Posted by softheprairie on April 19, 2013, at 4:02:52
In reply to MAOI taken at night - Nardil better suited?, posted by caller on April 15, 2013, at 4:34:06
Here is something I read years ago that stuck with me (I'm not sure this is the specific article I originally read it in, Cole may have written this point elsewhere, too). I can't get copy and paste to work, but here is a free full-text link. http://www.jfponline.com/Pages.asp?AID=515 When using an MAOI: "Attempts to alter this odd cycle [of being drowsy in the afternoon but then having insomnia at night] by changing the timing of the administration [of the MAOI] have generally not helped." They go on to recommend adding a stimulant, or nighttime Trazodone.
If the link goes dead, the journal publication info is: MAO inhibitors: An option worth trying in treatment-resistant cases. Journal of Family Practice, Vol. 1, No. 6, June 2002. By Jonathan Cole, MD, and Alexander Bodkin, MD. [They teach psychiatry at Harvard Medical School.]
poster:softheprairie
thread:1042191
URL: http://www.dr-bob.org/babble/20130408/msgs/1042351.html