Posted by Bob on January 13, 2016, at 14:49:26
In reply to Re: Parnate shame » Bob, posted by SLS on January 12, 2016, at 14:38:36
> > > > > Luckily it seems most stimulants do help some. Adderall seems to be the best however, with my doc unwilling to rx that, I ended up with the milder Ritalin; for which I had to nearly beg. I'd prefer the dose be larger (10 mg twice a day). For the record, the hard to get scripted, but easily obtainable Modafinil, and its pro-drug adrafinil seem to work well also.
>
> > > > I'm assuming that your doctor was reluctant to Rx Adderall because he was worried about a MAOI reaction?
>
> > > Parnate and Adderall go well together. Focalin is another drug that can be added to Parnate. I prefer Focalin to Ritalin in that it seems to me to be smoother with less of a let down when it wears off.
> > >
> > > Any drug that inhibits the reuptake of serotonin (SSRI, SNRI, others) is strictly prohibited.
>
> > Is it only serotonin reuptake that is prohibited? My doctor won't mix a MAOI with nortriptyline and some other meds that modify dopamine/norepinephrine. He claims that serotonin is not the only danger.
>
> In deference to your doctor, I believe that he is under the wrong impression.
>
> Serotonin might not be the only danger, but one can safely add the secondary amine TCAs (desipramine, nortriptyline), methylphenidate, amphetamine, and dopamine receptor agonists (pramepexole, ropinerole).
>
> I have been on Parnate 120 mg/day in combination with one or more of the following: desipramine, nortriptyline, amphetamine, methylphenidate, bromocriptine (DA agonist), and Wellbutrin.
>
> Try adding lithium (300-600 mg/day) for depression. For me, 300 mg/day is the sweet-spot.
>
>
> - Scott
>
Scott,I am currently on: nortriptyline (200mg/day), lithium (about 225mg/day), aripiprazole (2mg/day). I also had a low dose of Brintellix in the mix until recently. I'm thinking I may have to add it back in as I have a lot of aches and pain along with a generally less favorable mood. I removed it due to apathy and fatigue as well as sexual side effects (the latter of which are still largely present unfortunately).
If you don't mind me asking, what is your current regimen?
Bob
poster:Bob
thread:1085235
URL: http://www.dr-bob.org/babble/20151225/msgs/1085363.html