Psycho-Babble Medication Thread 954491

Shown: posts 1 to 8 of 8. This is the beginning of the thread.

 

Are MAOI's any good for psychotic depression?

Posted by linkadge on July 14, 2010, at 17:06:06

I know that fluvoxamine is supposedly more effective than other SSRI's for psychotic depression. Are the MAOI's a good option for psychotic depression?

Linkadge

 

Re: Are MAOI's any good for psychotic depression?

Posted by Christ_empowered on July 14, 2010, at 19:57:26

In reply to Are MAOI's any good for psychotic depression?, posted by linkadge on July 14, 2010, at 17:06:06

I think it would depend on "style" of the psychotic depression, whether the person was bipolar, etc. I read somewhere that lithium+parnate were good for psychotic depression, but I'm guessing that was some old school bipolar medicatin'.
They used to make a combo pill with stelazine and parnate...1mg parnate per 10mgs parnate. I'm guessing it was for mixed depression, or maybe it was kind of like an amphetamine-less upper/downer combo like the ones so popular back in the day...at any rate, I could see the more stimulating MAOIs being useful in psychotic depression; they apparently sometimes use Ritalin along with neuroleptics in some cases.

I would think symbyax would be the current go-to drug. Amoxapine was for a while. Just based on my own experience, monotherapy with 10mgs or so of Abilify might be a good idea.

good luck.

 

Re: Are MAOI's any good for psychotic depression?

Posted by Phillipa on July 15, 2010, at 0:39:30

In reply to Are MAOI's any good for psychotic depression?, posted by linkadge on July 14, 2010, at 17:06:06

Link you're on luvox at what dose didn't know for psychotic depression thought OCD? Phillipa

 

Re: Are MAOI's any good for psychotic depression?

Posted by sigismund on July 15, 2010, at 16:17:33

In reply to Re: Are MAOI's any good for psychotic depression?, posted by Christ_empowered on July 14, 2010, at 19:57:26

>They used to make a combo pill with stelazine and parnate...

Takes you back, doesn't it? Parstellin in the MIMS along with Stelladex.

 

Re: Are MAOI's any good for psychotic depression?

Posted by jade k on July 17, 2010, at 6:39:52

In reply to Are MAOI's any good for psychotic depression?, posted by linkadge on July 14, 2010, at 17:06:06

Are the MAOI's a good option for psychotic depression?
>
> Linkadge

MAOI's are good for depression. Psychosis, not so much, IMHO. In fact, if you suffer from psychotic depression, I would strongly urge you to add some dose of an ap or aap, such as Geodon. A good question for your pdoc.

~Jade

 

Re: Are MAOI's any good for psychotic depression?

Posted by inanimate peanut on July 17, 2010, at 15:05:41

In reply to Re: Are MAOI's any good for psychotic depression?, posted by jade k on July 17, 2010, at 6:39:52

I'm on Parnate and Geodon and my psychotic mixed states are completely controlled (my psychosis is in my mixed states and not in depression, though)

 

Re: Are MAOI's any good for psychotic depression?

Posted by emmanuel98 on July 17, 2010, at 19:45:17

In reply to Re: Are MAOI's any good for psychotic depression?, posted by inanimate peanut on July 17, 2010, at 15:05:41

I have psychotic depression and take parnate with perphenazine. I can't tolerate the AAP's - they make me gain weight like crazy. I take only 12 mg perphenazine and it seems to work without side effects. At one time, I was taking 36mg and had bad akathesia and my p-doc (who hadn't precribed that dose -- it had been raised in the hospital) was alarmed about the possibliity of TD, so cut me way back.

 

Re: Are MAOI's any good for psychotic depression? ยป linkadge

Posted by SLS on July 18, 2010, at 0:56:00

In reply to Are MAOI's any good for psychotic depression?, posted by linkadge on July 14, 2010, at 17:06:06

> I know that fluvoxamine is supposedly more effective than other SSRI's for psychotic depression. Are the MAOI's a good option for psychotic depression?

That's a great question that I don't know the answer to. Traditionally, the TCAs have been used for psychotic depression. Amoxapine, because of its antipsychotic properties, had been the preferred choice of TCA for awhile. I have seen Wellbutrin work in combination with Seroquel.


- Scott


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