Posted by Triss on January 5, 2002, at 19:34:37
In reply to Re: Query: Serotonin syndrome...SSRI+MAOI interaction » Triss, posted by jimmygold70 on January 5, 2002, at 12:40:22
Thank you very much for your feedback. However, I do know at least that my dependence on fluvoxamine (which is a Selective _Serotonin_ Reuptake Inhibitor, after all) is tied specifically to fluvoxamine's direct effect on _serotonin_ levels; not any direct effect on levels of norepinephrine or dopamine.
Triss
> I have a creative idea - use selegiline (CARBEX, ELDEPRYL -a MAO-B inhibitor) while your're tapering off fluvoxamine. There is little interaction between the two. This will prevent the sudden fall of dopamine, which might have been the reason for your relapse. Then, switch to Nardil and take he dose high very fast. Of course, you'll suffer many side effects, but not RISK YOUR LIFE !
>
> Another option is to switch from fluvoxamine to a noradrenergic tricyclic agent - maprotiline, prtriptyline, desipramine, and then take Nardil together, there is less risk of fatal interaction between norarenergic tricylics and phenelzine.
>
> Take care !!!
> Jimmy
poster:Triss
thread:88818
URL: http://www.dr-bob.org/babble/20020103/msgs/88915.html