Posted by Elizabeth on April 19, 2002, at 20:17:48
In reply to Re: Opiates and MAOIs » Elizabeth, posted by shelliR on April 18, 2002, at 12:57:23
> I called up Janssen (maker of the duragesic patch) and they didn't have any documentation saying not to do the patch with an MAOI.
Not surprising, since there aren't any case reports in the literature involving fentanyl-MAOI interactions!
> They did say that the dose of the MAOI may need to be adjusted, but I think that may have to do with hypertension.
(You mean hypOtension, right?)
> I am still disappointed on my results with the durgesic patch. I do feel that I may not be absorbing it as well as I did the oxycontin or bupe, because the depression is still lingering significantly and I am up to 125mcg.
I'm not sure what to say about this. It's very odd. Have you called the doc about it? Also, can you remind me:
* What made you decide to switch to Duragesic?
* What dose of buprenorphine were you on before switching? (not that I have any idea how to compute the equivalent fentanyl dose)
* How long ago did you switch?BTW, how are the side effects compared with oxycodone and methadone? I've heard fentanyl is easier on the periphery than other opioids.
> This is my third day on effexor (12.5mg); tomorrow I go up to 25mg. The good news is that I haven't throw it up like I did years ago. Now I just have to see if it actually helps.
I had vomit problems with immediate-release Effexor, too; Effexor XR was a lot more tolerable, I found. Are you going to switch to the XR when you get to a high enough dose? (12.5 is small! I don't think I've heard of anyone starting that low.)
Gosh, I noticed you recommended 3.25 mg to Scott as a starting dose of Vicodin. I suggested 10! I guess he should try the average (except I don't think that there is a 6.625 mg strength). In retrospect I think that 10 is a bit on the high end, although I still think that 3.25 is kind of low. 5 or 7.5 seems pretty reasonable, though (depending what strength pills he has).
Be well.
-elizabeth
poster:Elizabeth
thread:103187
URL: http://www.dr-bob.org/babble/20020416/msgs/103605.html