Posted by Caedmon on May 15, 2006, at 22:32:08
In reply to Re: what else could my doc prescribe after these?, posted by JaclinHyde on May 15, 2006, at 19:56:56
> Many doctors feel that the TCA's are 'dirtier' drugs than the MAOI's with more side effects and systemic problems (especially cardiac.) If you take out the 'food factor' from the MAOI equation they tend to be a bit safer than the TCA's in most instances.
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> JH
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> >I would discuss the TCAs with him before going to an MAOI.
> >
>
Yes I understand that the TCAs are "dirtier". (But, this is kind of a needlessly bad label, IMHO. The action that isn't on monoamines is still sometimes helpful.) I believe the Univ of Texas depression algorithm (?) has you try four antidepressants, one of them either a TCA or high-dose venlafaxine, before an MAOI. At least in some patients.
http://www.mhc.com/Algorithms/Depression/frames.htm- Chris
poster:Caedmon
thread:643967
URL: http://www.dr-bob.org/babble/20060515/msgs/644537.html