Electroconvulsive Therapy in Patients Taking Monoamine Oxidase Inhibitors
Department of Psychiatry & Psychology, Mayo Clinic - Rochester, Рочестер, Minnesota, United States Journal of Ect
(Impact Factor: 1.39).
01/2005; 20(4):258-61. DOI: 10.1097/00124509-200412000-00013
Concerns have been expressed regarding the use of general anesthesia for electroconvulsive therapy (ECT) in patients taking monoamine oxidase inhibitors (MAOIs). We review the published literature and present 4 new cases and conclude that there is no evidence of a dangerous interaction between ECT and MAOI use. In general, a cautious approach would be to discontinue MAOIs before ECT if the medication has not been helpful; however, there is no need for a washout interval before starting ECT. Furthermore, if there is otherwise a reason for continuing the MAOI, it can be continued during index ECT or initiated during maintenance ECT.
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