Psycho-Babble Medication Thread 368577

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Starting MAOI - what about weaning drugs?

Posted by Marginal on July 21, 2004, at 10:40:38

I'm starting MAOI ASAP, but am currently on Wellbutrin (300 mg XL for about 3 weeks), Dexedrine (10 mg) and Lamictal.

Anyone know whether these meds need weeks of washout before starting MAOI? First try will be Moclobemide (I know sketchy reputation of this drug but must try to minimize side effects).

Thx

 

Re: Starting MAOI - what about weaning drugs?

Posted by ravenstorm on July 22, 2004, at 19:19:13

In reply to Starting MAOI - what about weaning drugs?, posted by Marginal on July 21, 2004, at 10:40:38

I hope you are working with a doctor and not doing this on your own! Your doctor should know what the washout period is.

If you are starting with moclobemide, I don't think you really have to do a washout because it is reversible. But I am not sure. What has your doctor told you?

 

Re: Starting MAOI - what about weaning drugs?

Posted by gardenergirl on July 23, 2004, at 9:27:56

In reply to Starting MAOI - what about weaning drugs?, posted by Marginal on July 21, 2004, at 10:40:38

I went from Wellbutrin and Celexa to Nardil. I had to taper the Wellbutrin for a week or two (I was being cautious), and had to washout both for two weeks. During this washout period, I "practiced" the diet to make sure I could do it.

Take care,
gg

 

Re: Starting MAOI - what about weaning drugs? » Marginal

Posted by Sad Panda on July 24, 2004, at 0:50:31

In reply to Starting MAOI - what about weaning drugs?, posted by Marginal on July 21, 2004, at 10:40:38

> I'm starting MAOI ASAP, but am currently on Wellbutrin (300 mg XL for about 3 weeks), Dexedrine (10 mg) and Lamictal.
>
> Anyone know whether these meds need weeks of washout before starting MAOI? First try will be Moclobemide (I know sketchy reputation of this drug but must try to minimize side effects).
>
> Thx
>

Hi Marginal,

Are you taking Lamictal for Bipolar disorder? If so, then you will probably want to stay on it. The drugs you must avoid are the serotonin raisers such as the SSRI's, Effexor & Clomipramine. Since Wellbutrin & Dexedrine don't raise serotonin level, you should only need to wean off a couple of days before starting an MAOI. Personally, I don't think I would bother with Moclobemide as I haven't heard of it working for anybody.

Cheers,
Panda.



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