Posted by Molitor on November 30, 2007, at 23:18:41
In reply to Re: Parnate vs Nardil???, posted by rskontos on November 30, 2007, at 21:32:29
> >>Someone said if nardil and parnate had been invented after SSRIs they would probably be viewed as improvements, rather than dinosaurs. A doctor's website said MAOIs would be first line treatment instead of last choice for a close family member.>>
>
> I think this is very interesting indeed. Goes to show that not all new things are better than what you have. and the trophy goes to the heaviest hitting reps I would imagine not the best meds...sad but true......
>Funny, but true. In the 1980s, Eli Lilly proclaimed Prozac a revolution because unlike TCAs and MAOIs, it specifically targeted the one single neurotransmitter that caused depression and anxiety -- Thus being miraculously effective with virtually no side-effects. Two decades later, Lilly would have us believe that Cymbalta is some amazing advance over SSRIs because it targets MORE that one neurotransmitter.
To find a doctor who prescribes MAOIs, I would ask my existing pdoc to refer me to one. They're usually pretty understanding about this, especially if you're just spinning your wheels and not getting any better. If that doesn't work, you could try to contact a university or hospital-level doctor or department for a referral.
I don't think MAOIs should be first line treatment, but people who are likely to benefit shouldn't have to jump through expensive and emotionally exhausting hoops for years before getting them.
poster:Molitor
thread:797677
URL: http://www.dr-bob.org/babble/20071125/msgs/798004.html