Posted by SLS on July 4, 2009, at 5:43:19
In reply to Re: Best Alternative after Prozac Poopout? » bearfan, posted by SLS on July 4, 2009, at 5:24:45
> Maybe Parnate? It is a far different drug than anything you have been on thus far. I would be more tentative in recommending Nardil first because of the weight-gain and anorgsmia it can produce.
>
> I am currently adding a small amount of lithium to my other medication. It can sometimes throw the switch to make ADs work better when used at low dosages (300-600mg). If it is going to work, you will know in two weeks or less. Many people begin responding to it within days. You can try adding lithium with Prozac first before moving on to other antidepressants. Have you gone as high as 60mg with Prozac?Now that I am thinking about it, you can add a tricyclic (TCA) to the Prozac and bring back the lithium afterwards. I personally favor the secondary amines, desipramine and nortriptyline because their side effects are about the mildest in this class of drug. The tertiary amines like imipramine and amitriptyline have stronger anticholinergic side-effects by comparison (dry mouth, blurred vision, constipation, etc.)
Ideally, you would want to explore some of these things first before switching to Parnate. Once you are taking Parnate, you can't mix it with any serotonin reuptake inhibitors (SRI), and your doctor might be afraid to combine Parnate with other drugs that are known to be relatively safe. I have taken Parnate along with desipramine and amphetamine at the same time.
- Scott
poster:SLS
thread:904886
URL: http://www.dr-bob.org/babble/20090630/msgs/904893.html