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MAO-a inhibiton from EMSAM, tyramine metabolism

Posted by psychobot5000 on January 14, 2007, at 15:55:36

In reply to Re: ENSAM Question, posted by SLS on January 14, 2007, at 11:48:44

> Perhaps the pressor response is dependent upon inhibition of gut MAO and not brain MAO?
>
> - Scott

From what I've been told, that is quite correct. If I remember right, a 6mg EMSAM, worn all day, will produce MAO-a inhibition of 70% or more, and above 90% of MAO-b. Yet, there is enough MAO-A left in the gut to prevent a pressor crisis. It's important to remember that blood levels of of selegiline from the patch are much higher than with tablets, so you get dual inhibition at all doses.


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