i am going to throw my situation out here for comment. i started to once before but thought the forum not appropriate? anyway, i hv had depression since my teens, first manifesting as anorexia at age 14-15. through my 63 yrs. various psychiatrists have changed my diagnosis but the treatment has remained pretty much the same. ssri's with a sprinkling of snri's. major depressive disorder, treatment resistant depression. right now, i'm treating with iv ket at 85mg/60 min. on my 155lb frame. i have two more appts scheduled with my dr. (an md and anesthesiologist) who is going to be closing his doors. i'm looking for another iv ket provider that'll take my insurance (unitedhealthcare) to no avail. that's another story. my backup plan after suspending ivket is to go back to -via my psychiatrist- (es)ketamine FDA approved as Spravato. 2x wk at 84mg.
my question is regarding maoi's though. my psychiatrist wants to take me off the ssri's , most of them, and put me on maoi's. ive read that maoi's are often more effective (parnate) but come with restrictive dietary requirements. i'd be on tricyclics for two weeks coming off the ssri's. i am very apprehensive. i see where this could be a step in the right direction when combined with the spravato however and am seriously considering it. i just dont want to become too much of a mess changing over. i also take 150mg wellbutrin, trintellix, rexulti and modafinil and suboxone right now. as you can see it's complicated. and as someone who's a patient not a doctor, my knowledge is limited. i read alot, ask lot of questions, not necessarily the right ones though.
anybody switch from ssri's to maoi's? anybody take suboxone and ketamine in either of its forms (S, R).? for some reason at a good dose of ketamine, i'm not responding more than a day. any input most appreciated. tia - happyone