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Re: Nardil MAOI diet » pedr

Posted by Chairman_MAO on February 3, 2011, at 14:42:02

In reply to Re: Nardil MAOI diet, posted by pedr on February 3, 2011, at 13:56:15

Pseudoephedrine, ephedrine, PPA, etc. <-- DANGER

Psychostimulants such as d-amphetamine and d-methamphetamine are much safer. Avoid racemic psychostimulants if you can (Adderall/Vyvanse).

D-methamphetamine is the safest because it has the highest ratio of central to peripheral effect.

Beware DXM (Robitussin) and meperidine (Demerol).
Seriously. Ic you want to wear a bracelet, make sure it mentions Demerol!

IIRC the treatment of choice is IV phentolamine. I've been given chlorpromazine or clonidine to carry around; doctor didn't want to use nifedipine. These days, I don't carry around anything.

It's important that you and your doctor are on the same page about this. The chance of a tyramine-induced hypertensive crisis is low but far from 0.

Dentist was probably using epinephrine.


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URL: http://www.dr-bob.org/babble/20110130/msgs/978612.html