Posted by SLS on May 27, 2011, at 4:15:56
In reply to Scott, » SLS, posted by floatingbridge on May 26, 2011, at 22:11:08
> Why would a/my doctor want to prepare to deny someone/me Nardil?
My apologies. I confused Nardil with Parnate. Maybe it is me who would prefer Nardil given your levels of anxiety. Has your doctor already consented to prescribing Parnate if Emsam doesn't work?
> I've only asked for parnate; then took up emsam for a number of what seem excellent reasons--safety and neuroprotection (possibly).
Well, lets see what happens. The logic is there, but not the evidence. I tried Emsam and experienced an anxiolytic effect during the first week. I then became dysphoric and stopped taking it immediately. It certainly doesn't affect everyone that way. Just know that you cannot generalize your reaction to Emsam to all other MAOIs.
If I hadn't watched L-deprenyl (selegiline) put through its paces since 1983, I wouldn't have a bias against it for treating depression. The Emsam patch was a great idea to deliver unmetabolized selegiline to the brain. However, even at the higher dosages, it doesn't seem to match Parnate or Nardil in efficacy.
If I were in your position, I would have tried Emsam first. It is logical. I sincerely hope that you have found a good match for your illness(es).
Parnate + lithium had been a favorite combination treatment before the days of Prozac. Lithium is an effective neuroprotective and neurorestorative.
http://www.psycheducation.org/depression/meds/ManjiLithium.htm
N-acetylcysteine (NAC), via glutathione production, is an effective antioxidant that might help prevent stress-induced damage to certain neuron components. If you are looking for a replacement for the neuroprotective properties of selegiline, you might consider adding low dosages of lithium and NAC.
Go for results over theory.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.
poster:SLS
thread:986254
URL: http://www.dr-bob.org/babble/20110515/msgs/986325.html