Posted by cubbybear on January 28, 2004, at 3:32:59
In reply to Re: Is it hard to get a doc to prescribe a MAOI?, posted by lepus on January 27, 2004, at 20:52:02
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> Any advice on how to approach this subject with her again? I'd be willing to sign contracts that she wasn't even liable if I did commit suicide on a MAOI.First off, I'd say that MAOs have not been implicated in any more suicides than other classes of ADs. It seems that there's been much more publicity about Prozac triggering suicides than any other AD. Suicide is always a risk for depressed people regardless of what AD they're on.
can't understand why she has never brought them up or prescribed one for me. I know she has for others and it isn't like I have a huge history of suicide or anything. *shrugs*
> But to answer your question: Yes, for me it has been very hard to get a MAOI prescribed. To me it also seems to border on malpractice when one is clearly indicated given my symptoms and my poor response to SSRIs and TCAs. Any thoughts?
Of course it's malpractice--I'd also call it criminal negligence. My firm belief is that the overwhelming majority of the medical profession has been manipulated by the pharmaceutical firms into prescribing only the newer generation SSRIs and their chemical cousins, while misconceptions and exaggerations about the risks of MAOIs continue to circulate.
I've had 20 years of success with Parnate and I've been as fortunate as anyone could be, in having my former therapist in New York--who lives thousands of miles away--still prescribe it for me and mail the Rx to my forwarding address. No doubt, some day I'll be faced with the dreaded search for a new doctor and I'll have to do whatever it takes to find one to my liking.
Good luck in your search.
poster:cubbybear
thread:306200
URL: http://www.dr-bob.org/babble/20040127/msgs/306309.html