Posted by psychobot5000 on January 10, 2009, at 23:09:38
In reply to Re: Is it safe to take Nardil and Anafranil?, posted by davidla on January 9, 2009, at 21:01:21
> My first reaction is that my doc is incompetent and possibly dangerous. I assume the pharmacy would not have filled the prescription but that is little consolation.
>I would merely add that, well, a doc willing to prescribe tricyclics with MAOis is something some of us would like to have. Granted, in this case, he/she would seem to have gone a bit far...
> I am not familar with desipramine, nortriptyline, or trimipramine. My primary reason for taking Anafranil was to reduce my OCD symptoms.
>
You're in something of a bind, if I understand right. As things are now, it's mostly serotonergic drugs that are used to treat OCD, and precisely those drugs (SSRIs and clomipramine/anafranil) are the ones you can't at all costs, combine with Nardil or other MAOis. I have two tentative suggestions. First, you might try another tricyclic, like trimipramine or nortriptyline or the others people have mentioned. They're not likely to be as effective for OCD as anafranil, but as I understand it, they do help some people. Second...mirtazipine/remeron might be worth trying, in your case, simply because the first line drugs are too dangerous. From what I've read, it's probably as safe or safer than most tricyclic antidepressants when taken with an MAOi (your doc may still have to argue about it with the pharmacists, though), and is -sometimes- useful for OCD--i.e. it was for me, but some patients apparently find it makes their condition worse.So anyway, those are two options you might try for OCD, neither of them very high-percentage shots, but perhaps worth thinking over. I wish you luck.
poster:psychobot5000
thread:872878
URL: http://www.dr-bob.org/babble/20090104/msgs/873270.html