![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Alexanderfromdenmark on September 26, 2010, at 10:57:02
I honestly do not know if any antidepressants can help me, but I have minimal to zero effect of any psychiatric medications I have been prescribed in recent years. Apart from the insomnia Parnate reads like it will fit like a glove to me. Problem is no one will prescribe it to me. They fear I will have a heart attack and there is absolutely no way I can convince them otherwise. I live in Denmark and I'm not even sure there any doctors who prescribe Parnate anymore. What do I do?
Posted by Phillipa on September 26, 2010, at 11:16:28
In reply to Doctor won't prescribe Parnate, posted by Alexanderfromdenmark on September 26, 2010, at 10:57:02
Don't know your age or any physical conditions you may have. Assuming your doc feels you could be at risk? Phillipa
Posted by atypical on September 26, 2010, at 12:28:09
In reply to Doctor won't prescribe Parnate, posted by Alexanderfromdenmark on September 26, 2010, at 10:57:02
I assume by doctors you mean psychiatrists? Is Parnate even available there? Some meds are simply not available in other countries, even old ones.
How "severe" is your depression? What about Nardil? Would doctors prescribe you this med?
In the U.S., as you might know already, there is some resistance among psychiatrists to prescribe MAOIs except the Emsam patch. However, many older doctors and doctors affiliated with universities do prescribe MAOIs. And they work well when nothing else works!
Perhaps you might tell your doctors that MAOIs are often prescribed by doctors in the U.S. and that the diet is not terribly restrictive. Perhaps there are a few articles written by MDs here that you could print out and share with them.
Posted by tepi on September 26, 2010, at 15:04:00
In reply to Doctor won't prescribe Parnate, posted by Alexanderfromdenmark on September 26, 2010, at 10:57:02
> I honestly do not know if any antidepressants can help me, but I have minimal to zero effect of any psychiatric medications I have been prescribed in recent years. Apart from the insomnia Parnate reads like it will fit like a glove to me. Problem is no one will prescribe it to me. They fear I will have a heart attack and there is absolutely no way I can convince them otherwise. I live in Denmark and I'm not even sure there any doctors who prescribe Parnate anymore. What do I do?
why they think you will have a heart attack on Parnate? do you have any other health issues?
MAOIs are safe when you follow all the instructions
Posted by europerep on September 26, 2010, at 15:09:04
In reply to Doctor won't prescribe Parnate, posted by Alexanderfromdenmark on September 26, 2010, at 10:57:02
well, if all else fails, you could still order it off the internet. not that I am saying it's a good thing to do, but you seem to be running out of options, right? medicin.dk doesn't list tranylcypromine as available in denmark, but it doesn't list isocarboxazid either, which is, at least technically, available in DK. see my thread just some lines above.
Posted by Alexanderfromdenmark on September 26, 2010, at 15:44:05
In reply to Re: Doctor won't prescribe Parnate » Alexanderfromdenmark, posted by tepi on September 26, 2010, at 15:04:00
> > I honestly do not know if any antidepressants can help me, but I have minimal to zero effect of any psychiatric medications I have been prescribed in recent years. Apart from the insomnia Parnate reads like it will fit like a glove to me. Problem is no one will prescribe it to me. They fear I will have a heart attack and there is absolutely no way I can convince them otherwise. I live in Denmark and I'm not even sure there any doctors who prescribe Parnate anymore. What do I do?
>
>
>
>
> why they think you will have a heart attack on Parnate? do you have any other health issues?
> MAOIs are safe when you follow all the instructionsThey are not open minded. They have been educated to be told that MAOI's kill patients. I don't have any heart issues that I'm aware of. They will rather prescribe harmfull and ineffective SSRI's and antipsychotics than MAOIs. I was in hostipal for 6 months and asked to try Parnate as I read it has great effectiveness for a lot of people but they just thought it would kill me. I think there are very few living psychiatrists in Denmark who have ever prescribed MAOIs.
Posted by Maxime on September 26, 2010, at 21:49:32
In reply to Re: Doctor won't prescribe Parnate, posted by Alexanderfromdenmark on September 26, 2010, at 15:44:05
I just wanted to let you know that I feel very bad about your situation. When there is a med that will potentially help you and you can't get access to it. You must be very frustrated. Hopefully someone here will have an idea on how you might try the med.
Hang in there!
Posted by europerep on September 27, 2010, at 4:38:01
In reply to Re: Doctor won't prescribe Parnate, posted by Alexanderfromdenmark on September 26, 2010, at 15:44:05
can't you send out emails to different university clinics asking whether they would *theoretically* prescribe MAOIs? if you join your med history, I'm sure you'll stumble upon someone who'll see the legitimate need for it..
isn't there this danish antidepressant study group or what it's called? I am sure those scientists know what's going on outside their country in terms of prescribing, and maybe they could refer you to someone who practices more "aggressive" prescribing?it's a shame how psychiatrists think over here in europe. sometimes I feel like, in the US, the question is "what CAN we prescribe patients in order to help them?", whereas here it is "what CAN'T we prescribe patients, even if it helped them? then let's choose one of the drugs that remain." ... like the senior psychiatrist at my local university clinic, telling me MAOIs were no longer being used "since 20 years ago"..
Posted by Conundrum on September 27, 2010, at 6:58:33
In reply to Re: Doctor won't prescribe Parnate » Alexanderfromdenmark, posted by europerep on September 27, 2010, at 4:38:01
I think the concern with MAOIs has more to do with emergent situations, than what you can eat. A lot of drugs are contraindicated with MAOis. If you have an emergancy a lot of younger EMTs would be clueless in how to help you. It was a big deal when my gmom had to get an operation. The surgeon blames nardil, she had been on, for her long recovery, since lab results were negative for infections.
That being said I think it would be better to try Parnate or Nardil instead of trying hundreds of combos that don't work. Even my pdoc admitted they work better than newer drugs. When I asked about TCAs she said they were no better than SSRIs and MAOis were the only drug that were significantly superior. Also I would recommend you try Nardil if Parnate doesn't work. I know many associate Parnate as helping with anhedonia, but if you look at the anecdotal reports on askapatient.com, you will find many Parnate users saying the drug made them feel flat and emotionless. There are a couple that specifically mention Nardil helped with anhedonia and nobody saying it blunted their emotions. Doesn't mean you shouldn't try Parnate, just keep Nardil in mind if that doesn't help. They are very different.
Posted by Conundrum on September 27, 2010, at 7:00:01
In reply to Doctor won't prescribe Parnate, posted by Alexanderfromdenmark on September 26, 2010, at 10:57:02
Also I would think a drug like desipramine would be better for fatigue than MAOis which can cause fatigue.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.