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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by cosis on July 17, 2004, at 13:44:15
my doctor gave me percaset for gallstones causing bad pain in my gallbladder. I wanted to double check these two were safe together.
Posted by SLS on July 17, 2004, at 14:48:12
In reply to safe to take percaset and nardil?, posted by cosis on July 17, 2004, at 13:44:15
> my doctor gave me percaset for gallstones causing bad pain in my gallbladder. I wanted to double check these two were safe together.
According to that Virtual Hospital URL posted somewhere above, oxycodone is OK to take with MAOIs.http://www.vh.org/adult/provider/psychiatry/CPS/19.html
Other postings on the Internet advise against the combination. I don't know for sure, but the Virtual Hospital piece looks pretty thorough. I tried Percocet once with Nardil without sequalae, but that really doesn't mean anything. Wait for others to chime in.
- Scott
Posted by cosis on July 17, 2004, at 16:50:10
In reply to Re: safe to take percaset and nardil?, posted by SLS on July 17, 2004, at 14:48:12
> > my doctor gave me percaset for gallstones causing bad pain in my gallbladder. I wanted to double check these two were safe together.
>
>
> According to that Virtual Hospital URL posted somewhere above, oxycodone is OK to take with MAOIs.
>
> http://www.vh.org/adult/provider/psychiatry/CPS/19.html
>
> Other postings on the Internet advise against the combination. I don't know for sure, but the Virtual Hospital piece looks pretty thorough. I tried Percocet once with Nardil without sequalae, but that really doesn't mean anything. Wait for others to chime in.
>
>
> - Scott
>Thanks I noticed the same thing, some websites say not to mix it because it can cause harmful side effects, and others do not mention it...
Posted by SLS on July 17, 2004, at 18:28:40
In reply to Re: safe to take percaset and nardil?, posted by cosis on July 17, 2004, at 16:50:10
> Thanks I noticed the same thing, some websites say not to mix it because it can cause harmful side effects, and others do not mention it...
Isn't ridiculous how little definitive information exists regarding MAOIs? They have been around forever, yet they are still treated like an unexplored cave without the benefit of light.
- Scott
Posted by Sad Panda on July 18, 2004, at 11:40:52
In reply to safe to take percaset and nardil?, posted by cosis on July 17, 2004, at 13:44:15
> my doctor gave me percaset for gallstones causing bad pain in my gallbladder. I wanted to double check these two were safe together.
>
>Should be fine, the pain killers that should be avoided are the ones that are serotin reuptake inhibitors such as Demerol & Ultram.
Cheers,
Panda.
Posted by SLS on July 18, 2004, at 14:15:25
In reply to Re: safe to take percaset and nardil? » cosis, posted by Sad Panda on July 18, 2004, at 11:40:52
> > my doctor gave me percaset for gallstones causing bad pain in my gallbladder. I wanted to double check these two were safe together.
> Should be fine, the pain killers that should be avoided are the ones that are serotin reuptake inhibitors such as Demerol & Ultram.
Thanks Panda.That was my conclusion too, but it would have been nice to surf the Internet and not see hundreds of sites stating otherwise. The only thing I found supporting the use of oxycodone was that Virtual Hospital thing. I have to admit, though, that I didn't spend more than 15 minutes at it.
Cosis, I think you can trust Panda on this one. You just might want to test the waters first, as MAOIs can sometimes exaggerate the effects of other drugs. It didn't seem to do that for me, though.
- Scott
Posted by cosis on July 18, 2004, at 17:35:00
In reply to Re: safe to take percaset and nardil?, posted by SLS on July 18, 2004, at 14:15:25
> > > my doctor gave me percaset for gallstones causing bad pain in my gallbladder. I wanted to double check these two were safe together.
>
> > Should be fine, the pain killers that should be avoided are the ones that are serotin reuptake inhibitors such as Demerol & Ultram.
>
>
> Thanks Panda.
>
> That was my conclusion too, but it would have been nice to surf the Internet and not see hundreds of sites stating otherwise. The only thing I found supporting the use of oxycodone was that Virtual Hospital thing. I have to admit, though, that I didn't spend more than 15 minutes at it.
>
> Cosis, I think you can trust Panda on this one. You just might want to test the waters first, as MAOIs can sometimes exaggerate the effects of other drugs. It didn't seem to do that for me, though.
>
>
> - Scott
>
>
Thanks I hope I dont have another attack but atleast this time I will have something to help the pain............ Nick
Posted by cosis on July 25, 2004, at 3:28:17
In reply to Re: safe to take percaset and nardil?, posted by cosis on July 18, 2004, at 17:35:00
> > > > my doctor gave me percaset for gallstones causing bad pain in my gallbladder. I wanted to double check these two were safe together.
> >
> > > Should be fine, the pain killers that should be avoided are the ones that are serotin reuptake inhibitors such as Demerol & Ultram.
> >
> >
> > Thanks Panda.
> >
> > That was my conclusion too, but it would have been nice to surf the Internet and not see hundreds of sites stating otherwise. The only thing I found supporting the use of oxycodone was that Virtual Hospital thing. I have to admit, though, that I didn't spend more than 15 minutes at it.
> >
> > Cosis, I think you can trust Panda on this one. You just might want to test the waters first, as MAOIs can sometimes exaggerate the effects of other drugs. It didn't seem to do that for me, though.
> >
> >
> > - Scott
> >
> >
>
>
> Thanks I hope I dont have another attack but atleast this time I will have something to help the pain............ Nick
>Well I had another gallstone attack, took 2 percosets and they had NO effect on my pain at all........ UGH :(
Posted by cubbybear on July 29, 2004, at 4:12:12
In reply to Re: safe to take percaset and nardil?, posted by cosis on July 25, 2004, at 3:28:17
I myself have been hungering for definitive info on Rx painkillers that are safe with Parnate, another MAOI, and unfortunately, all I've come up with are Percocet, oxycodone, and codeine. I wonder if someone could verify this, and add the names of one or two others. Thanks.
Posted by Piquet on July 29, 2004, at 4:38:46
In reply to Re: safe to take percaset and nardil?, posted by cubbybear on July 29, 2004, at 4:12:12
> I myself have been hungering for definitive info on Rx painkillers that are safe with Parnate, another MAOI, and unfortunately, all I've come up with are Percocet, oxycodone, and codeine. I wonder if someone could verify this, and add the names of one or two others. Thanks.
On his website, psychotropical.com, Dr Ken Gillman lists, with regard to MAOIs, codeine, oxycodone, fentanyl and morphine as being almost certainly safe.
On the other hand, pethidine, tramadol, dextropropoxyphene, pentazocine and dextromethorphan are almost certainly NOT safe, with Pethidine being the worst offender. As you probably know, the risk is that of Seratonin Syndrome.
Piquet.
Posted by cubbybear on July 29, 2004, at 9:41:54
In reply to Re: safe to take percaset and nardil?, posted by Piquet on July 29, 2004, at 4:38:46
> On his website, psychotropical.com, Dr Ken Gillman lists, with regard to MAOIs, codeine, oxycodone, fentanyl and morphine as being almost certainly safe.
>
> On the other hand, pethidine, tramadol, dextropropoxyphene, pentazocine and dextromethorphan are almost certainly NOT safe, with Pethidine being the worst offender. As you probably know, the risk is that of Seratonin Syndrome.
>
> Piquet.Thanks--I'll definitely check out this website. But already it makes me wonder because I could swear that I've seen Fentanyl listed as a no-no.
cubbybear
Posted by Piquet on July 29, 2004, at 18:43:14
In reply to Re: safe to take percaset and nardil? » Piquet, posted by cubbybear on July 29, 2004, at 9:41:54
> Thanks--I'll definitely check out this website. But already it makes me wonder because I could swear that I've seen Fentanyl listed as a no-no.
> cubbybearWell, you can't be too careful, that's for sure. Would you let me know what you find out regarding the Fentanyl? Thanks.
Piquet.
Posted by Sad Panda on July 30, 2004, at 7:36:37
In reply to Re: safe to take percaset and nardil?, posted by cubbybear on July 29, 2004, at 4:12:12
I have seen methadone & fentanyl listed as very mild SRI's, but OK with MAOI's. If you stick to the natural & semi-synthetic opiates you will be fine.(Codiene, Morphine, Heroin, Hydromorphone, Oxycodone, Dihydrocodone, etc.)
The worst offender for Serotonin sydrome with MAOI's is IM Pethidine(Demerol) & then it takes several days worth, so it is actually very rare.
Cheers,
Panda.
Posted by cubbybear on July 31, 2004, at 8:20:37
In reply to Re: safe to take percaset and nardil? » Piquet, posted by Piquet on July 29, 2004, at 18:43:14
> > Thanks--I'll definitely check out this website. But already it makes me wonder because I could swear that I've seen Fentanyl listed as a no-no.
> > cubbybear
>
> Well, you can't be too careful, that's for sure. Would you let me know what you find out regarding the Fentanyl? Thanks.
>
> Piquet.The website indicates that Fentanyl is OK, but I wouldn't take a chance on it since I definitely recall reading some time back that it wasn't. Sometimes it seems that there are more contradictions than definites with MAOIs in the category of analgesics. I'm also still seeing people who are supposedly experts list mozarella cheese as a no-no, when it's been established that this cheese is OK (and I can attest from experience).
>
Posted by Piquet on July 31, 2004, at 16:31:44
In reply to Re: safe to take percaset and nardil? » Piquet, posted by cubbybear on July 31, 2004, at 8:20:37
> The website indicates that Fentanyl is OK, but I wouldn't take a chance on it since I definitely recall reading some time back that it wasn't. Sometimes it seems that there are more contradictions than definites with MAOIs in the category of analgesics. I'm also still seeing people who are supposedly experts list mozarella cheese as a no-no, when it's been established that this cheese is OK (and I can attest from experience).I agree: it's better to be safe than sorry, especially where widely varying 'expert' opinions are concerned. Sometimes it's best to heed the manufacturer's own warnings, but then again, they are often ridiculously overcautious, with a mind to their legal liabilities. Caveat emptor, I guess.
Just to highlight the fact that accuracy can't be taken for granted, HealthyPlace (http://www.healthyplace.com/medications/nardil.htm) helpfully inform the reader that the brand names of phenelzine are Nardil and Parnate! I doubt that anyone who has tried both of these drugs would ever confuse the two.
This is the end of the thread.
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