Posted by policebox on August 22, 2011, at 19:11:51
In reply to Re: I think Emsam gets the boot. » policebox, posted by floatingbridge on August 22, 2011, at 8:54:44
Thank you for asking. Parnate is going alright for me. I think it's helped me my depressive symptoms as far as mood goes, meaning the thought of being alive another day seems like a good thing rather than a burden.
However, the symptoms which bother me the most are the reversed vegetative ones (ie carbohydrate cravings/overeating, severe fatigue, leaden paralysis) and those really aren't any better for me. My sleep cycle is a mess, sleeping an average of 10-12 hours a sleep broken into 2 or 3 hour segments all through the day. Of course, this makes going to school and having a job very difficult.
Social anxiety/avoidant personality disorder is something else I deal with. Of course, the fact I can't accomplish much but sleep doesn't help me feel very good about myself, or worthwhile of other peoples' attention.
Anyway, sorry to start venting about my problems. To answer your question, Parnate has helped with my mood a great deal. My main concern about taking it was having to adopt the MAOi diet, but honestly it's easier to adhere to than you might imagine.
I've asked my doctor for some meds to help with the daytime fatigue (suggested Provigil and he's thinking about it) and anxiety (I suggested Lyrica or Xanax and he opted for 10 days of Xanax).
> policebox, how is parnate going for you? Do you feel edgy or just stimulated? You have gotten it smoothed out, yes? Was /is anxiety a factor for you?
>
> I had heard Emsam is mild, and it really is. I thought it was very nice except there was a kind of restless anxiety that I began to associate with risperdone. But with risperdone out of the picture, the anxiety became more pronounced.
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> I would not let my experience dissuade others. Guess I am more edgy that I thought.....
>
> > From what I've read about it EMSAM hasn't impressed me much. As MAOis go, EMSAM (selegiline) are pretty mild. If you are wanting to take an MAOi that might offer some stimulating effects, I suggest Parnate. If anxiety is the larger factor in your depressive symptoms, many people find the MAOi Nardil works best for them. When comparing Nardil and Parnate head to head, most people would say Parnate is more stimulating than Nardil and Nardil is associated with more incidence of weight-gain than Parnate.
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> > > I am at 9mg. I imagine that I would go to 6mg, then nothing. This could take two or more weeks.
> > >
> > > I'll need to see the pdoc sooner than I had hoped, and will call tomorrow.
> > >
> > > I really don't know what to do. I usually have a plan in hand.
> > >
> > > This is very disheartening. I need to disengage from my bed.
> >
> >
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poster:policebox
thread:994459
URL: http://www.dr-bob.org/babble/20110822/msgs/994585.html