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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by temoigneur on March 17, 2005, at 1:56:27
Hi, Before throwing this question up, I seem to remember having posted that i have severe anxiety/OCD - and ritalin, dex. Provigil exacerbated it horribly. To this I think someone wrote, as far as selegiline is concerned, RUN, run very very quickly, and don't look back. - to that effect. However, in case I'm thinking of the wrong drug, I wanted to ask, can selegeline ever be combined with Anafranil, and if so, is there any chance that it would help with ahedonia. I know it's not to be combined with TCA's, most importantly clomirpamine and imipramine, I was wondering if anyone knew of any exceptions. The following article from Biopsych. got me interested.
"One option which the dopamine-craving nicotine addict might wish to explore is switching to the (relatively) selective MAO-b inhibitor selegiline, better known as l-deprenyl. Normally the brain's irreplaceable complement of 30-40 thousand odd dopaminergic cells tends to die off at around 13% per decade in adult life. Their death diminishes the quality and intensity of experience. It also saps what in more ontologically innocent times might have been called one's life-force. Eighty percent loss of dopamine neurons results in Parkinson's disease, often prefigured by depression. Deprenyl has an anti-oxidant , immune-system-boosting and dopamine-cell-sparing effect. Its use boosts levels of tyrosine hydroxylase, growth hormone, superoxide dismutase and the production of key interleukins. Deprenyl offers protection against DNA damage and oxidative stress by hydroxyl and peroxyl radical trapping; and against excitotoxic damage from glutamate.
Whatever the full explanation, deprenyl-driven MAOI-users, unlike cigarette smokers, are likely to be around to enjoy its distinctive benefits for a long time to come, possibly longer than their drug-naïve contemporaries. For in low doses, deprenyl enhances life-expectancy, of rats at least, by 20% and more. It enhances drive, libido and motivation; sharpens cognitive performance both subjectively and on a range of objective tests; serves as a useful adjunct in the palliative treatment of Alzheimer's and Parkinson's disease; and makes you feel good too. It is used successfully to treat canine cognitive dysfunction syndrome (CDS) in dogs. At dosages of around 10 mg or below daily, deprenyl retains its selectivity for the type-B MAO iso-enzyme. At MAO-B-selective dosages, deprenyl doesn't provoke the "cheese-effect"; tyramine is also broken down by MAO type-A. Deprenyl isn't addictive, which probably reflects its different delivery-mechanism and delayed reward compared to inhaled tobacco smoke. Whether the Government would welcome the billions of pounds of lost revenue and a swollen population of energetic non-taxpayers that a switch in people's MAOI habits might entail is unclear."
Posted by bart on March 17, 2005, at 7:57:59
In reply to Reversing TCA Anhedonia with Selegiline?, posted by temoigneur on March 17, 2005, at 1:56:27
that's a cool article. I'm hearing more and more things about deprenyl.
Posted by linkadge on March 18, 2005, at 19:56:58
In reply to Re: Reversing TCA Anhedonia with Selegiline?, posted by bart on March 17, 2005, at 7:57:59
You could also try adding another TCA such as nortriptaline to augment the anafranil.
Linkadge
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