Posted by willyee on May 5, 2007, at 0:58:39
In reply to FOUR misconceptions about the GREATNESS of MAOIs, posted by UgottaHaveHope on May 4, 2007, at 23:53:03
I think your really dead on,but here are some things that come into play,
If people live in a area anything like mine they are limited in getting a maoi.
First in my area the docs know each other,and have a little knitted family.Its almost as if each doc is the same.You can find one that thinks on there own,but its guess work in searching.
Also to see a doc,you have to break these barriers....
1.Make sure the doc is "seeing new patients at this current time"2.Make sure they arent booked until "next winter"
3.Make sure they accept your insurance,im sure many people are on medicare,sorry to assume this but its a fact.
4.Wait for your appt,make sure you have one close enough to get too,some people might have limited means of transportation.
5.Go through tons of writing and paper work on your first visit.
Finaly attempt to have this new doc opt a maoi,on a first visit,with the doc getting to know u for the first time,it will be very very hard for some people to be in the presence of a pdoc who will say "ok" to a maoi at this point.
So about facing and heading to a new doc when refused one is very discouraging for some,as it only leaves a very bumpy road ahead for a second attempt.
This whole scenerio might be different for some,i can only say i envy those people and am currently being literaly thrown out of my living quarters,with a min time frame to find a new place to live myself.Id like to move on to a place where i dont feel im at the mercy of a doc due to the difficulty in getting a new one.
Im in a horiffic spot now,and i want to go to a place where getting a doc isnt so hard.
Sorry to switch up there,hope i still made a valid post to the topic with my included self loathing.
> HERE ARE FOUR REASONS PEOPLE AVOID TAKING MAOIs (ex: Parnate and Nardil)
>
> 1. Most pdocs dont even bother to study any of the drugs from the pre-Prozac era. With no knowledge of MAOIs and only rumors of its dangers, they think "why try that old drug when the new ones must be better because they are new." What great logic. My two previous pdocs had great logical reasoning, didnt they?
>
> 2. The alleged "deadly" MAOI diet, which is a joke. You have to give up cheese and soy sauce, which I dont like doing. But banana peels? Yeah, man, I dont know how I make it. However, I do eat cheese and soy sauce all the time in small amounts (Disclaimer: Do not follow my habits) with zero reactions on my BP monitor.
>
> 3. "MAOIs are deadly." Yes, they can be dangerous when mixing with other drugs, BUT so can SSRIs (see Anna Nicole Smith's son). In other words, MAOIs are no more dangerous than anything else.
>
> 4. The Nardil weight gain: I can only speak for myself, but I have lost 10 lbs. in my first five weeks on Nardil because of exercise and healthy eating habits. I realize some people may gain weight no matter what on Nardil, just as I realize some people may gain weight no matter what that are NO DRUGS.
>
> BOTTOM LINE: It is a SHAME that all those misconceptions exist because MAOIs can be MIRACLE drugs for some, especially those of YOU who have failed for years to get satisfactory results on SSRIs. If you feel like you are needlessly suffering, then I strongly recommend that you do a two-month trail on one. If your pdoc is not willing to agree to it, then simply find another pdoc that will (usually very easy to find at your local college hospital because they actually study and are educated on the new AND old drugs).
>
> Michael
>
>
> PS. I can't leave without saying this: Meds + therapy (specifically CBT) is the best combination to healing or recovery.
poster:willyee
thread:755932
URL: http://www.dr-bob.org/babble/20070502/msgs/755957.html