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Moclobemide and specific serotonin re-uptake inhibitor combination treatment of resistant anxiety and depressive disorders
Authors:D. Bakish  C. L. Hooper  D. L. West  C. Miller  A. Blanchard  F. Bashir
Abstract:This retrospective study was undertaken with the objective of determining how effective and safe moclobemide, a specific and reversible inhibitor of monoamine oxidase-A (RIMA), is when used in combination with specific serotonin re-uptake inhibitors (SSRIs), in a clinical setting. A thorough chart review was done of all patients with affective and anxiety disorders seen at our centre who received combination treatment with moclobemide and an SSRI. Combination moclobemide-SSRI treatment demonstrated good efficacy in treating treatment-resistant patients. The combination treatment was well tolerated with very few drug interactions. Dosages should be started low, titrated slowly and carefully, and patients should be monitored closely.
Keywords:major depressive disorder  panic disorder  dysthymia  MAOI  RIMA  moclobemide  SSRI  fluoxetine  fluvoxamine  paroxetine  sertraline
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