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Re: emsam to parnate

Posted by silvercoin on August 17, 2006, at 16:41:03

In reply to emsam to parnate, posted by xcendo on August 17, 2006, at 13:34:18

> what is the minimum amount of time i have to wait before switching from emsam to parnate? i have ten days before i go off to college and i'm hoping i can get started on the parnate quickly and get some kind of effect from it, as the emsam was anxiogenic to me. i need something to quell my social anxiety for those first few weeks at school that are pure socializing :\\\
>
> i was on emsam 6mg/24h and my pdoc wants my dose of parnate AFTER titrating up to be 20mg :(
>
> i'll start on 5mg parnate. hell, even 2.5mg, if it means waiting less time for it to start getting in my system.
>
> thanks


Conventional prescribing guidelines say two weeks between MAOIs. Parnate is the worst one as far as setting off hypertensive crises, so it might be prudent to follow this. As far as the dosage, 40 mg/day of Parnate is the minimum dosage that should be attained before declaring the trial a failure. That's not to say you might not respond to a lower dose, but you would not be giving the trial a fair shot if you did not get up to at least 40 mg/day at some point.

Todd


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