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Re: When to consider MAOI therapy? » CK1

Posted by Tomatheus on January 28, 2006, at 16:12:59

In reply to Re: When to consider MAOI therapy?, posted by CK1 on January 27, 2006, at 19:54:17

CK1,

I will begin this post by saying that I do not think that you are trying to mislead others here. I'm sorry to hear that you had such a terrible reaction to Nardil, and I'm glad that you shared your experience.

But... between the extremes of your post and some of Ace's posts, it seems some of the things that have been said about Nardil on this board as of late (a minority of the Nardil-related statements, but still too many in my opinion) are not quite accurate. First, we had Ace, who quoted a doctor as saying that Nardil had a 95 percent success rate. And now, you're saying that patients should only take MAOIs if they're suicidal. Clearly, the truth has to lie somewhere in between the two extremes. I've read several studies in the psychiatric literature on the efficacy of Nardil. And even though I can't recall the exact efficacy range of Nardil from the studies, I can assure everyone here that 95 percent is far above the top of the drug's efficacy range, based on the studies that I've read. But it is also clear from the psychiatric literature and from the reports of patients on this site that some patients who do not respond favorably to other meds respond remarkably well to MAOIs. If MAOIs were reserved exclusively for suicidal patients, it is my belief that a lot of patients currently in remission (as a result of taking MAOIs) would still be highly symptomatic if they were denied these medications. So, even though MAOIs -- like most meds -- can cause adverse reactions in some patients, they have been known to be a blessing for others.

Finally, I seem to recall from reading your posts on Nardil that you were actually taking Adderall with your Nardil. Do I remember your posts correctly? If I do, I find it highly disturbing that you failed to mentioned this detail in the post that you just made here. Even though you still may not have responded well to Nardil alone, I do not think it is fully accurate to report having an adverse reaction to Nardil (or any medication) without mentioning that you were also taking a med that is officially contraindicated with the Nardil. Just like Ace's doctor's comment that Nardil's success rate is 95 percent, I think that your statements about Nardil (when taken as a whole) do not accurately reflect the drug's effects.

Tomatheus


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poster:Tomatheus thread:603600
URL: http://www.dr-bob.org/babble/20060122/msgs/603802.html