Posted by bulldog2 on July 6, 2009, at 10:50:34
In reply to Re: thanks! re: anyone here start parnate after 50 » linkadge, posted by SLS on July 6, 2009, at 4:27:55
> > Sure. I shouldn't have given an upper limit. Some respond to higher doses. I just remember feeling not too bad at 20mg and then started having this reaction at higher doses. I wish I could try the lower doses again.
> >
> > Linkadge>
>
> It is just that I found 30mg to be the lowest dosage that I experienced any positive effect at all. I think most people need a minimum of 40mg. However, you might have an exquisite sensitivity to Parnate which will allow you to take lower dosages and retain an antidepressant response.
>
> If you have to go up very gradually, you might get to where you need to be. That you experienced any improvement at all is encouraging.
>
> I know you are aware of the occurrence of spontaneous hypertensive episodes with Parnate upon initial titration. I don't know how much they cost, but maybe you can get one of those at home BP measuring devices. One of my doctor's patients developed a headache while taking Parnate. There was no BP measurement taken at the time to know whether or not it was a hypertensive event. Still, my doctor developed a fear of Parnate. Getting him to go up to 80mg was like pulling teeth.
> Will talk
>
> - ScottCurrently on 10 mg percocet 4 times a day + 1200 mg neurontin 2 times a day and feeling pretty good. Will probably change the percocet to a product without the acetimoniphen in it such as oxycontin. It's been 6 weeks and I haven't upped the dose on the percocet. Have not developed a tolerance as of yet. Yes the initial euphoria is gone but it's still giving me a good mood boost.
I'm thinking of asking the p-doc to let me go back on the parnate low dose. Somewhere between 10 - 30 mg. I don't think I need 60 mg as before.Just need to know there no contraindication between oxycodone and parnate. I think the parnate boost may be the missing piece of the puzzle.
poster:bulldog2
thread:904824
URL: http://www.dr-bob.org/babble/20090630/msgs/905244.html