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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by esokev on April 4, 2007, at 4:19:11
I'm thinking about switching from Zoloft to Emsam (I'm aware of the washout period and all that....) However, I have a history of kidney stones, and am wondering how they would treat the pain if I had another attack? I usually average 1 stone every year and a half or so which is treated with vicodin (during treatment with Topamax I had 7... not fun!) The restrictions for meds with MAOI could be a hinderance... What do they use for pain in emergency situations such as this when one is taking an MAOI?
Posted by chiron on April 4, 2007, at 7:15:51
In reply to Emsam and painkillers, posted by esokev on April 4, 2007, at 4:19:11
I have had 3 ECT treatments with anesthesia while taking Emsam.
Posted by Honore on April 4, 2007, at 13:22:56
In reply to Re: Emsam and painkillers, posted by chiron on April 4, 2007, at 7:15:51
You can use codeine, from my experience, with no problems. Also possibly vicodin. I haven't had problems with that, although maybe you need to experiment or ask your pdoc about that.
Honore
Posted by Declan on April 4, 2007, at 16:51:59
In reply to Re: Emsam and painkillers, posted by Honore on April 4, 2007, at 13:22:56
Just no pethidine, and maybe too no dextropoxyphene, and no Ultram.
Is that right?
Posted by notfred on April 4, 2007, at 17:00:06
In reply to Emsam and painkillers, posted by esokev on April 4, 2007, at 4:19:11
the restriction is for synthetic opiods, ie demerol, ultram (tramadol)
The codeine/mophine semi-synthetic derivatives, ie codeine, hydrocodone, oxycodone, mophine, and fentanyl are OK. Also serotonin syndrome has been reported when AD's and some other psyco meds are taken with synthetic opiods. ie DMX and demerol.
hydrocodone is lortab and vicodin
oxycodone is oxycontin, percocet, percodan
Posted by notfred on April 4, 2007, at 17:07:01
In reply to Re: Emsam and painkillers, posted by Declan on April 4, 2007, at 16:51:59
> Just no pethidine, and maybe too no dextropoxyphene, and no Ultram.
>
> Is that right?
Yep,pethidine is demerol
dextropoxyphene (dextroproxyphene) is Darvocet
This is the end of the thread.
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