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Re: Someone asked about MAOI's and SSRI's

Posted by JohnL on October 13, 2000, at 4:43:13

In reply to Someone asked about MAOI's and SSRI's, posted by stjames on October 13, 2000, at 2:59:45

> Can't find your post on last board. PDR, ect say it is a no no.
> Hypertensive crisis, ect is possible outcome of this mixture. I think
> some on the list have tried this. What other coctail's have you
> tried ? Thyroid ? Sitms ? These would be my choices before trying a mix
> of MAOI's and SSRI's. I have not taken MAOI's so am not
> well read on them; hope someone will post who has taken this
> combo.
>
> james

I think James is right on the money. That is, an SSRI+MAOI combination should not be tried unless all other things like stimulants, TCAs, antipsychotics, mood stabilizers, thyroid, etc have been tried. As a matter of fact, I know one doctor who is so successful at finding the right medication for patients that MAOIs are very rarely resorted to in his practice, not to mention MAOI+SSRI which are never needed. Granted back in the old days MAOIs were combined with TCAs, but with SSRIs it's a totally different game. And not a very safe one at all.
John


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poster:JohnL thread:46245
URL: http://www.dr-bob.org/babble/20001012/msgs/46252.html