Posted by SLS on August 1, 2006, at 9:17:35
In reply to Re: P Doc Prescribed EMSAM for me today!!!!! » SLS, posted by theo on August 1, 2006, at 7:27:47
> > How long will you be waiting between your last dose of Luvox and your first dose of Emsam?
> >
> > Good luck!!!
> >
> >
> > - Scott
>
> Hey Scott,
>
> Do you have to taper off stims such as Adderall before starting an MAOI such as EMSAM? Seems like I read somewhere that people actually take the two together.
I wouldn't be that concerned with stimulants. However, I would think there is a risk of developing serotonin syndrome if not enough time is allowed to pass between discontinuing Luvox (fluvoxamine) and beginning Emsam. I took a quick look at the Emsam drug monograph provided on rxlist.com and was surprised that I couldn't find a contraindication for combining Emsam with serotonin reuptake inhibitors. My guess is that even at 6mg/24hr, the degree of MAO-A inhibition produced by Emsam in the brain is substantial. I would expect a reaction to occur.I really am surprised.
- Scott
poster:SLS
thread:672456
URL: http://www.dr-bob.org/babble/20060724/msgs/672542.html