no more a loser
Forum Guru
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A 41 yr old female with dysthmic disorder is started on MAOI, what medication should she avoid?
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| usmle taker
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she shouldSSRI
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| no more a loser
Forum Guru
Topics: 140
Posts: 580
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No
Dietary limitations ( cheese, salami, chinese bean pods, liver of all types, meat n yeast extract, red wine, herry, cognac, beer, ale, soy sauce, shrimp paste, sauerkaut )and abstinence from drug products containing phenylpropanolamine, phenylepherine, meperidine, dextromethorphan, and pseudoephedrine are mandatory for MAO-A type inhibitors since the reduction of available monoamine oxidase leaves the pt vulnerable to exogenous amines.
Pseudoephedrine is good one to remember as ppl tend to buy it OTC.
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| Delusional
Forum Elite
Topics: 41
Posts: 226
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Yes even SSRI and TCA are not to be given to these patients...
actually before ever prescribing an SSRI patient should be off MAO I for at least 14 days and they cld cause the Serotonin syndrome....sounds too big right ...yes, it is actually fatal....and even abrupt switching from a MAO I to another
SSRI and the TCA inhibit the reuptake and along with MAO I they wld casue a surge in monoamines and sever hypertension with all the their cardiac effects.....
Of course in addtion to all the sympathomimetic drugs and foods you have mentioned
:wink:
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| bilal ahmed
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hi
i wish i can study as much as u can
bilal
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hi i am looking for friends on net interested in passing there exams
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