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Re: MAOIs

Posted by yxibow on May 4, 2006, at 20:18:27

In reply to Re: MAOIs » yxibow, posted by ed_uk on May 4, 2006, at 13:56:18

> >I'm talking about people with severe sinusits
>
> OK, but how is this relevent? The vast majority of patients who are considering taking an MAOI do not suffer from sinusitis.

Is there a study ? One will never know. There are few other things that will control it other than saline or steroidal use which is always an iffy thing even if nasal steroids are relatively harmless, they can still cause HPA axis issues and that is nothing good to add to severe depression.

>
> >ECT is a controlled seizure.
>
> That would be a euphemism. Potent muscle relaxants are necessary during ECT to prevent violent convulsions. People used to break their back during ECT, the convulsions were so severe. I think this gives you a good idea of what sort of seizure is being induced.

No, its not a euphemism, its exactly what it is according to my doctor who has I think two decades more experience than myself as an MD. I didn't say it was something to take lightly... I wouldnt go there any more than I would an MAOI.


> >Actually the FAQ on the link with the ECT machine you showed points out the positive benefits that I aforementioned in the other reply and the rarity of severe complications.
>
> Well of course! Manufacturers of ECT machines will inevitably downplay the risks!

So why post it, I was lost ?


> >And suppose you've been hit by a car? I'd highly suggest a medical wristband that says MAOI.
>
> Indeed, such wristbands can be obtained easily, and cheaply. Only a minority of drugs used in emergency medicine need to be avoided - Demerol being the obvious example. Epinephrine is not contra-indicated.

Good, we agree here.

> Let's compare: mild cough versus severe untreated mental illness. Which is most likely to lead to people needing to take time off work? Given dextromethorphan's minimal effectiveness, it is not likely to help someone go to work. Simple linctus would do just as well.

Mm... ask the millions of Americans who use it daily. I agree, its not a great drug. Its not terribly powerful. In fact its quite weak, deliberately so, almost punitively, to discourage abuse which does still exist (yuck).


> >Hmm... I seem to remember you using OTC codeine :)
>
> Yep, I took it because it makes me feel better, not to treat a cough.

Hmm.. I won't go there because that's character assasination.

 

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poster:yxibow thread:639045
URL: http://www.dr-bob.org/babble/20060504/msgs/640109.html