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Re: MAOI's and food interactions

Posted by desolationrower on March 25, 2011, at 6:07:11

In reply to Re: MAOI's and food interactions, posted by MatthewDavid on March 23, 2011, at 16:59:05

> D/R, can you give me a little more info on an NRI? not exactly sure what type of med that is.
>
> thanks

> Hi D-R, do you recommend taking an NRI in combination with an MAOI to counter side effects the MAOI might have such as lack of concentration, or do NRI's compliment MAOI's or enhance them? what was your experience?

NRI - norepinephrine/noradrenaline reuptake inhibitor. reboxetine, attomoxatine, notriptaline, desipramine. the last two are called 'secondary TCAs' too, based on their chemical structure.

NRIs can increase blood pressure, but only a limited amount. They reduce the chance of hypertensive crisis (the reason you shouldn't eat certain foods in the first place) by blocking entry of tyramine through the uptake pump thingie.

I wanted to take one, but couldn't find a doctor to Rx the combo and ended up just discontinuing the MAOI since my depression was gone. for most people, NRIs seem a bit less effective than stimulants for ADHD symptoms, but they do help. And they are a lot safer with MAOIs. You can think of it as a 'risk' with the maoi, but not taking it is the risk. I had a hypertensive crisis when the only thing i ate all day was an apple. The unsaftey is from reports of 'TCAs' causing problems, but this was serotonergic TCAs causing serotonin syndrome. Nortriptaline should prvent serotonin syndrome, actually.

-d/r


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