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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Bearfan on December 3, 2007, at 16:31:50
I am planning on trying Emsam, and was wondering if I took it (and decided to go off), could I immediate go off it to try Nardil, or is there that same 14 day waiting period? Since it is the same class, could I just switch from one to the other?
Posted by sonic_gb on December 3, 2007, at 17:24:08
In reply to Is a washout period required switching MAOIs?, posted by Bearfan on December 3, 2007, at 16:31:50
Good question, and I'm not sure if I know the answer, but aren't they both MAO inhibitors? If a washout is needed at all, it would be fairly short? The only thing I can think of is that selegiline is metabolized into some sort of amphetamine which might react with Nardil. This is one for a psychiatrist to answer...
> I am planning on trying Emsam, and was wondering if I took it (and decided to go off), could I immediate go off it to try Nardil, or is there that same 14 day waiting period? Since it is the same class, could I just switch from one to the other?
Posted by Maxime on December 3, 2007, at 18:45:03
In reply to Is a washout period required switching MAOIs?, posted by Bearfan on December 3, 2007, at 16:31:50
> I am planning on trying Emsam, and was wondering if I took it (and decided to go off), could I immediate go off it to try Nardil, or is there that same 14 day waiting period? Since it is the same class, could I just switch from one to the other?
I switched from Parnate to Nardil with no washout period and had no ill effects. You can switch from one to the other.
Maxime
Posted by tecknohed on December 3, 2007, at 19:17:56
In reply to Is a washout period required switching MAOIs?, posted by Bearfan on December 3, 2007, at 16:31:50
All the literature says you still need the 2 weeks. You may be alright or you may not.
When I switched from Nardil to Marplan (the 1st time) I was impatient & started Marplan after 5 days. I felt fine until day 3 when I started getting high temperature, teeth clenching, blurry vision, unsteadiness, etc. It lasted a few days. Mild Serotonin Syndrome? I dont know, but it was definitely an interaction of some sort.
Posted by Phillipa on December 4, 2007, at 0:35:25
In reply to Re: Is a washout period required switching MAOIs? » Bearfan, posted by tecknohed on December 3, 2007, at 19:17:56
I haven't taken them but have read here two weeks inbetween maybe the archieves? Phillipa
Posted by stargazer2 on December 4, 2007, at 18:17:28
In reply to Re: Is a washout period required switching MAOIs?, posted by Phillipa on December 4, 2007, at 0:35:25
No wash out is necessary to go from Emsam to Nardil. I did it and was on Abilify too and kept the Abilify as I transferred from Emsam to Nardil.
Good luck with Nardil or whatever MAO you try.
Stargazer
Posted by Molitor on December 11, 2007, at 10:52:34
In reply to Is a washout period required switching MAOIs?, posted by Bearfan on December 3, 2007, at 16:31:50
According to EMSAM's package insert:
"EMSAM can cause serious and potentially life-threatening reactions if used with certain other medicines. Do not take the following medicines while using EMSAM, and for 2 weeks after stopping EMSAM:"
The first item listed is:
"Other medicines used to treat depression (antidepressants) including MAOI medicines."
This is the end of the thread.
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