Posted by SLS on April 14, 2006, at 20:31:47
In reply to Start Emsam while tapering off other meds?, posted by tom_p on April 14, 2006, at 20:03:07
I would think that the risk of developing serotonin syndrome would be greater than the risk of precipitating a hypertensive crisis. Developing serotonin syndrome by combining a SSRI with a MAOI is almost a certainty once enough MAO-A has been inhibited. I think we've had two people here who successfully combined Nardil with Remeron. Of course, that is a rather small number of people to use as evidence. If you are worried about Remeron, then I would advise discontinuing both drugs before initiating treatment with Emsam. I guess this is a conservative approach, but I don't think there is enough evidence to insure the safety of combining these drugs.
- Scott
poster:SLS
thread:633222
URL: http://www.dr-bob.org/babble/20060412/msgs/633225.html