Posted by JadeKelly on January 12, 2009, at 16:34:33
In reply to MAOI TX in Severe+Resistant Depression, posted by CaptainAmerica1967 on January 12, 2009, at 15:39:50
> I think the best choice may be to increase the Parnate dose. As you can see from the article, they've used up to 120mgs of Parnate, and I think there was a clinical trials where they tried up to 120mg of Parnate and if that dose failed then they added Dexedrine (40mgs) and if that failed they added thyroid. You may have to experiment a bit with your physician on dosages and increase the Parnate; if it doesn't work maybe increase the TCA or try another TCA or trazodone or remeron (both suppose to be ok with MAOI according to the MAOI psych guru in other article); if the Ritalin isn't helping at the increased dose maybe try a different stimulant like Adderall or Dexedrine.
>
> I take 80mgs of Parnate and a small dose of Lithium Orotate (over the counter), and gave up the nortriptyline (side effects of dry mouth during my workouts was just too much) and instead use amineptine (dopamine TCA with no adverse side effects except energy and libido enhancement), but may try a small dose of trazodone (to help me sleep plus serotonin effects) and reboxteine (norepinephrine reuptake inhibitor which I tried two years ago while on Cymbalta, but haven't used with an MAOI yet).
>
> Good luck,
>
> Jeff
>
> ...have you tried cold showers for mood enhancement?Hi Jeff,
Thanks for answering my post. I promise my next shower will be a cold one. I'll report back to you tomorrow with my results!
Btw- I'm not taking a TCA, just Parnate, Ritalin, Klonopin, and 225mg Lithium. I really like Ritalin, I took it for years for ADD. What I really wanted to know is what a safe dose of Ritalin would be combined with 70mg Parnate. I currently take 10mg Ritalin. Would 15mg be safe?
poster:JadeKelly
thread:873284
URL: http://www.dr-bob.org/babble/20090104/msgs/873571.html