Posted by david maclean on February 18, 2003, at 7:30:26
In reply to Re: Near the end: What meds can I try? Quick pls! » david maclean, posted by likelife on February 18, 2003, at 1:01:18
Natalie, thank you for your message. You have written several points and I have read them all carefully. There is one thing I would like to ask you a bit more about. You wrote this:
> According to the PDR Drug Guide for Mental Health
> Professionals, taking Ritalin with moclobemide
> causes hypertensive crisis. Generally, Ritalin
> and MAOIs are contraindicated. The same is true
> for dexedrine, so I imagine any stimulants may
> be ruled out.
>
> Hope this helps...let me know how things go,
>
> Natalie
>The strange thing is that yesterday I had contacted the medical advice department at Roche who are the manufacturers of Moclobemide. As I am in the UK I contacted their UK department. I might have got more info from elsewheer because we are extraordinarily guarded about what medical information is given to the public - it is quit different to the situation in the US. The lady at Roche whom I spoke to said she was not aware of any interaction between Moclobemide and a stimulant such as Ritalin.
Now that seems to differ from what you have discovered. The Roche medical person also said that she felt she would have known if there was such a link but if she needed to do a search of the medical literature then she would need a request from my doctor. Frankly, I can't see that being an effective route to get this info.
So do you mind if I trouble you again and ask you to quote, as fully as you can find the effort to do so, from the section in the PDR Drug Guide for Mental Health Professionals where it makes reference to this possible interaction.
The purpose is that I would like to assess whether it is one of those interactions which are statistically possible but in practise are very rare and even then are not significantly damaging.
Thank you once again!
Dave
poster:david maclean
thread:200976
URL: http://www.dr-bob.org/babble/20030214/msgs/201440.html