Posted by malcolm664 on June 20, 2007, at 17:02:15
In reply to Re: Combing MAOI's with stimulants » malcolm664, posted by steel on June 20, 2007, at 16:09:16
> > I've been on Parnate since April 23 and it's working great (for depression, not so much for social anxiety).
> >
> > But as I've said in previous postings, the fatigue especially in the afternoons is overwhelming. Just yesterday, I actually fell asleep at a traffic light and a passerby tapped on my window which jolted me.
> >
> > Obviously it's cause for concern. My question is this: what's the real danger with combining a stimulant with and MAOI like Parnate? My doc has ordered me to stop the Desoxyn which worked wonderfully for the fatigue. (This is before I started the Parnate). I NEVER got tired during the daytime while I was on Desoxyn.
> >
> > Fortunately, I still have about 40 tabs of the Desoxyn, but have been hesitant to go against his wishes, especially since (according to him) it's dangerous.
> >
> > But since I have enough to try it out and see whether combining the Parnate and the Desoxyn will cause a problem, I'm very tempted to do that.
> >
> > And if there are no problems, I can report to him: "See, I've been taking Desoxyn and there haven't been any problems". Hopefully, then he will relax about it.
> >
> > The only reason, I feel a bit daring in trying this out is that I know that there are several people on the board who are on other stimulants and MAOIS at the same time and there haven't been any problems.
> >
> > But before I pop the first pill in my mouth, I just wanted to check with people on here who are taking Ritalin, Adderall, etc with an MAOI and if they could tell me what their reaction has been.
> >
> > My doc doesn't even want me to have more than one cup of coffee. And I have at least 3 or four STRONG cups and there haven't been any problems.
> >
> > So am I asking for trouble by combining the Parnate with the Desoxyn?
> >
> > Malcolm
>
> Yeah thankfully i read of a poster once saying how well the synergy of caffiene and parnate went,and i use it often,which actualy works better than when i used actual stims,sometimes the relief is so profound i literaly fall asleep.
>
> And falling asleep directly upon a parnate dose is a great sleep,least for me,i wake up feeling really good as if the depression was keeping me awake and the sec parnate locked on it with caffiene i went bye bye.
>
> As for your current situation,id get data sheets handy as you cant fully trust hospitals,they refused to stop saying on one of my problems that i was ALLERGIC TO PIZZA.
>
> So keep the data handy in a worst case scenerio to provide the ER.
>
> Then simply ask yourself this,do you feel comfortable with parnate,as far as knowing its effects,its onset,its decline,etc.
>
> If you do,my theory is depression is a war,in a war you risk things,all you can do is prepare for the worst and then fight.So fight.Just be careful,good luck i think youl be totaly fine.Yes, I suspect that taking Desoxyn and Parnate together wouldn't be a problem. The only thing is that my doc will flip when I tell him that I've disobeyed a very specific instruction he's given me. I guess my question was more along the lines of: would taking Desoxyn and Parnate be as potentially dangerous as taking Parnate with, say an SSRI or eating one of the prohibited foods (like soy sauce - although there again, I'm sure I've eaten foods containing soy sauce since starting Parnate and haven't had any problems).
The thing is my doc has also told me that the amount of tyramine can vary depending on a slice of cheese (for example), and that all it takes is eating a piece of cheese from an "infected" slice and I'd have to get my *ss to a hospital.
In other words, the amount of tyramine isn't uniformly present even in prohibited foods and it just takes one bad piece or it and you could end up in serious trouble.
I guess that's what I really want to know about combining Desoxyn and Parnate. I suspect that the answer is "no" it wouldn't be a problem, but sounds like there are no guarantees.
The thing is that at some point I will run out of the Desoxyn and will need a refill. It certainly won't help me then if my doc still refuses to prescribe a stimulant.
Malcolm
poster:malcolm664
thread:764465
URL: http://www.dr-bob.org/babble/20070613/msgs/764551.html