Posted by SLS on January 10, 2008, at 6:06:15
In reply to Re: SLS Stuff., posted by ny2bk on January 8, 2008, at 6:22:34
Hi.
> Happy to see you back,while i missed ya not being here,i was still happy as i had a gut feeling your abscense was due to a remission state you were making numero uno priority.Again why i knew this i dont know,but glad i was right.
Thanks.
Yes. When I left in November, 2006, I was dismayed at how many people had developed a negative reaction to the premise that antidepressant drugs were effective to treat depression. It was a critical time for me, and I was not disposed to putting out fires anymore. My posture now will probably be different, posting less frequently and more directly.
> Im about to follow your regimine with some slight differeances
I wish everyone with treatment-resistant affective disorders could respond to the same regime.
> however main similiarity will be the maoi parnate and the tca Noratrip..
What exactly are the differences?
> Sorry early forgot spelling.Anyhow being on both mentioned maois,and knowing there effects,can you give me an idea on a starting dose of the combo,should they be taken togther as part of a cocktail,etc...
Yes. Conventional wisdom is that both Parnate and nortriptyline be started together or have the TCA on board first. However, I have added one to the other both ways without a problem.
Maybe...
Start:Parnate 20mg
nortriptyline 10-25mg
Week 2:Parnate 30mg
nortriptyline 25-50mg
Week 3:Parnate 40mg
nortriptyline 50-75mg
Week 4:
Parnate 40mg
nortriptyine 75mg
If no response, increase Parnate to 60mg
If no response, increase Parnate to 80mg
If no response, increase nortriptyline to 100mg
If no response, get blood test for nortriptyline level. Increase dosage if necessary.
> Just for fyi the combo itself will include,
>
> Klonopin as needed not to exceed a mg at mostI like that idea. Klonopin actually has mood-stabilizing properties.
> nuerontion however id like to give this up
I agree.
> possably xyrem
Why?
I hope I answered your questions. You can ask more if you'd like. If I don't know the answer to any of them, I'll tell you or research it.
Get well.
- Scott
poster:SLS
thread:804533
URL: http://www.dr-bob.org/babble/20080105/msgs/805513.html