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Re: Nardil- The best AD ever....... Ace

Posted by undopaminergic on June 6, 2008, at 8:25:49

In reply to Re: Nardil- The best AD ever....... Ace » tgo, posted by ace on June 6, 2008, at 1:10:32

>
> I would advise Nifedipine,
>

Nifedipine seems to be the agent usually suggested for non-intravenous treatment of MAOI-induced hypertensive crises. However, it's my understanding that nitroglycerin would have a faster onset - albeit a shorter duration - of action. What are your thoughts on this?

> Chlorpromazine- exactly what this article advises (If memory serves me correctly)
>

According to my data, chlorpromazine is mainly used for MAOI-related complications when rapid intravenous treatment of serotonin toxicity is required. However, for oral, intranasal, or sublingual treatment, cyproheptadine is a better choice due to its higher affinity for the serotonin 5-HT2A-receptor, which appears to mediate the most serious consequences of serotonin syndrome.

>
> > I am thinking about asking for Nardil if my next med trial isn't successful. I'm cautious about the weight gain though. Can you take adderall while on Nardil? It has worked for me in the past and curbs the appetite nicely.
> >
>
> It is officially contraindicated, but I have heard of it being used with nardil, and having no problems. I would have to research this a bit more to reach a definite conclusion.
>

Amphetamines have the potential to cause serious hypertensive reactions - including crisis - if taken at excessive doses during MAO-inhibition. However, the combination can be used safely when it is initiated with proper caution. I've heard of doses up to at least 60 mg of dextroamphetamine taken with Nardil (I think it was Nardil, but there's a slight chance that it was Parnate or Marplan).


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