Posted by JonW on June 22, 2002, at 7:31:47
In reply to Resposible posting » JonW, posted by missliz on June 22, 2002, at 1:26:09
You make an excellent point, misslizz. I nearly alway urge people to be working with a pdoc when I know they're not -- for their safety and to hasten their length of treatment. I certainly don't support taking any form of amphetamine (or anything for that matter) without the knowlege of a pdoc. I suppose it's difficult to provide this kind of information without the risk that someone will leave their pdoc in the dark. However, what if someone takes this information to their pdoc and they work on a "cocktail" that greatly improves their quality of life?
I don't think my post was "irresponsible". I wasn't suggesting that someone take an MAOI + stimulant combination on their own. I was only pointing out that this combination is used and by many well respected pdocs. Dr. Goldberg, himself, recently posted a message here supporting the use of adding a stimulant to an MAOI:
http://www.dr-bob.org/babble/20020525/msgs/107593.html
In general, I think it's better to talk about things than not. I don't think anything I said implied that I was advocating someone *not* be working with a pdoc. And I presume that after reading this thread most people would understand that there is some risk involved with an MAOI + stimulant "cocktail".
Just my opinion, but I think we should talk about potentially helpful things -- even if they are potentially dangerous.
Jon
> The operative phrase here is "many other experienced Pdocs". Given the easy availability of various amphetemines in almost any nightclub in America it is the absolute height of irresponsibility for someone to suggest this to a stranger. A properly documented suggestion for house to discuss with her doctor is appropriate; A casual remark that Adderall is just fine with Nardil is an invitation to get somebody killed by encouraging unsupervised experimentation.
> You don't know who you're talking to on this or any other psych board and you have no clue how sick they may be or HOW IMPAIRED THIER JUDGEMENT IS! You don't know what her history is or if this is someone who'll just figure a couple of Sudafed, or maybe some crank bought on the corner will work just as well.
> Every time you post on a board like this you take on a responsibility not to put bad ideas into the heads of potentially unstable people. All us with psychiatric illness get enough crap from the rest of the world with out such thoughtlessness from our own. Most people want support and shared practical experience, not oneupmanship on psychopharm trivia.
>
> Miss Liz
>
> Oh, my own famous fabulous psychopharm guy, who knows Ivan,thinks the Adderall/ Nardil combo is an absurd risk. As a liscenced physician well known for working with MAOIs I think he's well qualified to comment.
poster:JonW
thread:110142
URL: http://www.dr-bob.org/babble/20020617/msgs/110466.html