BACKGROUND: Concurrent use of monoamine oxidase inhibitors (MAOIs) during a course of electroconvulsive therapy (ECT) is controversial. OBJECTIVE: In this report, the authors present outcomes of this concurrent treatment approach. METHOD: The authors present two cases of patients taking the newest MAOI approved for depression, namely, transdermal selegiline, while receiving ECT. RESULTS: The authors conclude that there is no evidence of complications or adverse events associated with concurrent use of ECT and low-dose transdermally administered selegiline. CONCLUSION: The authors further conclude that beginning a low dose of transdermal selegiline before finishing a course of ECT is a viable option for relapse prevention in the treatment of depression.
Transdermal Selegiline in Patients Receiving Electroconvulsive Therapy
Pamela J. Horn, M.D., Irving Reti, M.D., and Geetha Jayaram, M.D., M.B.A.
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