Posted by King Vultan on November 14, 2004, at 11:03:28
In reply to Re: Parnate (or other MAOI's) and Sleep Disturbances, posted by AudreyE on November 14, 2004, at 8:03:38
So is this a general practicioner or a psychiatrist? If he's a psychiatrist, he would appear to be about the worst one in existence. I'm thinking that he's probably a GP, who do tend to have more prejudices when it comes to psychotropic drugs. My own GP very much looks down even on Ambien, which is part of the reason I avoided sleep meds for so long. However, he is very good otherwise and certainly doesn't have the incredibly ignorant and narrow minded view your doctor unfortunately appears to have about depression. I'm curious as to what state you are from?
As for when people take their doses of MAOIs during the day, I happen to share my pdoc's philosophy that spreading them throughout the day is the optimum, unless it causes other problems. I found the Parnate somewhat stimulating when I first started it and skewed the dosing towards the first half of the day. Now that I've been on it a while, there is no longer any overt stimulating effect, and when I recently went up to 6 pills a day, I actually added one at bedtime, so my dose timing is now 7 AM, 11 AM, 2 PM, 5 PM, 8 PM, and 11 or 12 PM.
I've experimented some with different dosage timings, and it just doesn't seem to have any effect on the degree of insomnia in my case, other than perhaps taking the last pill at bedtime may actually help a little bit, but I am not 100% positive of that. However, most people do take their Parnate earlier in the day; if they take 60 mg, they might take 30 mg in the morning and 30 in the early or mid-afternoon. The dosage should be divided into at least two parts, but as for the timing, you have to look at what works best for a particular individual.
Todd
poster:King Vultan
thread:415403
URL: http://www.dr-bob.org/babble/20041113/msgs/415783.html