Posted by Ron Hill on May 30, 2009, at 3:00:13
In reply to Re: Switching back to nortriptyline., posted by SLS on April 7, 2009, at 6:08:36
> I am feeling better and better for having switched back to nortriptyline. I am happy that I am able to recapture the antidepressant response I had prior to switching over to desipramine.
>
> I will continue to use the following treatment as the core around which to build a more satisfactory improvement:
>
> Parnate 80mg
> nortriptyline 150mg
> Lamictal 200mg
> Abilify 20mg
>
> Some of the drugs I am looking to try again include Topamax (topiramate) and Namenda (memantine). These will be untried treatments in that they were never combined with the medications listed above.
>
> Any feedback or suggestions are urgently needed and much appreciated.
>
> Thanks.
>
>
> - Scott
-------------------------------Hi Scott,
Just a thought. Are you satisfied that you have enough moodstabilizer on-board?
Parnate 80mg
nortriptyline 150mg
Lamictal 200mg
Abilify 20mgAn MAOI, a TCA, a weak moodstabilizer with antidepressant properties, and Abilify. Does Abilify provide you with enough moodstabilization?
The first three on your list are antidepressants with a weak amount of moodstabilizing effect from lamotrigine.
Be well my friend. On a different topic, Im sorry to hear about your adverse reaction to the generic lamotrigine.
In closing, heres a Readers Digest version of my Nardil-to-Parnate switch: Three week washout of Nardil; first four days GREAT, but the rest of the three weeks was gruesome.
The first two days on Parnate was great, but on the third day it quit working. In spite of me ramping the dosage aggressively, it took 6.5 weeks for it to kick in. I was VERY depressed during the 6.5 weeks.
Its too early to know the long-term efficacy, but so far I love Parnate (actually I take a generic version of tranylcypromine).
Sorry to step on your thread with my Reader's Digest report.
-- Ron
dx: Bipolar II, with ultra rapid cycling (15 days for one complete cycle), and mild OCPD
600 mg/day Trileptal
200 mg/day Lamictal
500 mg/day Keppra
80 mg/day Parnate
poster:Ron Hill
thread:872122
URL: http://www.dr-bob.org/babble/20090524/msgs/898431.html