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

Posted by cybercafe on June 1, 2003, at 4:17:53

In reply to Re: HPA, Atypicals and Opiates?--Cam?? » cybercafe, posted by MB on May 31, 2003, at 19:13:48

> 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

like i can relate to that, in the initial stages my first time on effexor i felt drowsy if i took it in the morning but activated if i took it at night....

>agitated...anyway, that's my explanation for having misgivings about Parnate despite the insomnia reports.

nope i think most people find it very energizing

> 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.

i would give it a try ...

> 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...

well as for fatigue i'm a rather weird case.... SSRIs would probably not be noticeable compared to the fatigue attributed to benzos... plus i have ADHD and that is similiar to being understimulated i believe (hence clumsiness and other symptoms)

>
> > 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.

yeah i have come close to alienating all of my doctors... but not without good reason


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poster:cybercafe thread:228381
URL: http://www.dr-bob.org/babble/20030530/msgs/230529.html