Posted by JonW on May 22, 2002, at 10:06:41
> which ones are they? i tried 17 damn meds and ECT and still no relief for my suicidal depression and anxiety. i want to live my damn life and >stimulants seem to work 100% of the time for depression.
Hi Adamie, I was going through the tips section of this site and I thought of your situation when I read one of the posts. Here, let me paste it:
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From: "Steven L. Dubovsky" <Steven.Dubovsky@UCHSC.edu>
Date: 15 Apr 95 08:47:17 MST-0700
Subject: MAOIs in high doses and with stimulants
(http://www.dr-bob.org/tips/split/MAOIs-in-high-doses-and-wi.html)It is common practice where I come from to combine MAOIs and stimulants for MAOI-induced hypotension and treatment resistance. This is also mentioned in Jan Fawcett's book of a number of years ago. Also, remember Feighner's report of MAOI + TCA + stimulant in ECT-resistant depression. I have tried this a number of times and found it helpful. Since half the caucasian population are (is?) rapid acetylators, higher doses of Parnate are frequently necessary. Other patients are rapid metabolizers of hydrazide MAOIs and need high doses of those. The PDR is a legal, not a medical, document, so I don't think their doses are always reliable.
--------------------------------------------------Expert psydocs who aren't afraid to try an MAOI + TCA + Stimulant combination in order to bring a suffering patient relief are the kind of doctors everyone should be entitled to. Dr. Dubovsky makes an excellent point -- the PDR is a legal, not a medical document. In a previous post, Dr. Goldberg writes, "There have recently been a number of warnings posted there that MAOIs should not be prescribed together with psychostimulants. While that is the conventional wisdom, if universally implemented, it would deprive many severely and intractably depressed people from relief." If I were you, these are the kind of doctors I'd want working for me.
Dr. Goldberg has prepared a list of the best doctors in the nation. Any doc on the list is worth the trip -- these are the best of the best! Here's the link, it may be useful at some point:
http://www.psycom.net/depression.central.psychiatrists.html
Good luck,
Jon
poster:JonW
thread:107276
URL: http://www.dr-bob.org/babble/20020517/msgs/107276.html