Posted by SLS on September 11, 2009, at 5:58:24
In reply to Re: question about Parnate insomnia, posted by g_g_g_unit on September 11, 2009, at 1:41:18
> thanks Scott. i've been on 20mg for three days now. it's three weeks until I see my psych again, but i've been prescribed 60 parnate tabs. would it be better to go up to 30mg sooner, so i have time to adjust to the dose before i see him?
I guess that depends on the relationship you have with your doctor. Does he give you that kind of latitude? If it were me, I would want to be taking 30mg no later than day 7 of treatment. However, I don't believe you would sacrifice anything by waiting. I doubt that there would be any less chance of your responding to Parnate if you go up in dosage gradually.
> my *only* concern is insomnia. i am happy to put up with any other sfx in the meantime. since it seems as likely that the insomnia will be present at 20mg as 30mg, it feels worth moving up.
Ugh. That's a tough one. If your doctor is an enlightened prescriber of sleep aids, you should be able to surmount insomnia and not let it be an obstacle to your getting well on Parnate. If insomnia does emerge, try to consider it a condition that must be treated as aggressively as the depression. Combining Parnate and desipramine required me to use another combination to treat the resulting insomnia. Combining Halcion and Ativan worked very well. I guess you can cross that bridge when you come to it.
When I was more responsive to drugs, I found that insomnia was a good prognosticator for me. It was associated with a good response to treatment.
- Scott
poster:SLS
thread:916453
URL: http://www.dr-bob.org/babble/20090902/msgs/916464.html