Posted by jedi on April 23, 2006, at 17:04:57
In reply to Why are US pdocs so hesitant to prescribe MAOI?, posted by UgottaHaveHOPE on April 23, 2006, at 12:04:16
> I dont understand it. They act like it's poison or something. How do you convince them to let you try one?
>
> And which one should I try to anxiety?Hi,
Part of the reason is the need for pretty radical tort reform in the US. Medical malpractice insurance already drives some good people out of the field. If I screw up and kill myself with a MAOI, my family could sue the MD. I believe that patients who take MAOIs need to take a lot of the responsibility for the danger upon themselves. I have taken Nardil for the better part of ten years and have had some PDOCs that have just outright refused to prescribe a MAOI. Since Nardil is the only med that works for my major atypical depression, I have had to shop for a MD to prescribe it several times in my life. I provide the MD with the studies which show that a MAOI is sometimes the only thing that works for atypical depression. I give him plenty of things in writing showing that I'm a knowledgeable patient that isn't going to go out and eat a half pound of cheddar cheese.This shopping for doctors is very difficult when you are in serious depression, but sometimes must be done just to survive. I have experienced exactly what you are talking about. When you know a medication will work and you can't get it prescribed, it feels like you are in a no win battle against the world. Go to the doctor with reviewed scientific studies, not anecdotal evidence like we see here on Babble. Use the information gained here to find the actual studies which show the meds work. Even then some doctors are so ego centered that they won't look at any information provided by a patient. In that case, you just have to move on to the next MD on the list.
In my opinion, Nardil is the best medication for social anxiety. It is even better when mixed with a small dose of clonazepam.
Good luck,
Jedi
poster:jedi
thread:636168
URL: http://www.dr-bob.org/babble/20060423/msgs/636263.html