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Re: ZYPREXA OR AMISULPIRIDE? » Ant-Rock

Posted by SLS on November 16, 2000, at 21:45:40

In reply to Re: ZYPREXA OR AMISULPIRIDE? » SLS, posted by Ant-Rock on November 16, 2000, at 18:38:35

Dear Aunt Rock,


> > * The band had a hard time keeping up with the Vice-President as he waltzed across the stage. They had no algorithm

> > - Scott

> Scott,
> I too lost my algorithm.
> Now it's on to Adderal monotherapy, which I find kind of strange, but the doc wants me to get off the parnate/lithium and give this a shot. I'm kind of pessimistic of any monotherapy, but I'll have to give it a try. Do you know if mirapex can be combined with adderal? They have mirapex for sale on the libertarian solutions web, and it's very cheap. Just a thought. Anyway, hope things continue to be well with you.
>
> Sincerely,
> Anthony
> * Would this be considered a treatment-resistant election ?

No LOL, but lots of SS (severe smile)


I think your doctor has made an excellent decision. Besides holding some hope that Adderal might be just the right key to your locked door, he is using it as a bridge between the time necessary to wean off Parnate and wait 10-14 days (depending on who you listen to) from your last dose before beginning an otherwise contraindicated combination. Although the current thoughts regarding Parnate are that it is not metabolized into amphetamine, Parnate itself may mimic phenylethylamine to produce amphetamine-like effects. If this is true, this could certainly explain the hypertensive reactions that some people experience. Regardless of the mechanism, I can tell you from personal experience that I experienced a "let-down" that lasted for weeks. If you were to discontinue Parnate without making any other changes in your regimen, you might experience a syndrome similar to withdrawal from amphetamine - great fatigue and possibly depression. What you are doing is using the temporary administration of amphetamine to prevent this, whereafter, you can either continue Adderal as an adjunct to subsequent treatment or wean from it at a rate you have better control of.

Adderal will minimize your approach towards your otherwise unmedicated baseline depression while you wait.

Nardil?

6 months ago, I began to think about combining Nardil with Zyprexa. I bet it makes for an awesome combination. Prozac and Zyprexa should prove effective also. Adding Zyprexa to my current regimen of Parnate 80mg + desipramine 300mg + Lamictal 300mg has produced a very significant improvement. However, the first chance I get, I am going to switch to Nardil. Hopefully, the desipramine and Lamictal will provide me with a sufferable bridge.

What was your reaction to what I said about ECT?

Adderal + Mirapex should not produce any significant untoward reactions. Let me know what the doc has to say.


- Scott


 

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