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Re: MAOI wash out -- what's it like? allisonm

Posted by Michael K on November 1, 2000, at 21:39:23

In reply to Re: MAOI wash out -- what's it like?, posted by allisonm on October 31, 2000, at 21:43:46

> Hi, Shellie,
> I have been on 400mg Wellbutrin SR and 15mg Remeron since April. I've been on Remeron for 2.5 years in varying doses. Just got taken off the Remeron and added the Neurontin to the Wellbutrin, which I have been on for more than a year. The alternative was washing out and going on an MAOI, my doctor said. I have since learned that Wellbutrin can be added to MAOIs, but with care. I don't know whether an MAOI can be added to Neurontin or if it has to work the other way around.
> I just have been having a difficult time on the Neurontin, which I've been on for about 2 weeks (and off the Remeron for 2 weeks as well). I read that it can take a month or more for the Neurontin to kick in and I suspect I will need a higher dose. The last couple of weeks, however, have been hellish. I cannot predict my emotions. I am irritable, prone to crying. Lots of anxiety. It's hard working in this state and interacting with people (I am a supervisor). My insomnia is acting up now that I'm off the Remeron and the Neurontin doesn't appear to be helping. Maybe my doctor is working up the Neurontin in preparation for switching to an MAOI. I'll ask him this week.
> I feel that I'm holding on by my fingernails right now, so it scares me to think I'll have to quit what I'm on and wait 2 wks to take the MAOI then wait more weeks for it to kick in. I cannot imagine what state I'll be in if I'm where I am now.
> Thanks for writing.
> Allison

Hi Allison,

You might ask your doctor to prescribe a stimulant during your washout. The short acting ones can be taken at work or whenever you really need to function. They can generally also be taken while you're waiting the MAOI to work. Parnate is pretty fast acting, but, in my experience, Nardil takes forever. I recommend Parnate, but I notice that many people on this board like Nardil. Good Luck.





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