Posted by Ritch on August 9, 2002, at 0:03:14
In reply to Re: How Parnate saved my butt, posted by hildi on August 8, 2002, at 15:14:26
> Hi Mitch. Moclobemide or Seligiline are safer? Do they work, though? I hear such great things about nardil and Parnate, but not much about these two.
> I don't know if it is the drinking that makes him avoid prescribing an MAOI. For he has suggested benzos for me before, and when I said I didn't think it was a good idea, me being an alcoholic and all, dr said he saw nothing wrong with me being on benzos. This is the same dr. who works at the mental health clinic where I went through detox. He knows my full history of alcoholism. So it seems wierd that he would be OK with benzos but not with MAOIs.
> I think ther is more to it. The way he is acting with me now confirms it. He seems to want to be in control and maybe thinks I am too opinionated. he is asian, and I don't mean to sound rasist, but maybe he prefers women to be more silent and demure. He has complained about my questions and attitute on more than one occasion. Now I don't even know how to act with this guy. I feel helpless. I try every angle with him and he treats my with disdain.
> i went there today to talk about my over-the -top anxiety. His solution? Same as always: UP the SSRI. He couldn't get me back out the door fast enough.
> I left there, again, feeling like shit.
> I hate this game. I feel like I am a joke to this man. I feel like he has this power over me and is oppressing me.
> I am totally broke, just lost my job, place to live, . . . and want to start waitressing for fast cash. Plus, waitress hours would work well with my school hours. Well, I cannot start this job yet because my anxiety is too over the top- cannot even put on my make-up or write a check, much less serve hot coffee!
> i feel trapped!
> hildiI really still think he will not write for the MAOI's due to your past alcoholism. It *could* be that he is worried about their safety generally, but I think it is the past substance abuse issue. There was a poster here who was being prescribed MAOI's for quite some time and happened to casually mention during a therapy session about casually using cocaine a few times in high school----the pdoc immediately discontinued her MAOI's! The danger is very real for alcohol/stimulant induced death from interaction with an MAOI. That also explains why he is willing to write for benzos. If you fall off the wagon and drink too much on benzos, you aren't going to risk a hypertensive reaction like you might with an MAOI. My suggestion? Let him write for the benzo and see about reducing the SSRI after a time. If that doesn't pan out, then press the MAOI issue (and perhaps bring up a *safer* MAOI like selegiline or moclobemide as a potential first trial). I read your post above about ordering meds online. If you have ordered MAOI's such as phenelzine or tranylcypromine and are not under a doctor's supervison when taking them you can be playing Russian roulette for real.
please be careful,
Mitch
poster:Ritch
thread:115196
URL: http://www.dr-bob.org/babble/20020807/msgs/115759.html