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Re: Vitamin B supplementation and MAOIs?

Posted by proudfoot on August 31, 2010, at 19:49:27

In reply to Re: Vitamin B supplementation and MAOIs?, posted by pedr on August 31, 2010, at 13:41:20

> Previous threads:
> http://www.dr-bob.org/babble/20100811/msgs/958862.html
> http://www.dr-bob.org/babble/20070622/msgs/766615.html
>
> - lots to get through!
> Pete

Hi Pete - thanks for the helpful links. Just tried to do a more refined search on Google and came up with a Google books citation (see book here: http://www.amazon.com/gp/search?index=books&linkCode=qs&keywords=0323029647) that basically states on page 330 that studies haven't been done yet to determine an effective dose, but that:

"Many providers trained and experienced in nutritional therapeutics routinely advise patients treated with these medications to supplement with vitamin B6, usually at moderate levels, such as 25 to 50 mg per day."

My pdoc can't give me a straight answer (not enough experience with Nardil), so I'm gonna have to wing this one using the resources on here, which thanks to persons like you, get better all the time. I've settled on a B-complex I found on Amazon that contains 10 mg of pyridoxine (B6) and 10 mg of pyridoxal 5' phosphate (activated B6).

Interestingly, a more accurate approach could be argued for by monitoring serum pyridoxine levels, but this would increase both the cost for yours truly, as well as the discomfort and inconvenience of repeated blood draws. Next time I need labwork, though, it might be interesting to see where the levels are. Has your doc ever checked your levels of pyridoxine while taking an MAOI?

Thanks again for your thoughtfulness in finding those older posts for me.

Doug


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