Posted by gromit on August 10, 2004, at 7:20:11
In reply to Re: Which meds increase dopamine/energy? » gromit, posted by Ktemene on August 9, 2004, at 5:07:23
> > I've been reading alot about low dose Selegiline and I'm not clear if you can take it along with an SSRI. Assuming I can get my doc to go along with it I'd like to give it a try.
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> Since very little MAO-A is inhibited until you get above the 10 mg dose level, there should be no problem with taking low dose Selegiline with an SSRI. There have been a couple of studies on the interaction of citalopram and fluoxetine with Selegiline, and little or no interaction was found in both studies. I have lost the fluoxetine-selegiline study link, but I will put the link to the citalopram-selegiline study here: http://www.biopsychiatry.com/citalseleg.htm
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> Remember that a strong antidepressant response to low dose Selegiline is uncommon. Atypical depressives with excessive daytime sleepiness and anhedonia would probably get a better response from Parnate. Once the Selegiline patch comes out, Selegiline may be the first port of call for MAOIs, but until then Parnate and Nardil are likelier candidates.
> Good luck!So you maintain biopsychiatry.com?
Atypical depression with EDS and anhedonia seems to describe me very well, toss in a little social anxiety. I have been considering Parnate but am hesitant because my diet consists primarily of homebrewed beer and pizza.
My doc claimed he hadn't heard about the patch and didn't seem to think it would eliminate the MAOI diet restrictions. I suppose if it is approved he will become aware soon enough.
Thanks for your response and the great site!
poster:gromit
thread:374543
URL: http://www.dr-bob.org/babble/20040805/msgs/375917.html