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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by RSidney on December 14, 2009, at 18:55:07
I have been off EMSAM for 1-week, after being on it for 5 weeks, with only two of those weeks on 6mg/9mg.
Is it possible/safe that I could go onto my next SSRI (Celexa) sooner than the two week wait?
I know the two weeks is "standard" but I can feel my serotonin drop from leaving the EMSAM and would like to start Celexa ASAP.
Posted by emmanuel98 on December 14, 2009, at 20:10:35
In reply to Washout Period for MAOI - Celexa, posted by RSidney on December 14, 2009, at 18:55:07
I was told 10 days. But some docs are more cautious and wait two weeks.
Posted by RSidney on December 14, 2009, at 21:07:35
In reply to Re: Washout Period for MAOI - Celexa, posted by emmanuel98 on December 14, 2009, at 20:10:35
specifically, when going from an MAOI to a SSRI?
Thanks for the feedback.
Posted by SLS on December 14, 2009, at 21:19:07
In reply to Re: Washout Period for MAOI - Celexa, posted by RSidney on December 14, 2009, at 21:07:35
> specifically, when going from an MAOI to a SSRI?
>
> Thanks for the feedback.The doctors that I have seen have preferred to use a full 14 day washout in this situation. I don't know how that time period was arrived at.
- Scott
Posted by emmanuel98 on December 14, 2009, at 22:07:54
In reply to Re: Washout Period for MAOI - Celexa, posted by RSidney on December 14, 2009, at 21:07:35
I was going from Ensam to parnate, another MAOI. But I don't think it matters in terms of washout. Ensam is an irreversible MAOI and they have to wait long enough to give the brain time to form MAO again.
> specifically, when going from an MAOI to a SSRI?
>
> Thanks for the feedback.
Posted by Phillipa on December 15, 2009, at 0:10:08
In reply to Re: Washout Period for MAOI - Celexa, posted by emmanuel98 on December 14, 2009, at 22:07:54
I'd wait the l0 full days. Phillipa
Posted by ace on December 17, 2009, at 6:20:24
In reply to Washout Period for MAOI - Celexa, posted by RSidney on December 14, 2009, at 18:55:07
> I have been off EMSAM for 1-week, after being on it for 5 weeks, with only two of those weeks on 6mg/9mg.
>
> Is it possible/safe that I could go onto my next SSRI (Celexa) sooner than the two week wait?
> I know the two weeks is "standard" but I can feel my serotonin drop from leaving the EMSAM and would like to start Celexa ASAP.Hi mate,
I would not advise this...at all.I switched to Anafranil from nardil after around 16/17 days and had a pronounced 5HT syndrome.
Stay safe...
Ace:)
Posted by dugu on December 21, 2009, at 14:12:14
In reply to Re: Washout Period for MAOI - Celexa » RSidney, posted by ace on December 17, 2009, at 6:20:24
My doc said to switch to Celexa after one month, an I still had some minor side effects. I've also read about celexa medication on http://www.celexamedication.com , they state almost the same.
Posted by SLS on December 21, 2009, at 14:41:21
In reply to Re: Washout Period for MAOI - Celexa » RSidney, posted by ace on December 17, 2009, at 6:20:24
> > I have been off EMSAM for 1-week, after being on it for 5 weeks, with only two of those weeks on 6mg/9mg.
> >
> > Is it possible/safe that I could go onto my next SSRI (Celexa) sooner than the two week wait?
> > I know the two weeks is "standard" but I can feel my serotonin drop from leaving the EMSAM and would like to start Celexa ASAP.
>
> Hi mate,
> I would not advise this...at all.
>
> I switched to Anafranil from nardil after around 16/17 days and had a pronounced 5HT syndrome.It takes significantly longer for MAO activity to recover after Nardil discontinuation than for Parnate discontinuation. This is according to some rather old data, but some of the best work involving MAOIs took place in the 1970s and 1980s.
- Scott
Posted by Deneb on December 22, 2009, at 3:28:49
In reply to not what my doctor said, posted by dugu on December 21, 2009, at 14:12:14
Hello Dugu!
Welcome to Psycho-Babble! Thanks for that tip about the washout period. I'm sure it will help a lot of people. Thanks for contributing. I hope you post some more.
Deneb
This is the end of the thread.
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