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Re: which plan sounds more reasonable » chemist

Posted by zeugma on May 1, 2004, at 5:22:55

In reply to Re: which plan sounds more reasonable » zeugma, posted by chemist on May 1, 2004, at 0:14:54

> > the symptom i am trying to target is fear, or more specifically the response patterns that have built up over the years as a result of having my amygdala constantly activated. i think the best thing for this kind of problem would be an maoi, but adding a 5-HT reuptake inhibitor to Klonopin and the NE reupatke inhibitors should be a step in the right direction. i am determined to solve this problem. it's making my life miserable.
>
> chemist here...are you considering an MAOI and an SSRI? AVOID. if you are unipolar depession, and can adhere to the MAO diet, then do so. otherwise, go with a more activating ssri (effexor, e.g.) and stay with klonopin. but DO NOT take and MAOI and an SSRI concurrently....all the best, chemist

I'm not considering an SSRI and a MAOI concurrently. I may not have been entirely clear in my post. What I meant was that MAOI's seem to be the best treatment for depression with severe social anxiety, but that my dr. is unlikely to let me try one until I've tried some kind of 5-HT reuptake inhibitor (I have tried some but not under his care). Also, Strattera and MAOI's are officially contraindicated, although it would seem that if some TCA's can be safely taken with an MAOI, then so could Strattera.

I think I could stick to the MAOI diet (I hate cheese!). But before I try it, I want to try either Lexapro or clomipramine, since I wouldn't have to go through a washout period, and if it falls I would have more leverage with my dr. to let me try the MAOI. I hope the selegilene patch comes out soon.


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