Posted by jedi on November 10, 2012, at 20:22:54
In reply to Re: MAOIs and self education, posted by emmanuel98 on November 10, 2012, at 19:27:15
> I where a medic alert bracelet for parnate. The biggest danger in an ER is demerol.
Yes, if you wear the medic alert, which is is a very good idea; it should say "NO MEPERIDINE", along with the "TAKING MAOI". If you are unconscious in an accident or in the ER, this may just save your life. I put mine in my cell phone and on my driver's license, but I know the medic alert bracelet is a much better idea.
It seems to me the tyramine content of our foodstuffs is getting lower. As long as you are fairly careful, the risk of a hypertensive reaction is minimal. However, serotonin syndrome is potentially deadly and mixing the serotonin drugs with MAOIs is asking for the long dirt nap! All phenylpiperidine opioids (meperidine, methadone, tramadol) can react with the irreversible MAOIs. I've used phenelzine with many opioids that do not affect serotonin, no problem at all. Codeine, and many other opioids, that do not affect serotonin are fine with MAOIs. There is a lot of misinformation and you have to wade through the chafe!
Be safe,
JediReference:
MAO inhibitor: meperidine toxicity
http://www.openanesthesia.org/index.php?title=MAO_inhibitor:_meperidine_toxicity
Jedi
Treatment resistant, atypical, double depression with social anxiety.
Nardil + clonazepam
poster:jedi
thread:1030975
URL: http://www.dr-bob.org/babble/20121029/msgs/1031041.html