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Re: Which MAOI?-Maybe Parnate

Posted by silvercoin on August 16, 2006, at 9:57:07

In reply to Re: Which MAOI?-Maybe Parnate, posted by Tom Twilight on August 16, 2006, at 7:03:00

> Hey Check
>
> I have to say I think I'm with Maxine
> I would try Parnate first
>
> Its funny that I should say this because I'm taking Nardil, but I have to say I found Parnate much more tolerable.
>
> I would infact be taking Parnate if I didn't live in this godforsaken country (the UK)
>
> The things to consider with Parnate is that it causes greater tyramine sensitivity, also it causes worse insomnia.
> I have to say I didn't find Parnate very activating.
>
> Marplan for me was a bit of a waste of time.
> It has milder side effects but I think it's weaker.
> Good luck anyway!


I'm taking 50 mg/day of Marplan and am trying to decide if I should ask my doctor next week when I see him if we can up my dosage to the max of 60 mg/day or stay where I am. I've been at this level for about 6 weeks and am functioning well, but the AD effect is definitely way short of what I've experienced on Nardil in the past at 75-90 mg/day. Perhaps one of the reasons that Marplan has pretty much fallen by the wayside is that it may indeed be weaker than Nardil. My doctor used to use both of them extensively and does not feel that either one is clearly superior; rather, some people simply seem to respond better to one than the other. Since I am actually doing pretty well, I'm finding it a bit hard to justify a dosage increase. An increase in insomnia or other adverse effects might be counterproductive.

Todd


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URL: http://www.dr-bob.org/babble/20060810/msgs/677038.html