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Re: HPA, Atypicals and Opiates?--Cam?? » cybercafe

Posted by MB on May 31, 2003, at 19:13:48

In reply to Re: HPA, Atypicals and Opiates?--Cam??, posted by cybercafe on May 30, 2003, at 16:36:35

> i know there are some people who gain weight on parnate or even fatigue but it is much much more likely that a person will lose weight and sleep much less... i'm sure you've read the many many posts about people wondering what med to take to help with parnate insomnia (which i loved btw as someone who used to sleep 10, 12, 14 hours a day)

I *have* read the reports about Parnate and insomnia, but after years on the med-go-round, I have become very careful to not equate "insomnia" or "activation" with "energizing." For example, Effexor gave me horrible insomnia, and it was extremely activating (in that I had to keep wiggling my legs, etc.) but I was not energized; I was fatigued. Wired and tired, like a strung out coke-head. I hated it. I'd rather be fatigued and able to sleep, than fatigued and agitated...anyway, that's my explanation for having misgivings about Parnate despite the insomnia reports.

> parnate i found very stimulating.... great.... libido really goes up to

That's great that you found it both stimulating and non-fatiguing. The only med I've found like that was Adderall. It gave me insomnia, but I didn't care, because there wasn't fatigue mixed with the insomnia. Maybe Parnate would be like this.

> well it's actually more like... when i'm feeling okay i have thoughts come into my head "hey doing ___ would be fun" "hey this is fun" ... "i should do ___ today" ... without an AD i do not have any happy thoughts... so i wake up in the morning, no thoughts come into my head as per things i should do, so i just go back to sleep....
>
> maybe i'm fatigued and don't notice it because there are all these things that seem interesting/fun that i want to do and am too busy doing ... when i was depressed *everything* bored me so i didn't actually do anything


Well, I think you might be onto something regarding not noticing the fatigue due to busyness. When I'm up and moving, the fatigue is definitely less. It's just hard to get up and moving. This Lexapro/Klonopin combo I'm on is very unmotivating. If I have an appointment where I'm *committed* to get off of my lazy butt, then the fatigue isn't so bad (but moving around *does* give me tachycardia and head-rushes). I guess its all about compromises (e.g. "Would I rather think of killing myself 24/7 or would I rather be numb, anhedonic, and amotivated?"). Recreational drugs are nice, but they quit working very quickly and then there are two problems: a mood disorder + a chemical dependency. Woa, I'm getting off topic, ramble, ramble, ramble...

> anyways.... yeah i would definately recommend MAOIs... they're great drugs

My GP "doesn't prescribe" Parnate, and my pharmacy doesn't carry it. I've alienated myself from all the pdocs in my town because I'm a non-compliant know-it-all, so getting help from a psych professional isn't an option. I might have to go out of state.

MB


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