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Monoamine oxidase inhibitors treat depression by preventing the breakdown of serotonin and norepinephrine in the brain, increasing their availability. These medications are not used often because of their potential side effects and need for a special diet. Antidepressants in this class of drugs used for bipolar disorder include: - Nardil (phenelzine)
- Parnate (tranylcypromine)
Like other classes of antidepressants, the MAOIs take several weeks to begin working. Your doctor may also prescribe a sedative to help relieve anxiety, agitation, or sleep problems while the antidepressant begins to work. You will also need to monitor what foods you eat to avoid side effects. MAOI Side Effects Eating certain smoked, fermented, or pickled foods, drinking certain beverages, or taking certain medications can cause severe, sudden high blood pressure in combination with MAOIs. People taking these antidepressants must follow a special diet. Common side effects may include: - Difficulty getting to sleep
- Dizziness, lightheadedness, and fainting
- Dry mouth, blurred vision, and appetite changes
- High blood pressure and changes in heart rate and rhythm
- Muscle twitching and feelings of restlessness
- Loss of sexual desire or ability
- Weight gain
Reviewed by the doctors at The Cleveland Clinic Department of Psychiatry and Psychology. VitaDocs Medical Reference provided in collaboration with the Cleveland Clinic
SOURCES: VitaDocs Medical Reference with The Cleveland Clinic: "Bipolar Disorder (Manic Depressive Disorder)." VitaDocs Assess Plus: Bipolar Disorder Assessment. National Institute for Mental Health: "Step-BD Womens Studies." Massachusetts General Hospital Bipolar Clinic & Research Program. MedicineNet.com: "Bipolar Disorder (Mania)." VitaDocs Medical Reference with The Cleveland Clinic: "Effects of Untreated Depression." American Psychiatric Association: "Practice Guideline for the Treatment of Patients With Bipolar Disorder."
Edited by David H. Fram, MD on September 01, 2006 'Portions of this page © The Cleveland Clinic 2000-2005
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