Posted by Larry Hoover on March 19, 2007, at 9:15:47
In reply to Larry Hoover??? (nm), posted by UGottaHaveHope on March 19, 2007, at 1:30:26
> Sir?
Sir? Lar is fine.
I don't have any concerns about bypassing a washout period, as the mechanisms of action are similar. The only possibility of adverse reactions would arise from metabolic interactions, and I don't know of any.
That said, the Emsam monograph does list both Nardil and Parnate as contraindicated, in combination with Emsam. I believe they are simply covering their *ss, as they do not show any rationale for their inclusion in the list of other antidepressants which would clearly not be wise combinations to consider.
So, familiarize yourself with the symptoms of serotonin syndrome, and press ahead. Alternatively, wait a week to clear the Emsam from your system. You needn't tell your pdoc every little detail, eh? Peace of mind is priceless. For everything else, there's Mastercard®.
Lar
poster:Larry Hoover
thread:742061
URL: http://www.dr-bob.org/babble/20070314/msgs/742086.html