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Re: Do I qualify for an MAOI? » Caleb462

Posted by zeugma on April 6, 2003, at 8:48:31

In reply to Do I qualify for an MAOI?, posted by Caleb462 on April 6, 2003, at 1:49:34

> I'm thinking about asking my doc if I can be put on Nardil or Parnate. I suffer from OCD/GAD/ADD/SP and recurring, often severe, depression. I've been on Zoloft (100 mg), Paxil (60 mg), Celexa (60 mg) and am currently on Effexor XR (150 mg) and Risperdal (0.5 mg at night). I have never gotten a response to OCD from these drugs. Effexor did help depression for a short while, but it pooped out. I got a partial response for SP from Paxil, but it was not enough.
>
> So my question is... does this qualify as having gone through enough different meds to try an MAOI? I'm thinking my p-doc will probably say no.
> But I'm willing to follow the diet and other restrictions if I can finally get a drug that really works.
>
> Also, are most p-docs willing to prescribe MAOIs? Or is there a certain degree of MAOIphobia involved?
>
> Another thing, I know MAOIs are supposed to be great for depression and SP, and I guess OCD too? But what about ADD and GAD? It's quite apparent that I have ADD, but I have yet to be treated for it. I suppose docs thing stimulants would worsen OCD and GAD symptoms.
>
> Thanks to all who reply.

*Theoretically*, Parnate should be good for ADD as it's stimulant-like. I have ADD, GAD, major depression, and God knows what else (after a certain point comorbidities blend into one another) and I've gotten some good results from nortriptyline and buspirone. Definitely major improvement with GAD, and a lot of help with depression. Now I'm trying to focus on ADD, which has improved some with the current meds but I feel there's still room for improvement there. So I'm looking into the possibility of adding a stimulant somewhere down the line. Nortriptyline and buspirone will definitely take aim at your depression and GAD though.


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