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Re: Ritalin while on an maoi » ChicagoKat

Posted by SLS on October 7, 2012, at 7:06:56

In reply to Ritalin while on an maoi, posted by ChicagoKat on October 6, 2012, at 13:24:15

Why a stimulant?
Why Ritalin?

Nardil + Ritalin?

Ritalin does not inhibit the reuptake of serotonin. It does not bind to the transporter. However, there is a study of rats reporting that adding Ritalin to Celexa can produce a greater increase in serotonin levels in the hippocampus compared to Celexa alone. No such effect was reported in the cortex.

http://www.sciencedirect.com/science/article/pii/S0924977X07000508

I don't know about Nardil, but I have added Ritalin to Parnate + desipramine. In fact, some doctors have done this as a way to remedy Parnate-induced hypotension. I have also added Dexedrine and Adderall to Parnate. I cannot remember adding a stimulant to Nardil.

I can't find on Medline/Pubmed an abstract regarding Nardil and Ritalin used in combination. There is only a letter reporting a case study, but without the abstract.

http://www.ncbi.nlm.nih.gov/pubmed/14970373

If it were me, I would try amphetamine first. However, I would not exclude Ritalin from consideration.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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