Posted by SLS on February 1, 2003, at 14:06:05
In reply to Re: Social Anxiety, about to go on Abilify- questions » utopizen, posted by JonW on January 31, 2003, at 21:34:48
> I don't know, but I think it's crazy to go on Nardil and Zoloft at the same time.
I agree. It is the only combination that I will not consider.Combining potent serotonin reuptake inhibitors with MAOIs (irreversible type - Parnate, Nardil, Marplan, Eldepryl > 3mg) is almost universally considered contraindicated. The statistical occurrence of serotonin syndrome with such combinations is very high. On the other hand, combining an SSRI with the MAOI moclobemide (reversible type - RIMA) is often used to treat treatment-resistant depression outside the United States. Of course, if the combination of Zoloft + Nardil works well and is safe for you, how could anyone argue the wisdom of its choice?
> I know Dr. Liebowitz wouldn't go near MAOI + SSRI and he wouldn't allow me to start Nardil until the SSRI had cleared, and he's certainly an experienced psychopharmacologist.
Jon - Michael Liebowitz? Private practice or a Columbia Presbyterian?
I am currently looking for another doctor whom is experienced in treating TRD (treatment-resistant depression). I live close enough to NYC to make it worth the trip. Can you suggest any names?
Thanks.
- Scott
poster:SLS
thread:138642
URL: http://www.dr-bob.org/babble/20030130/msgs/138751.html