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Re: Killer Combination? » Rocks Cry Out

Posted by Elizabeth on April 8, 2002, at 1:11:03

In reply to Killer Combination?, posted by Rocks Cry Out on April 6, 2002, at 16:21:19

> I want to take a combo of the MAOI Marplan + Nortriptyline + St. John's Wort + SAM-e. Am I going to die? Do I need to carry oral nifedipine with me just in case? Or the anti-serotonergic cyproheptadine? Help!

The nortriptyline should be fine. I'd ditch the SJW and the SAMe -- they do have serious potential to inderact with Marplan.

How long have you been taking each of these?

Nifedipine, incidentally, is for hypertensive episodes. It's not usually something to use for the "serotonin syndrome," for which there is no specific treatment. I think it's a good idea for anyone on MAOIs to carry nifedipine, though.

-elizabeth


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poster:Elizabeth thread:102161
URL: http://www.dr-bob.org/babble/20020402/msgs/102354.html