Posted by tom2228 on June 18, 2010, at 17:55:58
In reply to Re: nardil users .... » jade k, posted by jedi on June 16, 2010, at 23:12:02
Hey Jedi,
Have you ever tried Parnate? Supposedly it's more stimulating than Nardil as it's got some norepinephrine + dopamine releasing agent along with the MAOI. Apparently it has less sexual side-effects than nardil too, but Ive never been on either so I can't really say.
If you can't get the ritalin... what about adding a bit of emsam? Yea, that would be being on 2 MAOIs but selegiline is only selective for MAO-B at the 6mg/24hr dose.. so I believe you'd just get more of a dopamine affect. I'm no expert but I can't see how that would be particularly dangerous (unless there's some pharmacokinetic metabolism interaction). Correct me if I'm wrong..
Anyways the 6mg/24 is what I'll be starting on Sunday!! Like you I'm blessed with social anxiety and chronic dysthymia, but with a bipolar flair so call it cyclothymia if you will. And ADHD. Im only 18 and emsam will by my 18th med!
Currently on Vyvanse and trileptal but today is the last day on the Vyv as I take the journey to MAOI land. Stims arent that risky w/ just MAOI-B but I'm very sensitive to them already -- hopefully Selegiline and its amphetamine metabolites will be all I need for ADHD coverage. The trileptal is contraindicated with MAOIs but after talking with my doc we're going to stay with it and just half the dose. It works and doesn't fog me up too bad so we agreed the cost/benefit ratio is in favor of the latter.
If 6mg doesn't work we'll cross into MAO-A territory with the 9 or 12mg and cut out the tyramine. If that doesn't work Parnate is next but we both think Emsam would be the best MAOI option for the ADHD.
poster:tom2228
thread:950520
URL: http://www.dr-bob.org/babble/20100615/msgs/951443.html