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Re: Giving up on Parnate: what's next before ECT?

Posted by dragonblack on July 24, 2011, at 23:55:56

In reply to Re: Giving up on Parnate: what's next before ECT?, posted by jono_in_adelaide on July 24, 2011, at 23:34:44

> Have you considered augmenting Parnate with either nortriptyline or desipramine?

Yeah, prior to my last appointment I put together a memo of sorts, emailed ahead of time, regarding options I was considering, and I included TCAs as possible Parnate augments (noting that while they are officially contraindicated, the combo is used by plenty of pdocs, especially people specializing in the treatment of refractory depression). I had a bunch of research too, but they couldn't open a Word 2007 doc. I was told that MAOI plus TCA was a no-no, and given the impression that it was not about to be considered. I can't just go somewhere else, though, I go to a free clinic that it took forever to get into, and have no means to do otherwise. I've heard the combo is dynamite, though.


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poster:dragonblack thread:991723
URL: http://www.dr-bob.org/babble/20110714/msgs/991778.html