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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by Phillipa on January 12, 2009, at 0:59:16
Found this study on physicians that prescribe MAOI's . May be the reason so few do. As none That I aware of around here does. Have heard of one that does in special circumstances. Education is knowlege. I form no opinion on this topic thought it might be of interest to anyone that would like to take one and can't find a doc to prscribe. Kind of a long article. Phillipa
http://psychservices.psychiatryonline.org/cgi/content/full/50/7/945
Posted by yxibow on January 12, 2009, at 2:16:34
In reply to Intesting Study On MAOI's, posted by Phillipa on January 12, 2009, at 0:59:16
> Found this study on physicians that prescribe MAOI's . May be the reason so few do. As none That I aware of around here does. Have heard of one that does in special circumstances. Education is knowlege. I form no opinion on this topic thought it might be of interest to anyone that would like to take one and can't find a doc to prscribe. Kind of a long article. Phillipa
>
> http://psychservices.psychiatryonline.org/cgi/content/full/50/7/945
Because they're potentially fatal, even for the heroic stories that people have had success on here. Everybody is individual.I couldn't possibly face cardiac arrest with my vegetarian diet and there's no conclusive justification for MAOIs in my condition.
I was extremely skeptical about neuroleptics, which have had some iatrogenic bad results, but those are really rare ones. I am exceptionally sensitive.
For others, either class of agent previously described is either necessary or a last choice of resort.
I don't believe in going straight to MAOIs like some people have advocated -- I understand that the struggles they have been through have led to MAOIs but they're not a drug of first choice and neither are neuroleptics either.
Everyone is individual on here, one has to realize that.
-- Jay
Posted by SLS on January 12, 2009, at 11:59:55
In reply to Intesting Study On MAOI's, posted by Phillipa on January 12, 2009, at 0:59:16
That article is 9 years old already.
MAOIs are being rediscovered for their utility in treating affective and anxiety disorders. Medical doctor psychopharmacology examinations are increasingly adding questions regarding these drugs. I find this very encouraging.
- Scott
Posted by Justherself54 on January 12, 2009, at 12:14:29
In reply to Re: Intesting Study On MAOI's, posted by SLS on January 12, 2009, at 11:59:55
My pdoc uses MAOI's..and I did trials with both Nardil and Parnate...I don't think anyone who's been on then will dispute their properties..but the side effects can be the deal-breaker.
Posted by Phillipa on January 12, 2009, at 12:16:11
In reply to Re: Intesting Study On MAOI's » Phillipa, posted by yxibow on January 12, 2009, at 2:16:34
Jay hence the article for information only. Love Jan
Posted by Phillipa on January 12, 2009, at 12:20:28
In reply to Re: Intesting Study On MAOI's, posted by SLS on January 12, 2009, at 11:59:55
Scott I know older drugs. Any newer abstracts? Would be curious to read thanks. Phillipa
Posted by fayeroe on January 12, 2009, at 14:14:59
In reply to Intesting Study On MAOI's, posted by Phillipa on January 12, 2009, at 0:59:16
> Found this study on physicians that prescribe MAOI's . May be the reason so few do. As none That I aware of around here does. Have heard of one that does in special circumstances. Education is knowlege. I form no opinion on this topic thought it might be of interest to anyone that would like to take one and can't find a doc to prscribe. Kind of a long article. Phillipa
>
> http://psychservices.psychiatryonline.org/cgi/content/full/50/7/945The article was written in 1999. Newer information says :Therapeutic use
In the past, MAOIs were prescribed for those resistant to tricyclic antidepressant therapy, but newer MAOIs are now sometimes used as first-line therapy. They are also used for treating agoraphobia or social anxiety. Currently, the availability of selegiline and moclobemide provides a safer alternative, although these substances are not always as effective as their predecessors.
MAO inhibitors can also be used in the treatment of Parkinson's disease by targeting MAO-B in particular (therefore affecting dopaminergic neurons), as well as providing an alternative for migraine prophylaxis. Inhibition of MAO-A is used in the treatment of clinical depression.Wikipedia.
Posted by Jay_Bravest_Face on January 12, 2009, at 20:52:22
In reply to Re: Intesting Study On MAOI's » Phillipa, posted by yxibow on January 12, 2009, at 2:16:34
> > Found this study on physicians that prescribe MAOI's . May be the reason so few do. As none That I aware of around here does. Have heard of one that does in special circumstances. Education is knowlege. I form no opinion on this topic thought it might be of interest to anyone that would like to take one and can't find a doc to prscribe. Kind of a long article. Phillipa
> >
> > http://psychservices.psychiatryonline.org/cgi/content/full/50/7/945
>
>
> Because they're potentially fatal, even for the heroic stories that people have had success on here. Everybody is individual.
>
> I couldn't possibly face cardiac arrest with my vegetarian diet and there's no conclusive justification for MAOIs in my condition.
>
> I was extremely skeptical about neuroleptics, which have had some iatrogenic bad results, but those are really rare ones. I am exceptionally sensitive.
>
> For others, either class of agent previously described is either necessary or a last choice of resort.
>
> I don't believe in going straight to MAOIs like some people have advocated -- I understand that the struggles they have been through have led to MAOIs but they're not a drug of first choice and neither are neuroleptics either.
>
> Everyone is individual on here, one has to realize that.
>
> -- JaySome like to generalize and think *everybody* will be 'saved' by an maoi. But the risks are not worth it, imho, period. We can manipulate most of the neurochemicals that maoi can with combos of other, safer drugs, so I stick to them. And I have come farther and better then I have ever imagined. They may be fine for some, but certainly not everybody.
Jay
Posted by Phillipa on January 12, 2009, at 21:30:04
In reply to Re: Intesting Study On MAOI's..yes, exactly » yxibow, posted by Jay_Bravest_Face on January 12, 2009, at 20:52:22
Jay agree with that but seriously have two boxes of EMSAM patches in cabinet as really was going to go on it. Someone won't mention was on it and we talked daily and he is a wonderful person. No longer on it his doc is world famous can't divuldge city or state in anxiety disorders. And He's on only benzo now and has certainly been though more than many people me included could deal with. I read another post that if the MAOI's came in a patch might be used more. I chose not to take any chances with meds that can sometimes be potentially not good for a person and stick to conventional also. Phillipa
Posted by bulldog2 on January 13, 2009, at 9:37:54
In reply to Re: Intesting Study On MAOI's..yes, exactly » Jay_Bravest_Face, posted by Phillipa on January 12, 2009, at 21:30:04
> Jay agree with that but seriously have two boxes of EMSAM patches in cabinet as really was going to go on it. Someone won't mention was on it and we talked daily and he is a wonderful person. No longer on it his doc is world famous can't divuldge city or state in anxiety disorders. And He's on only benzo now and has certainly been though more than many people me included could deal with. I read another post that if the MAOI's came in a patch might be used more. I chose not to take any chances with meds that can sometimes be potentially not good for a person and stick to conventional also. Phillipa
Unfortunately the luvox doesn't seem to do much for you any more. I'd rather feel good for awhile and deal with some physical issues down the road than be depressed the rest of my life.
Posted by Jay_Bravest_Face on January 13, 2009, at 14:46:31
In reply to Re: Intesting Study On MAOI's..yes, exactly, posted by bulldog2 on January 13, 2009, at 9:37:54
> > Jay agree with that but seriously have two boxes of EMSAM patches in cabinet as really was going to go on it. Someone won't mention was on it and we talked daily and he is a wonderful person. No longer on it his doc is world famous can't divuldge city or state in anxiety disorders. And He's on only benzo now and has certainly been though more than many people me included could deal with. I read another post that if the MAOI's came in a patch might be used more. I chose not to take any chances with meds that can sometimes be potentially not good for a person and stick to conventional also. Phillipa
>
> Unfortunately the luvox doesn't seem to do much for you any more. I'd rather feel good for awhile and deal with some physical issues down the road than be depressed the rest of my life.I don't mean to sound sarcastic, but it's hard to feel good if you have dropped dead of a heart attack from untreated high blood pressure.
Jay
Posted by bulldog2 on January 13, 2009, at 16:27:52
In reply to Re: Intesting Study On MAOI's..yes, exactly » bulldog2, posted by Jay_Bravest_Face on January 13, 2009, at 14:46:31
> > > Jay agree with that but seriously have two boxes of EMSAM patches in cabinet as really was going to go on it. Someone won't mention was on it and we talked daily and he is a wonderful person. No longer on it his doc is world famous can't divuldge city or state in anxiety disorders. And He's on only benzo now and has certainly been though more than many people me included could deal with. I read another post that if the MAOI's came in a patch might be used more. I chose not to take any chances with meds that can sometimes be potentially not good for a person and stick to conventional also. Phillipa
> >
> > Unfortunately the luvox doesn't seem to do much for you any more. I'd rather feel good for awhile and deal with some physical issues down the road than be depressed the rest of my life.
>
> I don't mean to sound sarcastic, but it's hard to feel good if you have dropped dead of a heart attack from untreated high blood pressure.
>
> Jay
>
>hypertensive crisi is rare in those that follow the diet and adhere to all rules and regulations.
Better chance of dying in a car accident or getting maimed in one.But most of us still drive.
Like anything else one has to weigh pros and cons and decide.
A miserable existence is a living death.
Posted by SLS on January 14, 2009, at 7:15:12
In reply to Re: Intesting Study On MAOI's..yes, exactly » yxibow, posted by Jay_Bravest_Face on January 12, 2009, at 20:52:22
> Some like to generalize and think *everybody* will be 'saved' by an maoi.
Funny. I've been here for quite awhile and I am having a hard time thinking of people who think like that - you know - absolutists. It is an unreasonable conclusion at this point in time.
You're right, some people like to generalize:
> But the risks are not worth it, imho, period.
You seem pretty sure of yourself. You are fortunate if you have alternative treatments that you respond to. I don't. At least, not yet. In my flow of logic, MAOIs are well worth the risks I deem them to carry.
> We can manipulate most of the neurochemicals that maoi can with combos of other,
Interesting that you got stuck on the word "most". That's pretty much a logical deal-breaker. How do you know which of the residual properties of MAOIs that "most" doesn't cover make them uniquely suited for some people?
Anyway, which neurochemicals must one manipulate to get well? What mechanisms of action would you suggest to replace those of an MAOI? What drugs possess these properties?
How do MAOIs work? How do you know?
Your statements are a pretty weighty ones. Can you answer the questions I ask to help validate them? Neuroscientists can't, and they have been working on this stuff since the turn of the last century.
- Scott
Posted by JadeKelly on January 14, 2009, at 13:41:37
In reply to Re: Intesting Study On MAOI's..yes, exactly » Jay_Bravest_Face, posted by SLS on January 14, 2009, at 7:15:12
> > Some like to generalize and think *everybody* will be 'saved' by an maoi.
>
> Funny. I've been here for quite awhile and I am having a hard time thinking of people who think like that - you know - absolutists. It is an unreasonable conclusion at this point in time.
>
> You're right, some people like to generalize:
>
> > But the risks are not worth it, imho, period.
>
> You seem pretty sure of yourself. You are fortunate if you have alternative treatments that you respond to. I don't. At least, not yet. In my flow of logic, MAOIs are well worth the risks I deem them to carry.
>
> > We can manipulate most of the neurochemicals that maoi can with combos of other,
>
> Interesting that you got stuck on the word "most". That's pretty much a logical deal-breaker. How do you know which of the residual properties of MAOIs that "most" doesn't cover make them uniquely suited for some people?
>
> Anyway, which neurochemicals must one manipulate to get well? What mechanisms of action would you suggest to replace those of an MAOI? What drugs possess these properties?
>
> How do MAOIs work? How do you know?
>
> Your statements are a pretty weighty ones. Can you answer the questions I ask to help validate them? Neuroscientists can't, and they have been working on this stuff since the turn of the last century.
>
>
> - ScottInteresting discussion. Glad my Parnate's kickin in so I can enjoy it.
~Jade
Posted by SLS on January 14, 2009, at 17:14:47
In reply to Re: Intesting Study On MAOI's..yes, exactly » SLS, posted by JadeKelly on January 14, 2009, at 13:41:37
> Interesting discussion. Glad my Parnate's kickin in so I can enjoy it.
HOLY HIT!
Woohoo!
This is great news!
What dosage are you at and for how long have you been taking it?
Dreams?
- Scott
Posted by JadeKelly on January 14, 2009, at 19:21:00
In reply to Congratulations! » JadeKelly, posted by SLS on January 14, 2009, at 17:14:47
> > Interesting discussion. Glad my Parnate's kickin in so I can enjoy it.
>
> HOLY HIT!
>
> Woohoo!
>
> This is great news!
>
> What dosage are you at and for how long have you been taking it?
>
> Dreams?
>
>
> - Scott
>
>
>
Haha. I don't want to jinx myself, I was glad I didn't go public before. Parnate likes to play with me. Thats okay!I went to 70mg 3-4 days ago, I was gonna increase my ritalin but I thought I'd wait a bit and see what happened (patient patient that I am)
last couple days I have felt it kickin in all day. I know the difference now between the real deal and the "rush". This is not the "rush". And even if it slips away, its just a matter of time. Hah
So! Woohoo!
Maybe this is my dose!
We shall see!
Thanks for celebrating with me!
I would not feel myself right now if not for you!
Pat yourself on the back-haha
~Jade
Btw~hope all is well with you! Let me know how you are sometime.......
This is the end of the thread.
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