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Re: new to maoi ... what to expect ?

Posted by Chairman_MAO on January 26, 2004, at 17:09:52

In reply to Re: new to maoi ... what to expect ? » Francesco » cubbybear, posted by Francesco on January 26, 2004, at 4:32:31

I wish I could tell you what to expect; I'm still trying to convince my doctor to prescribe Parnate. As for the Stelazine: it's a shame you can't get the Parnate without that. Assuming the usual dose of Parnate (20-30mg), you'd be taking a low dose of Stelazine, but a significant dose nonetheless. It might ameliorate some of the agitation that could occur with Parnate. It also might eliminate the mild euphoria you might otherwise feel. :(

Worse yet, if you take this for years, you could develop irreversible, disfiguring movement disorders. Odd (some might say 'inhumane') that you're compelled to take Stelazine like this. I doubt your government is as prudish as the US's in rationing out euphoria, but I could see (in the US) Stelazine being added to Parnate to make it all but impossible to abuse, much as noloxone is now added to buprenorphine. Consider:

Dependence on monoamine oxidase
inhibitors in high dose
by
Vartzopoulos D, Krull F
Universitats-Nervenklinik, Koln.
J Clin Psychiatry 1990 Oct; 51(10):426-9

ABSTRACT

A 37-year-old woman with a personality disorder and chronic dysthymia developed a dependence on MAOIs. She ingested 440 mg tranylcypromine daily without any side-effects while taking no dietary precautions. The features of MAOI dependence and their resemblance to amphetamine dependence are discussed.

Best of luck to you with the Parnate!


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URL: http://www.dr-bob.org/babble/20040122/msgs/305774.html