Have Mental Health Questions? Ask a Psychiatrist Online
Thanks for your help. I'm not sure where to go from here? Asking my Doctor isn't an option that I am willing to take and that is why I am using this site. Since I have read that there are highly qualafied doctors who can answer medical questions on this site will it now be possible to get an answer from one of them? Since my question wasn't really answered will I have to pay again and how can I make sure that a medical doctor will respond to my question? Thanks again for your help.
I believe that Carol Kryder's information to you above was very accurate, but she has asked me to take a look at your question and answer it. I am certified by the American Board of Psychiatry and Neurology.
Both cocaine and MDMA will be essentially cleared out from your system within 3-4 days, assuming you have normal liver function and kidney function. SSRI medications have a much longer "washout period" than these two drugs, which is why there is a 4-5 week wait recommended when transitioning between SSRI and MAOI medications.
If it will be 14 days after you took the cocaine and MDMA before you start the MAOI medication, I do not think you need to be concerned about the risk of an adverse reaction such as serotonin syndrome or hyperpyrexia. However, your concerns about these potentially fatal interactions are valid if you were ever to use cocaine, MDMA or other stimulant drugs such as amphetamine/methamphetamine while you are on an MAOI.