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Re: What OTC drugs can you TAKE with MAOIs? FredPotter

Posted by Jedi on March 31, 2007, at 2:47:59

In reply to Re: What OTC drugs can you TAKE with MAOIs?, posted by FredPotter on March 30, 2007, at 15:53:38

Hi,
Please be very careful mixing Pseudoephedrine HCl (Pseudofed) with MAOIs. Some people might be able to get away with it in small doses but it is strongly contraindicated. While in Canada a couple of years ago I purchased some codeine cough syrup for a bad cough. Codeine is sold over the counter in Canada. I had purchased a mix of codeine and Guaifenesin before. No problem with either of these meds. The next time I purchased the cough syrup they had added Pseudoephedrine HCL to the mix. The Canadian pharmacist told me it would be no problem with MAOIs; they are not used to the irreversible Nardil, Parnate, and Marplan in Canada. I didn't have my reading glasses so I could not see the microscopic print, Pseudoephedrine HCl. No warning at all; in the U.S. anything with Pseudoephedrine HCL in it carries a MAOI warning.

Well this one cost me a hypertensive episode that my home BP meter could not even record. I got to the ER where they made me sit for 20 minutes before they even got around to taking my blood pressure. I guess a potential stroke wasn't that big of deal to them. The fact is, they new nothing about this kind of reaction. By the time they got around to reading about it in a book or looking it up on a computer, I could have croaked. When the doctor finally read something about the interaction, I got some guick attention. A couple of hours and a $1000 CT scan later, my BP was coming down - with no permanent damage.
Take care,
Jedi


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