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PaperclipPerfector  8mo ago (text post)   3779 thread views

Small-Scale Question Sunday for February 25, 2024

Do you have a dumb question that you're kind of embarrassed to ask in the main thread? Is there something you're just not sure about?

This is your opportunity to ask questions. No question too simple or too silly.

Culture war topics are accepted, and proposals for a better intro post are appreciated.

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Jump in the discussion.

No email address required.

It's okay to just ping @self_made_human; he's cool.

A brief search suggests that SSRIs are generally safe with alcohol (IANAMD; please update your will and assign medical power of attorney before mixing any drugs with alcohol based on my advice) but the combination can still "lead to more pronounced effects of drunkenness", which sounds like it could be enough all alone, especially to new users who think they know their limits. And with MAOIs (are these still used often?) interactions range from "you may become drowsy and dizzy" to "dangerous spikes in blood pressure that may require immediate medical attention".

There are far more senior and qualified doctors here, but if you want cheap free medical advice and random bullshit, I'm always on call heh. Anyone is free to ping me, it beats the nurses waking me up at 1 am to write a prescription for Xanax to a patient who is already asleep (this is not a joke, it legitimately happened to me on multiple occasions).

On the topic of MAOIs, can't recall seeing one prescribed recently but I'm not working in pscyh or neuro. My understanding is that, in India at least, they're used far more for Parkinsons than depression, and that seems to be true in the UK.

Can't remember the last time I saw an MAOI (for Psych use anyway, you see them in Neuro). I think Phenelzine is around a bunch still.

The TCA's have broader use, Doxepin is legitimately an excellent choice as a sleep aid.

It's important to keep in mind that SSRIs are safer but not necessarily better - it's a good guess that David Foster Wallace killed himself because his doc insisted on stopping his MAOI for "safety" reasons.

Thanks. I hate pinging people, and use the ol' "indirectly reference them and assume they must hate you forever if they don't reply to it right away."

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