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Thread View: sci.med.pharmacy
2 messages
2 total messages Started by lsmith16 Thu, 15 Oct 1998 00:00
MAOI Long Term Usage
#173
Author: lsmith16
Date: Thu, 15 Oct 1998 00:00
15 lines
1384 bytes
Has anyone reviewed the research concerning the
long term (> 6 mths) use of MAOI inhibitors such
as phenelzine? Other than tyramine reactions and the
other complications listed in the PDR; insert, are
there any psychiatric or neurological adverse
effects in long-term use at standard dosages?

Patients have reported to me that the mood enhancing
and other positive effects recede after a month or
two of use. Anyone have any knowledgeable input?

Feel free to email me.

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Re: MAOI Long Term Usage
#172
Author: shapere
Date: Sat, 24 Oct 1998 00:00
16 lines
1365 bytes
In article <705bpt$aeh$1@nnrp1.dejanews.com>,  <lsmith16@hotmail.com> wrote:
...
>Patients have reported to me that the mood enhancing
>and other positive effects recede after a month or
>two of use. Anyone have any knowledgeable input?

"Loss of antidepressant effect with long-term monoamine oxidase inhibitor
treatment without loss of monoamine oxidase inhibition" (J.J. Mann,
J. Clin. Psychopharm v.3 n.6 (12/83)) is one article on the subject.  I'm
sure there are others.

Anecdotally, MAOI tolerance does happen.  Some psychopharmacologists have
looked into ways to prevent antidepressant tolerance, although I'm not sure if
this has been studied methodically and/or with MAOIs specifically.

-elizabeth
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