Posted by UgottaHaveHope on May 10, 2007, at 6:04:08
In reply to I'm gonna respectfully disagree on some of this » UgottaHaveHope, posted by Racer on May 9, 2007, at 11:54:44
If the truth be told, all of your points are good. Yes I do write with a certain slant or "hidden agenda" but doesnt everyone on this board? Believe it or not, I am a staff writer for the one of top 15 largest newspapers in the USA. I know the difference when I am writing facts and when I am sneaking editorials (which I would get reprimanded for at work).
1. ALL 15+ pdocs and GPs I have dealt with over the past 10 years to the best of my knowledge from conversations with them either never tried a MAOI with a single patient or knew little or anything about them, other than they "heard" they are dangerous. You have found better-educated pdocs.
2. In my OPINION, I think the MAOI diet is overrated for those on Nardil because many seem to have low BP, while I cannot comment on those taking Parnate. In my OPINION, I feel like at least half of the banned foods are on there because of liability issues and disclaimers. For me, I just eat something and then monitor my BP, but I will follow YOUR advice for MY disclaimer :) Consult your pdoc before trying any foods on any of the various MAOI diet lists (and the fact is there are a lot of different ones, some say some foods are OK while others differ. They need to come up with an official list.)
3. Now, with all due respect, this is the one point where I can say you followed in my footsteps with a "generalization." I basically said MAOIs can be deadly, but no more than SSRIs. If you mix an MAOI with the wrong drugs, you can suffer life-threatening consequences. And if you mix SSRIs or even Tylenol with a bunch of different medicinal and street drugs, it can be deadly also. Yes, everyone knows that TCAs are the most deadly in an overdose, but I never touched that issue, or got that deep. However, I guess it is good you brought it up for others to read and learn.
4. I can't really agree or disagree with you on Nardil weight gain. Jedi is a person who had success on Nardil, but gained a tremendous amount of weight, to the point where he had to stop the med. However, when I questioned him about it in detail, he said that he did not follow diet or exercise regiments like he could've. And I have found that to be the case with others. My pdoc, who is one of the founders of Emsam and reputed to be one of the top drug researchers in the world, said weight gain is not a major issue with Nardil, but then again he could've been planting a positive seed in my head so I would be convinced to try it (it worked lol :).
I think I have spent as much time as you reading these boards, specifically on Nardil. One time I was researching for almost 20 straight hours. There are a lot of X factors, such as other the effect of other meds with Nardil, and THE FACT the some people gain weight without taking ANY MEDS.
By no means whatsoever am I BLAMING anyone who gains weight on Nardil. That could have been an assumption on your part, but only because it was my fault for leaving the issue so open and not going in detail. And I DID give a disclaimer there, saying "I can only speak for myself ..." So I am neutral on all of this.5. I guess you countered me well here. I just said MEDS + THERAPY, which even you agree with. However I did put CBT in paranthesis, which was my sneaky way of being opinionated.
As far as your closing comments about "hearing criticism", I have no control over how you or anything else interprets anything.
I would say 99-percent of the posts on this board are thinly-vieled opinions. I feel a strong conviction to encourage and defend MAOIs because many others go out of their way to slam on the same drug for reasons even more illogical than mine.
I appreciate the dialogue though. You are a writer too, even if it not your profession. You would be a good attorney, picking out assumptions a mile away and forcing them to justify or prove that assumption. You are very smart and intelligent and I appreciate you for putting so much though into your response, even tho this is much longer than I usually like to write. But I have a great deal of respect for you and I welcome you anytime to present an opposing viewpoint on any of my posts. I think that is a good thing.
Thanks for all you do for this board, Michael
poster:UgottaHaveHope
thread:755932
URL: http://www.dr-bob.org/babble/20070509/msgs/757349.html