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Re: SCOTT » JadeKelly

Posted by SLS on January 12, 2009, at 11:18:22

In reply to Re: SCOTT » SLS, posted by JadeKelly on January 11, 2009, at 9:31:16

Sorry to take so long to return to this thread...

Yes. Based upon your current experiences, I think you may need to increase your dosage of Parnate. Most people do not dream once they reach a therapeutic dosage. This is not by any means a hard and fast rule, though. However, taking into consideration your persistent dysautonomia and continued dreaming, I think you need to go up.

Please be aware that this is only conjecture on my part. You can take a MAO inhibition test, but I consider it to be a waste of time since you still must titrate based upon clinical observation.


- Scott


> > > If I felt like I was in withdrawal (sweats, tension, feeling like I NEED something but don't know what....that kinda stuff) but haven't changed anything, is that a sign to go up on the Parnate?
> >
> > Remember, I asked you if you experienced heart palpitations?
>
> Yep! I remember.
>
> It is a personal theory of mind that the "fight or flight" things that you are currently experiencing *could* be signs of an imminent therapeutic response to treatment. It might be a good sign. The question becomes: Is it a matter of time or a matter of dosage? Maybe you will respond very soon to your current dosage of Parnate. However, you might need to increase the dosage to pass through this period of what I call an exaggerated dysautonomia.
>
> Okay
> >
> > How long have you been at 60mg of Parnate?
>
> Almost a month
> >
> > When did you last increase your dosage of methylphenidate?
>
> 3 weeks
>
> >
> > When did this stuff start?
>
> Few nights ago
> >
> >
> Are you dreaming at night?
>
> The occasional nightmare (that I can remember)
> >
> >
>
> ~Jade-Thanks!
>
>
> > - Scott
>
>

 

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poster:SLS thread:871054
URL: http://www.dr-bob.org/babble/20090104/msgs/873515.html