VelocideX
Bluelighter
- Joined
- May 26, 2003
- Messages
- 4,745
I believe that some people have safely combined moclobemide with MDMA due to its reversibility. Whereas traditional MAO inhibitors bind irreversibly to the MAO molecules, moclobemide continuously jumps on and off the molecule; it can be displaced, for example, by tyramine. Thus 80% MAO-A inhibition caused by moclobemide is not the same as 80% MAO inhibition as caused by the traditional inhibitors.
Thus there does remain a mechanism for excess norepinephrine to build up.
Additionally, moclobemide's half life is only 1.5 hours. If a crisis situation does begin to eventuate, the reversibility of moclobemide combined with its short half-life will lead to a quick resolution.
NB: I am not suggesting you try this. If you push the boundary too far you will end up with serotonin syndrome or a hypertensive crisis or both. Moclobemide overdoeses have been noted and, more importantly, deaths have been reported involving a moclobemide/MDMA interaction:
Vuori E, Henry JA, Ojanpera I, Nieminen R, Savolainen T, Wahlsten P, Jantti M., "Death following ingestion of MDMA (ecstasy) and moclobemide." Addiction. 2003 Mar;98(3):365-8.
I'm really annoyed to see those statistics of 80% MAO-A inhibition and 30% MAO-B inhibition around the place, as I initially believed them too. They're wrong.
Dumb websites just pass stuff on as facts with no sources. This is why we must try and stay academically rigorous!
Thus there does remain a mechanism for excess norepinephrine to build up.
Additionally, moclobemide's half life is only 1.5 hours. If a crisis situation does begin to eventuate, the reversibility of moclobemide combined with its short half-life will lead to a quick resolution.
NB: I am not suggesting you try this. If you push the boundary too far you will end up with serotonin syndrome or a hypertensive crisis or both. Moclobemide overdoeses have been noted and, more importantly, deaths have been reported involving a moclobemide/MDMA interaction:
Vuori E, Henry JA, Ojanpera I, Nieminen R, Savolainen T, Wahlsten P, Jantti M., "Death following ingestion of MDMA (ecstasy) and moclobemide." Addiction. 2003 Mar;98(3):365-8.
I'm really annoyed to see those statistics of 80% MAO-A inhibition and 30% MAO-B inhibition around the place, as I initially believed them too. They're wrong.
