Posted by bulldog2 on October 29, 2009, at 12:24:57
In reply to Re: Notes about parnate....., posted by willyeee on October 28, 2009, at 21:43:20
> > > Being on parnate over five years,having both the good times and the poop outs here are some basic things i personaly notice,
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> > > -- Expect to have to augment parnate in short time,both for a better ANTI DEPRESSANT effect as well as for residue anxiety and mania,i.e benzo or mood stablizer.
> > >
> > > Common parnate user,PARNATE,BENZO/MOOD STABLIZER/STIMULANT
> > >
> > > Expect to require high doses to achieave and maintain effect..i.e 60-120 mg range,anything under can work however can also very well be a reason it doesent,with p docs the way they are,its often difficult to even get to the 60 mg range,so u see many people latly failing,its a shame,sometimes u have to take initiative to get to that dose with or without your doc,but under at least 60 mg is giving the med a good chance to fail.
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> > > --- Expect insomnia,its usualy not a fading side effect,so like scott says attack it vigoursly.Personaly i did not achieve consecutive sleep until i added zanaflex a light muscle relaxant,i cycle off however its not a med known for addiction.
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> > > I also use Zonegran a gaba acting off label mood stablizer.
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> > > --- Last expect daytime fatique,DO NOT ATTEMPT to fix this with more parnate,best thing i found for it is a simple caffiene tab i.e VIVARIN 250 pure caffiene at your local 7 eleven.
> > >
> > > Its hard to type exactly what i want to share,but this is just a jift of it,feel free to ask if you have any questions,im on parnate now and havent changed due to i see no options out to switch and try,i believe all srris are somewhat similiar,and ssNRIS although better still dont seem to make me feel more confident in leaving parnate.
> >
> > 1. do you like low dose nortriptyline with parnate?
> > 2. I use neurontin 1200 mg 2 times for anti-anxiety and a mild ad effect. Should I use this with parnate or use another mood stabilizer
> > 3. Dr. Goldberg said to stay at the max dose parnate for eight weeks to see if it works. What was your experience?
> > 4. I titrated parnate to 60 mg over an eight week period. Was at 60 mg 10 days and stopped due to an adequate response
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> Sorry was on friends pc and dident notice my post went under her name.I posted and to respond,
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> --- First gabpentin works fine with parnate,eithe as a add on for sleep,or for anxiety,or mood stablization.HOWEVER high doses of it i find will greatly change the affect of parnate,the mix will cause a weird state or feel,.....the high dose taken at night avoided this but taking high dose nuerontion in the day along with parnate again ruined or lessened parnates benifit for me.
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> Most moos stablizers work similiar,on gaba,so id personaly try to use the higher doses of any one of them at night and lower ones in the day as they all,being highly sedative seem to effect parnate and may lessen its benifit.Of course if u are actualy having mid day rage and need it take it then.
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> Far as which one to use,everyone has there one that works,example i HATE lamictal,many many people use it with parnate...i myself use nuerontion and zonegran which seem to be helping.
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> --- Nortrip seems to be popular to add,i did for a short time but dident find benifit,however like u i see more then enough use of the two to believe they must have some good synergy,also hear modfanil has ok synergy with parnate as well.
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> --- I dont read any more studies,user accounts here from veterans like scott and other maoi long time users i find more valuable,as i said you have the few lucky enough to get by on very low doses such as 30 mg a day,and you have treatment resistent like me who should go at the very least 60 mg,and if tolerated up to 150......doses for treatment resistant have been limited and used often at the 200 mg range.As you titrate up how long do you stay at each dosage before you decide it's time to move up.
I'm glad the hypotension resolves. Im in rehab for a hip replacement and don't need to fall down.
poster:bulldog2
thread:923160
URL: http://www.dr-bob.org/babble/20091029/msgs/923338.html