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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by Triss on March 3, 2002, at 15:50:29
My pdoc wants to try adding a stimulant (e.g.
Dexedrine or Ritalin) to my Nardil (an MAOI).
However, my GP is against this combo citing
"lethal ventricular arrythmia" (e.g. sudden death)
as a possible adverse effect. However, I can find
no literature (accessible to the layperson) which
makes any mention of this and therefore I'm
wondering just how frequent or significant the
occurrence of "lethal ventricular arrythmia"
associated with MAOI+stimulant combinations really
is, and thus whether or not I should be concerned
about it.
Is there anyone here who happens to be informed
regarding this topic and who might therefore
clarify this matter for me. Thanks.
Triss
Posted by Bekka H. on March 3, 2002, at 17:10:30
In reply to Heart Failure from MAOI + Stimulant Combo?, posted by Triss on March 3, 2002, at 15:50:29
When I was on Parnate (another MAOI) a long time ago, my doctor added a small dose of Ritalin to the Parnate to counteract extreme daytime somnolence caused by the Parnate. At first, I was afraid to take the combo, and I went out and bought a blood pressure monitor. For the first few weeks, I was constantly checking my pulse and blood pressure, but everything was fine. Parnate by itself lowered my blood pressure drastically (it was too low). When the Ritalin was added, my blood pressure never went above normal (120/70). I don't know about the ventricular arrhythmias, but I had no cardiovascular problems on that combo.
This is the end of the thread.
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