulse and blood pressure. Surely they can be combined, but you better proceed with caution.

> I have always needed to combine a MAOI with a tricyclic in order to see an improvement. I like nortriptyline better than desipramine. For me, nortriptyline has a distinct "mood brightening" effect that desipramine lacks. My only stable remission lasted for 9 months. I was taking Parnate + desipramine. My doctor decided that I should discontinue treatment because of the emergence of mania (bordering on psychosis). I relapsed 2 months later, and that combination never brought me to remission again.

Of the TCAs, I've only tried trimipramine.





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