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Stopping Parnate for surgery? Help!

Posted by Uncouth on July 20, 2015, at 10:20:26

So I am having major sleep apnea surgery August 20th. I have asked my surgeon to check with anesthesiologist with respect to which medications I need to stop and what I can stay on.

Unfortunately he has stated that I need to stop my 120mg tranylcypromine two weeks before surgery. I am quite worried as years ago when I stopped an MAOI I fell into an ECT resistant depression (though was in much worse general shape then, and recovery from sleep apnea surgery will include hydrocodone).

In any event, if I can't get the anesthesiologist to let me remain on MAOI, what would be the best tapering protocol over the next month to reduce the chance of mood disturbance.

I am worried, but am also on other medications that hopefully will help "pick up the slack":

Ability 2mg
Strattera 100mg
Namenda XR 21mg
Parnate 120mg (need to taper off)

Anyone have any experience with tapering off of high dose MAOI? I am frustrated as it took a long time to work up to this dose and I feel like it just started to kick in. What will I expect?

 

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poster:Uncouth thread:1080645
URL: http://www.dr-bob.org/babble/20150629/msgs/1080645.html