Shown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by craig getty on August 8, 2003, at 23:10:43
Has anyone added Strattera to their MAOI for increased energy, focus, motivation? How about Concerta?
Right I take Provigil with my Nardil, and the Provigil isn't cutting it.
Posted by SLS on August 9, 2003, at 8:53:58
In reply to MAOI and Straterra (and/or stimulant), posted by craig getty on August 8, 2003, at 23:10:43
> Has anyone added Strattera to their MAOI for increased energy, focus, motivation? How about Concerta?
>
> Right I take Provigil with my Nardil, and the Provigil isn't cutting it.
I'll be keeping an eye on this thread. I asked my doctor about combining Strattera with an MAOI this week. He was not comfortable with the idea. In the past, I have combined MAOIs with tricyclics, amphetamine, methylphenidate, pemoline, and bromocriptine. The only problem I had was with the combination of Nardil + imipramine. It caused mild to moderate serotonin syndrome. On paper, with what is currently known about Strattera, serotonin syndrome should not be a problem. I don't know about blood pressure, though.
- Scott
Posted by zeugma on August 9, 2003, at 13:11:49
In reply to Re: MAOI and Straterra (and/or stimulant), posted by SLS on August 9, 2003, at 8:53:58
I am curious about this one also. I have severe social anxiety, in addition to ADHD, depression, and GAD, and the MAOI's seem like the treatment of choice for the SA (especially Nardil, but Parnate might be helpful too). The social anxiety is severe enough that it has seriously constricted my employment options, among other things. The script info on Strattera is pretty insistent that it can't be combined with any MAOI, reversible or not.
I'm another who's slightly puzzled by this. I have two references that state that MAOI's are actually SAFER when combined with a norepinephrine reuptake inhibitor:http://www.psychotropical.com/notes/220.html and http://www.ijmt.net/3_4/3_4_26.html I wonder if Strattera has other pharmacodynamic proerties besides norepinephrine reuptake inhibition? The only other NRI I've ever taken (besides a brief, disastrous trial of Wellbutrin, which may not even be an NRI) is nortriptyline which I continue to take, and which feels qualitatively quite different. (I suppose the TCA that would be the best reference point would be desipramine.)
Posted by craig getty on August 10, 2003, at 10:07:28
In reply to Re: MAOI and Straterra (and/or stimulant), posted by SLS on August 9, 2003, at 8:53:58
Just curious, was the addition of imipramine for low energy. My only experience with tricyclics was several years ago when I was on only imipramine and I could not stay awake at all.
>The only problem I had was with the combination of Nardil + imipramine.
Posted by SLS on August 10, 2003, at 12:55:55
In reply to Re: MAOI and Straterra (and/or stimulant), posted by craig getty on August 10, 2003, at 10:07:28
My depression is characterized by low energy. Imipramine might have given me some sedation in the beginning, but not much. Everyone is different (should be the PB mantra). Imipramine is one of the few antidepressants that I have at least partially responded to.
- Scott
Posted by craig getty on August 10, 2003, at 19:45:28
In reply to Re: MAOI and Straterra (and/or stimulant), posted by SLS on August 10, 2003, at 12:55:55
Scott,
I totally agree with your mantra. Today I've decided to stop taking my Provigil as it does nothing for energy and my girlfriend is getting fed up with my irritability. I've started drinking coffee again the past week and haven't had any hypertension symptoms so that will be a bandaid. Forced myself to the gym today, so it's great to have that post-workout endorphin rush.
I think I'll hold off on adding anything to Nardil right now, and will consider talking to my doc about upping my dose from 60 to 75mg.
I hope one day they have this stuff down to an exact science. It often feels like emotional alchemy to me.
Craig
> My depression is characterized by low energy. Imipramine might have given me some sedation in the beginning, but not much. Everyone is different (should be the PB mantra). Imipramine is one of the few antidepressants that I have at least partially responded to.
>
>
> - Scott
This is the end of the thread.
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