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My MAOI stack

Posted by Medline on January 16, 2009, at 2:03:13

I suffer from therapy-resistant Social Phobia and chronic atypical depression with anhedonia + alcohol dependence. My treatments included most SSRIs/SNRIs/2 TCAs, Bupropion, Moclobemide... none really worked. I started Parnate today (10mg). I plan to increase the dosage over the next weeks to 30-40mg. I will add 2mg Clonezepam bid for 4 weeks, 1 week break and then again 4 weeks Klonopin to avoid physical addiction. I take 25mg Baclofen tid for it's alcohol anti-craving and light anxiolytic effects. 50-100mg Naltrexone as needed. I think about carefully adding low dose Reboxetine (a NARI) so that the Norepinephrine Transporter is blocked and tyramine can not or to a lesser degree act on the cardiovascular system (cheese effect).

My emergency meds are 10mg Nifedipine, 4mg Cyproheptadine and 2mg Clonazepam.

What do you think?


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poster:Medline thread:874277
URL: http://www.dr-bob.org/babble/20090104/msgs/874277.html