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Re: MAO med for atypical bipolar and dysthymia

Posted by Dennis on March 7, 2000, at 14:00:24

In reply to MAO med for atypical bipolar and dysthymia, posted by Kathy on March 7, 2000, at 11:51:33

> Has anyone had experience using an Mao med to treat bipolar ll and dysthymia. I am considering starting on it since I have not had really good results with a combination of celexa,neurontin and ritalin. I have tried the SSRI's and years ago the trycyclics. I just dont seem to be able to get rid of the depression and fatigue. I could easily sleep the day away without any problem.

Kathy, Unfortunately I've never tried an MAOI, as my GP is uncomfortable prescribing one to me. Since meds are largely trial-n-error, and appointments with a psychopharmacologist are considerably more expensive, I'm reluctant to go back to one. However, I too am running out of options with SSRI's for a type of depression similar to yours (atypical bipolar II). I too experience significant fatigue and apathy while on medications and when off of them, experience significant depression and anxiety. I'm currently taking Celexa along with Ritalin and although my depression has been reduced, I do feel apathetic, tired and my libido and function are hampered considerably. Although I'm interested in trying an MAOI to see if they would be more effective in treating my depression without the negative side effects I'm currently experiencing, I'm reluctant for reasons concerning dietary restrictions assoicated with their use. As I've read that protein type foods containing significant levels of an amino acid tyramine can negatively interact with MAOI's and cause dangerously high levels in blood pressure. Although I can't really help you with your query, I wish you much luck in your search. Dennis


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