Posted by zeugma on August 9, 2003, at 13:11:49
In reply to Re: MAOI and Straterra (and/or stimulant), posted by SLS on August 9, 2003, at 8:53:58
I am curious about this one also. I have severe social anxiety, in addition to ADHD, depression, and GAD, and the MAOI's seem like the treatment of choice for the SA (especially Nardil, but Parnate might be helpful too). The social anxiety is severe enough that it has seriously constricted my employment options, among other things. The script info on Strattera is pretty insistent that it can't be combined with any MAOI, reversible or not.
I'm another who's slightly puzzled by this. I have two references that state that MAOI's are actually SAFER when combined with a norepinephrine reuptake inhibitor:http://www.psychotropical.com/notes/220.html and http://www.ijmt.net/3_4/3_4_26.html I wonder if Strattera has other pharmacodynamic proerties besides norepinephrine reuptake inhibition? The only other NRI I've ever taken (besides a brief, disastrous trial of Wellbutrin, which may not even be an NRI) is nortriptyline which I continue to take, and which feels qualitatively quite different. (I suppose the TCA that would be the best reference point would be desipramine.)
poster:zeugma
thread:249442
URL: http://www.dr-bob.org/babble/20030807/msgs/249551.html