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Re: Larry Hoover, SJW Question McPac

Posted by Larry Hoover on August 22, 2003, at 8:05:42

In reply to Larry Hoover, SJW Question, posted by McPac on August 19, 2003, at 22:00:16

> "Now, where did you get those dose numbers from (the combinations of SJW and Remeron)?"
>
> >>>>>>>>>>> From me! lol.

OK. I thought maybe I'd been tossing numbers around earlier, and I couldn't think of a situation where I'd have used anything like the ones you used.

> What I was trying to convey was that the general advice I recall hearing/reading was, "If you are on an SSRI then SJW is totally OFF LIMITS.

Without medical supervision, yes.

> But if you are on other types of AD's then you can take both (not the maoi's though)...due to serotonin syndrome (too much serotonin).... so, I thought (big problem! lol) "why would it be worse (i.e. cause too much serotonin) taking a PUNY dose of SJW with a PUNY dose of, say, Zoloft (ssri)---(<2 PUNY doses combined)...

I'm understanding you better now. You're right, there may be safety in the puny + puny situation, but you need medical supervision as they may add together more like 1 + 1 = 4 (that's called synergy).

> how can that be worse than taking, say, a BIG dose of SJW + a BIG dose of a non-ssri med (like Remeron, for example)....

Well, comparing big + big and puny + puny has obvious limitations.

>I didn't see why the latter example wouldn't produce more serotonin than the first....my brain has been thinking too much lately, lol....I'm trying to stick with Remeron as my AD so that I can use SJW....IF I have to ditch the Remeron (due to inefficacy) then I'll no doubt have to go back to the ssri's and then WON'T be able to use SJW. Take care LH!

Well, if Remeron doesn't work, don't ditch it until you've also ramped up the SJW.

Lar

 

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poster:Larry Hoover thread:252068
URL: http://www.dr-bob.org/babble/20030818/msgs/253029.html