Posted by bleauberry on March 17, 2009, at 16:39:12
In reply to Nardil to Parnate, posted by Cseagraves on March 16, 2009, at 20:26:09
There was a discussion here on this topic very recently. The overall consensus was that yes you definitely need a 2 week washout. Even SLS did the two week wait, and he is pretty aggressive with meds. Someone had a serious emergency when they didn't wait the two weeks. Serotonin syndrome does not seem to be the problem. There is other stuff going on. Keep in mind, these drugs do a lot more than just MAO inhibition, much of which we don't know.
Nardil to Parnate without a washout...not cool in my book. I'm sure it has been done, but that doesn't make it reasonable or safe. The MAOIs are in the big leagues, a totally different game than other psychotropic meds. In the MAOI game, the penalties for wrong moves are much stiffer.
SLS has probably one of the best psychopharmacologists. SLS himself is a pro at this stuff. If his doctor insists on a 2 week washout, and if SLS agreed himself, then that to me means it is very important.
poster:bleauberry
thread:885679
URL: http://www.dr-bob.org/babble/20090313/msgs/885788.html