Posted by SLS on June 4, 2011, at 5:38:49
In reply to Alternative(s) to Parnate, posted by MRM1666 on June 4, 2011, at 0:16:23
> Hello.
>
> I have have suffered from major depression my entire adult life (I'm now 49) with my primary symptom being a kind of tiredeness. The current medications I'm on are the following:
>
> 100 mg of Parnate
> 250 mg of Nuvigil
> 100 mg of Lamictal
> 10mg of Abilify
> the Abilify (the Abilify and Lamictal have been added as an attempt to boost the efffectiveness of the Parnate)
> 3 mg of Lunesta for sleep
>
> I've now been on this combination for a few months and I'm not sure that it is accurate to speak of a "poop-out" factor but I will say that I'm not feeling anywhere near the same positive effect compared to when I started.
>
>
> This round of psychiatric meds was stated with a psychiatric I statarted working with about 3years ago. In fact, the 100mg dose of parnate was fine until I started to complian to him about about 5 months or or so again that my primary symptom of fatigue had settled back in again (which is when he started to add the "booster").
>
> I've tried virtually every SSDI and none seem to do have done much form for me. Can anyone make recommendations for other medications I could relate to my psychiatrist (again, focusing on giving an energizing effect...(And, I'm wary of starting on any stimulants.
>
> Note: Interesting, that at some point a few years ago that a high dose of Strattera did for me then what Parnate was doing for me just a few months ago (I was wrongly diagnosed by the MD who prescribed the Strattera).
>
> Again any suggestions and or/options would be appreciated.
>
> Thank you.
I have had luck combining Parnate with desipramine. I am currently taking Nardil and nortriptyline. Fatigue and tiredness are symptoms of depression, and not usually the type of daytime sleepiness that Nuvigil can address fully, even as an augmenter. Continue to treat the depression. You might want to start a new thread asking for people's experiences with Provigil and Nuvigil. Perhaps I underestimate these two drugs.Augmenters: Buspar? Lithium? Amphetamine? Ritalin? Wellbutrin? Thyroxine (T4)?
Currently, I am taking:
Nardil 90mg
nortriptyline 150mg
Lamictal 200mg
Abilify 10mg
lithium 300mgAdding lithium really helped "nourish" the growing antidepressant response and reduced mood lability. Low dosages of lithium are roughly 300-600mg. You would know within two weeks whether or not lithium will help. It often starts working within a few days. If you feel no better by the end of two weeks at 600mg, you can scrap it.
Good luck.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.
poster:SLS
thread:987068
URL: http://www.dr-bob.org/babble/20110529/msgs/987079.html