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MAOI/cymbalta washout question

Posted by Chairman_MAO on March 3, 2006, at 13:07:30

Has anyone here stopped an SSRI drug with a 24-hour halflife or less and started an MAOI in less than two weeks? Is 72 hours enough? If I do not get out of this hole soon I am not going to be able to continue supporting myself and will have to go back to my parents' house. They do not understand me whatsoever and will only do whatever it is contributes to my getting worse and more dependent on them.

I feel absolutely miserable despite 20mg d-amphetamine 3x/day and cannot do this anymore. I am in too good a situation to lose the battle now. I only took one 30mg dose of cymbalta the past tuesday; it made me so much worse I had to fight to keep from planning a suicide. I have tried to convince my doctor the necessity of my combining an MAOI with d-amphetamine. I cannot afford to be either euthymic and in a fog, unable to work a job, or have focus but want to die. He will not listen. Apparently--despite the fact I have used psychostimulants on that medication without permission quite a few times to no ill effect--the risk of hypertensive crisis not being able to be managed by an emergency hypertensive is so bad that it is worth totally eliminating any chance I have to get better.

I am so fed up with the fraudulent, disingenuous tradition of American psychiatry. These people only have customers because they never cure patients. I could do a better job of treating myself with a psychologist monitoring me.

I need to know what the risk of serotonin syndrome is after, let's say, 4-7 days of taking the last dose. I have my own ideas, but I do not trust myself to make that determination right now.


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poster:Chairman_MAO thread:615431
URL: http://www.dr-bob.org/babble/20060227/msgs/615431.html