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Re: Is it hard to get a doc to prescribe a MAOI? lepus

Posted by micro on January 28, 2004, at 21:28:44

In reply to Re: Is it hard to get a doc to prescribe a MAOI?, posted by lepus on January 27, 2004, at 20:52:02

> I was about to post something similar earlier so I am glad that someone else brought it up.
>
> MAOIs are the ONLY type of anti-depressant I haven't been tried on and seem to be well-suited for the depression I have with my BPII (if that is what I really have). My depressions are atypical in that I sleep too much and am just so lethargic. I asked my pdoc last week why we haven't tried one and she was scared of the suicide risk. To quote, "I have to be able to sleep at night". Well lady, you being able to sleep at night then is the only thing that is preventing you from prescribing what could be a lifesaver for me? How do I get her over this fear and get her to try one on me? It is so frustrating to know that in all the literature I have read it seems like it could be very beneficial but she won't do it.
>
> Any advice on how to approach this subject with her again? I'd be willing to sign contracts that she wasn't even liable if I did commit suicide on a MAOI. God, I would do anything to find something that works! She has seen me for over a decade, I can't understand why she has never brought them up or prescribed one for me. I know she has for others and it isn't like I have a huge history of suicide or anything. *shrugs*
>
> But to answer your question: Yes, for me it has been very hard to get a MAOI prescribed. To me it also seems to border on malpractice when one is clearly indicated given my symptoms and my poor response to SSRIs and TCAs. Any thoughts?

I can only say: Find a new DOC!! Please and Best wishes. Micro


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