Posted by djmmm on January 26, 2004, at 22:36:43
In reply to Possible to start an MAOI while on other meds??, posted by PhoenixGirl on January 22, 2004, at 23:53:15
> I have a long, long history of antidepressant failures, and want to try Parnate. I have not tried MAOI's. Problem is, I take several other meds, and my pdoc doesn't want to even try adding Parnate while reducing the other stuff. She would want me completely off my other stuff for 2 full weeks before starting me on Parnate. Problem is, I can't be off antidepressants or I become so depressed and tired that I can't function.
> I take Strattera, Provigil, Lamictal, Wellbutrin SR, and Klonopin. All at regular doses, not low or high doses. I've read that very skilled pdocs can start a person on an MAOI while they are still on other meds. I would need to slowly increase an MAOI while decreasing the other stuff.
> Is it possible for me to try an MAOI, given the above circumstances?Discuss it with your Dr...it really depends on the half-lives of the strattera and wellbutrin, and Provigil...
I would say, a few days would be perfectly safe (but Im not a dr.) A skilled Psychiatrist would consult a variety of professional sources before giving the "2 week washout" speech.
It would be inadvisable to ADD a MAOI to that combo (although, some docs slowly ADD MAOIs to certain TCAs)... You should be OFF the other meds before starting Parnate...the question you should be asking your doc is "Will the 2 week washout period be more dangerous than being clinically depressed and OFF medication for that time?"
poster:djmmm
thread:304467
URL: http://www.dr-bob.org/babble/20040122/msgs/305865.html