I think you are missing the point, Alison.
Titan has highlighted the dangers in taking almost all anti- depressants with Azilect.
When my husband was prescribed Sertraline by a consultant, our pharmacist refused to dispense the drug as he said it would be dangerous taken with my husband's Azilect.
He told me to phone the consultant who later rang back and said he was previously unaware of the danger and would be more careful in future, He said he couldn't offer an alternative as he didn't know of a safe one.
My husband's depression worsened and he attempted suicide.
Eventually the lead pharmacist in the psychiatric hospital he was admitted to researched the problem and announced the only safe anti- depressant was Mirtazipine, or possibly Agomelatine which was not easily available....she would have to apply for a licence to prescribe it.
Talk about reinventing the wheel!
Titan had been posting this info for years but I was unaware of it.
The Helpline could only suggest stopping the Azilect for 2 to 4 weeks and then taking whatever was prescribed.
Your leaflet makes no mention of the danger for patients on Azilect or the info that Mirtazipine is the safest bet but still needs introducing carefully.
Your helpline nurses do not have this information.
Our GP said he didn't know but was pleased he now had knowledge for future depressed PWP.
Your role includes educating medical staff and I am unsure why you shy away from offering this info .
You can check the research findings easily.
Phone the lead pharmacist at The Mount Hospital, Leeds and I am sure she will confirm her findings after extensive research.
Titan and I are only trying to get the info out there to prevent tragedies from taking Azilect and most anti-depressants and endless re-researching by concerned doctors and pharmacists whilst PWP are left unmedicated and suffering.
I understand your usual stance that all patients are different and need to follow their doctor's advice but ALL patients need to know that the Azilect /AD combo is potentially unsafe for ALL patients and that Mirtazipine is the safest drug available at the moment.
There are many doctors who are not aware of this problem....GPs, neurologists, psychiatrists.Why let their ignorance continue?
I am still gobsmacked at the number of doctors, counsellors etc involved in my husband's recent care who were completely unaware of the DA/OCD situation.
We can't assume health professionals have all the info for all conditions at their fingertips, but Parkinsons is our main interest and we often have far more detailed info on aspects of the condition.
Our Parkinsons Nurse has thanked me for acting as her unofficial research assistant and says my occasional updates on interesting developments in the pipeline make her look dead intellect at team meetings!