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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Craig Getty on July 18, 2003, at 4:42:45
Hi Dr. Bob,
I was curious if you (and/or your assistants) read every single post on this site. I ask because last week you suspended someone from the site for a week for being rude. This can certainly be construed as justified, as it is your role to oversee and administer the site to protect its members.
However, when someone named "shrimp" sent a message regarding his taking nardil + wellbutrin, you did not respond at all and took no action. It is my understanding that this is a deadly combination. I responded to shrimp with this information, but now i cannot find my post. Instead, I find a few other posts of people who are also on this supposedly deadly combination. This goes against everything I've read and that my pdoc has told me. I was on wellbutrin, and he made me do a 2 week washout before going on nardil. I am also curious why no one else on this site besideds me sent a message of warning to shrimp about the combination of nardil and wellbutrin. A few weeks ago, I posted a question about Nardil and ecstacy, and this generated many hysterical responses about how deadly this is - lots of people put their 2 cents in. But now, people are talking about nardil + wellbutrin, and there is silence. What gives?
-Craig
Posted by ross co on July 18, 2003, at 6:52:03
In reply to Question for Dr. Bob: Nardi Wellbutrin, posted by Craig Getty on July 18, 2003, at 4:42:45
craig,
just because nardil is an MAO does not mean you cant augment meds with it. i know off hand of people who take wellbutrin with nardil. i know off hand of people who take nardil and a dose of a trycyclic A/D.
its not all what its cracked up to be in the MAO world. its just written for precautionary reasons just like combining 2 SSRI's you run the risk of serotnin syndrome.
i hope this helps
ross
Posted by bampf on July 18, 2003, at 7:03:03
In reply to Question for Dr. Bob: Nardi Wellbutrin, posted by Craig Getty on July 18, 2003, at 4:42:45
craig, just wanted to say, much respect for sticking to your guns.
Posted by KimberlyDi on July 18, 2003, at 16:43:42
In reply to Question for Dr. Bob: Nardi Wellbutrin, posted by Craig Getty on July 18, 2003, at 4:42:45
Craig, now I'm confused. The "shrimp" that I knew online from just weeks ago was female. Her boyfriend nicknamed her shrimp because she was so tiny. Of course, you may have been using "his" to mean "his or her" upon not remembering the gender. No biggie. Also, there is a disclaimer upon entering this site, "do not believe all that you hear/read." <~ not an exact quote. Having to reprimand all of us for doing the risky things we do while taking AD's, the site would be rather bogged down with disclaimers. Of course, *I* have no clue what Nardil is. The tone of this message is conversational. I'm not being a critic of your earlier post. I'm rather curious to see if Dr. Bob responds.
KDi in Texas
> Hi Dr. Bob,
>
> I was curious if you (and/or your assistants) read every single post on this site. I ask because last week you suspended someone from the site for a week for being rude. This can certainly be construed as justified, as it is your role to oversee and administer the site to protect its members.
>
> However, when someone named "shrimp" sent a message regarding his taking nardil + wellbutrin, you did not respond at all and took no action. It is my understanding that this is a deadly combination. I responded to shrimp with this information, but now i cannot find my post. Instead, I find a few other posts of people who are also on this supposedly deadly combination. This goes against everything I've read and that my pdoc has told me. I was on wellbutrin, and he made me do a 2 week washout before going on nardil. I am also curious why no one else on this site besideds me sent a message of warning to shrimp about the combination of nardil and wellbutrin. A few weeks ago, I posted a question about Nardil and ecstacy, and this generated many hysterical responses about how deadly this is - lots of people put their 2 cents in. But now, people are talking about nardil + wellbutrin, and there is silence. What gives?
>
> -Craig
Posted by Jack Smith on July 18, 2003, at 17:10:31
In reply to Question for Dr. Bob: Nardi Wellbutrin, posted by Craig Getty on July 18, 2003, at 4:42:45
First, I definitely see a redirect coming. . . .
> However, when someone named "shrimp" sent a message regarding his taking nardil + wellbutrin, you did not respond at all and took no action.
Is Dr. Bob a babysitter? This site is for open discussion, the only thing he asks is that people stay somewhat supportive and when they are not, they stay civil in criticism.
> It is my understanding that this is a deadly combination.
Your understanding is wrong. Do a search on Dr. Bob's psychopharm tips. Certainly it's not a first line combo but it's not out of the question.
> This goes against everything I've read and that my pdoc has told me. I was on wellbutrin, and he made me do a 2 week washout before going on nardil.
Your pdoc is being conservative which is a good thing. Doesn't mean he thought you'd die.
> I responded to shrimp with this information, but now i cannot find my post.
Are you implying that it was taken down? For what reason would it be taken down? Do you think there is a conspiracy to make sure that warnings about dangers of the use of MAOI's and wellbutrin are suppressed? I am sure that if you look through the archives you can find the post.
> I am also curious why no one else on this site besideds me sent a message of warning to shrimp about the combination of nardil and wellbutrin.
Because we are familiar with the combo and assume that a doctor who would prescribe it is an expert who knows the risks. Moreover, someone did. Namely, a poster by the name of djmmm who suggested to her that the combo may be causing some side effects or could be inhibiting the therapeutic action of one of the drugs.
> A few weeks ago, I posted a question about Nardil and ecstacy, and this generated many hysterical responses about how deadly this is - lots of people put their 2 cents in.
Yeah, other posters got in, not Dr. Bob, unless someone was being uncivil.
> But now, people are talking about nardil + wellbutrin, and there is silence. What gives?
See above. Frankly, what are you trying to say? That Dr. Bob should make sure that anyone who is not on a 100% safe combination be banned for a week? What about people posting about using unconventional methods to deal with their depression? i.e. opiates. Should Dr. Bob take those down?
JACK
Posted by ace on July 18, 2003, at 21:48:58
In reply to Question for Dr. Bob: Nardi Wellbutrin, posted by Craig Getty on July 18, 2003, at 4:42:45
These issues are not black and white. Nardil + Lithium for example has been said to be contraindicated yet many use or have used the combo. Wellbutrin with MAOI- no one really can give you the answer. It might be OK, but it might not. The pharmacokinetic profile of either can not prove conclusively if this combo will be dangerous. There is also individual biological variables, dose dependent phenomena etc etc.
I would say be careful if u try it.
Ace.
Posted by Dr. Bob on July 21, 2003, at 18:29:52
In reply to Answer for Craig Getty » Craig Getty, posted by Jack Smith on July 18, 2003, at 17:10:31
> First, I definitely see a redirect coming. . . .
20/20 vision! :-) Yes, I'd like any further discussion about administrative issues to be redirected to Psycho-Babble Administration, thanks.
Bob
Posted by Craig Getty on July 21, 2003, at 18:38:41
In reply to Answer for Craig Getty » Craig Getty, posted by Jack Smith on July 18, 2003, at 17:10:31
Jack,
You raise some questions. Here are my responses:
> Is Dr. Bob a babysitter? This site is for open >discussion, the only thing he asks is that >people stay somewhat supportive and when they >are not, they stay civil in criticism.
Not a babysitter, but I think that it would be helpful if a reminder was sent out for posts like the one from "shrimp," that would quickly say to be careful about combining MAOI's & SSRI's, etc. and to confirm it is okay with your pdoc.
> Your understanding is wrong. Do a search on >Dr. Bob's psychopharm tips. Certainly it's not >a first line combo but it's not out of the >question.I agree with you that perhaps there could be certain cases where Nardil and Wellbutrin is the way to go. I also agree that it is not a first line combo, and for that matter probably not a second or third line combo.
> Your pdoc is being conservative which is a good >thing. Doesn't mean he thought you'd die.He seemed adamant about the 2 weeks. I was on 400mg so maybe that is why.
> Are you implying that it was taken down? For >what reason would it be taken down? Do you >think there is a conspiracy to make sure that >warnings about dangers of the use of MAOI's and >wellbutrin are suppressed? I am sure that if >you look through the archives you can find the >post.No, no conspiracy theories. Just concerned that maybe there was a glitch in the web site and/or puzzled about why this happened.
> Because we are familiar with the combo and >assume that a doctor who would prescribe it is >an expert who knows the risks. Moreover, >someone did. Namely, a poster by the name of >djmmm who suggested to her that the combo may be >causing some side effects or could be inhibiting >the therapeutic action of one of the drugs.
I didn't see the post from djmmm. I'm glad someone else was "conservative" enough to post a warning. Assumptions - such as that all posters look at Dr. Bob's psychopharm tips - can be dangerous.
> Yeah, other posters got in, not Dr. Bob, unless >someone was being uncivil.
I guess I wasn't fully aware of the "rules." I agree that people should be polite - although I'd rather be given the correct information rudely, than vice-versa.
> See above. Frankly, what are you trying to >say? That Dr. Bob should make sure that anyone >who is not on a 100% safe combination be banned >for a week? What about people posting about >using unconventional methods to deal with their >depression? i.e. opiates. Should Dr. Bob take >those down?No, I'm definitely not saying that. I do think it would be a benefit if anyone who is on a combo with such obvious risk factors as nardil and wellbutrin be reminded of that fact. I also don't think that people posting about unconventional methods should be banned. To extend it further, I also support the right of posters to pose questions about the combinations of drugs for depression and recreational drugs. I'm all about more informaton, not less. Thus, the reason for my post in the first place.
Thanks for your reply.
-Craig.
Posted by Craig Getty on July 21, 2003, at 18:48:42
In reply to Redirect: administrative issues, posted by Dr. Bob on July 21, 2003, at 18:29:52
Sorry, I sent out my post before I saw yours.
> > First, I definitely see a redirect coming. . . .
>
> 20/20 vision! :-) Yes, I'd like any further discussion about administrative issues to be redirected to Psycho-Babble Administration, thanks.
>
> Bob
This is the end of the thread.
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