Posted by yxibow on May 25, 2006, at 23:03:12
In reply to Re: Are Family Doctors prescribing EMSAM?, posted by jealibeanz on May 24, 2006, at 19:54:21
> Why is it more complex than SSRI's in terms of use? Doesn't the transdermal delivery lessen the concerns of side effects?
Oh goodness its much more complex than SSRIs in terms of use. The transdermal delivery system only in the lowest dose barely lessens the concerns of MAOI effects. Only a psychiatrist who has had training and cases should be giving an MAOI. After the lowest dose, the risk rises to the level of a full on MAOI. These aren't things to be treated lightly, such as hypertensive crises that can, in some unfortunate circumstances, leave someone with a stroke, however unlikely, and I think I've argued my views, and others have on MAOIs -- that isn't the issue here -- its being versed on what is and what isnt a good risk with current and proper medical knowledge of MAOIs in general.
And as far as GPs writing scripts for SSRIs, even then, they should have had some CE credit training for psychiatric medications. Most all psychiatric medications affect what is known as the P450 system, the cytochromes that your liver processes a drug. Mixing the wrong P450 cytochromes could raise or lower the level of other medications in someone's body.
--tidings
Jay
poster:yxibow
thread:647686
URL: http://www.dr-bob.org/babble/20060525/msgs/648669.html