Posted by JohnL on October 14, 1999, at 3:18:57
In reply to dropping Parnate, posted by Elizabeth on October 14, 1999, at 1:36:15
Hi Elizabeth. Just wanted to comment that I favor your pdoc's preference of MAOI+TCA. I think Remeron is fabulous for sleep, but kind of spotty as an antidepressant. Better when used an an adjunct to something else I think.
I was wondering though why your current Parnate must be stopped? Other than sleep, are you happy with it? I just get real hesitant about starting from scratch. Would working with the Parnate be a consideration? I don'tknow, I'm just wondering.
For example... Nortriptyline or Remeron, for me, produce good sleep. I've even broken a Remeron tab into tiny chunks (perhaps 3mg) and found them to be just as sedating as 7.5mg or 15mg. I would think that would be safe with an MAOI, especially with your knowledge and cautious approach. Or, the same with Nortriptyline. I've done this. The smallest dose is a 10mg capsule. I've emptied the contents of a capsule and mixed the desired amount in a small glass of water. It is completely tasteless and the smallest dose can be customized to one's liking. Here too I would think there is a real possibility of cautiously adding a sedating agent with the smallest of doses to start with.
I'm sure you're already aware of these things I mention. But I did want to comment in case there is anything that might be found helpful. Wishing you a good night's sleep soon! :) John
poster:JohnL
thread:13117
URL: http://www.dr-bob.org/babble/19991016/msgs/13118.html