Posted by NYCguy on January 2, 2007, at 23:23:28
In reply to Re: Are MAOIs worth it? » NYCguy, posted by laima on January 2, 2007, at 21:31:41
Hey laima,
Are you still tapering down on the Klonopin? How is that going? I've come down from 6mg to 1mg per day and I actually feel a lot sharper and I think my anxiety is about the same. Klonopin seemed to work well on my social anxiety but only when combined with an sri and a large dopamine infusion like a lot of diet coke or Adderall. Not really a sustainable or ideal strategy. By itself, the Klonopin dosen't do too much but slow me down.
Did you have anxiety problems to go along with depression and how would you say Emsam is helping on that front? I found that there were a couple days where I was really profoundly anxiety and depression free with the Emsam and the Klonopin, and another few days where I was really depressed(as I normally am.)
I've decided I'm going to try all three MAOIs if need be, staring with the Selegiline, then the Parnate, then the Nardil. I'm in the process of losing some weight that I put on from being so "atypically" depressed this last year, so I'll save the Nardil for last. And it won't be a worthwhile trial unless I commit to at least a full three months of whatever med I choose.
Okay! New Year's resolution complete! ;-)
> Do you think you'll give another MAOI a trial then? Maybe Emsam would be an easy one to revisit, because at least the food restrictions aren't such a big deal with it. I'd say it's definately weight-neutral, and I could have sworn I heard Parnate was, too. (But I haven't tried Parnate or any other MAOI other than oral selegeline.) I think it's the food and drug restrictions which keep the MAOIs from being as widely prescribed as other antidepressents- I think doctors get spooked that patients won't comply well, and then they've got a problem. (Can you imagine being a doctor and then your patient eats the wrong thing and feigns ingnorance or whatever?) I've read over and over that the MAOI class IS the best class for atypical depression. Emsam's working out alright for me, though my dose might go up and we are dinkering with augmentation strategies. Right now I'm on an Emsam-Adderall program which appears to be working out pretty well.
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poster:NYCguy
thread:718619
URL: http://www.dr-bob.org/babble/20070101/msgs/718743.html