Hi.
> It definitely got me out of a depression to the point where I felt normal. I remember when I started it I got to a low dose of 20mg and was satisfied enough to not go higher which was unusual for me. I stopped taking it for a few months early in 2015 when I though my insurance was going to stop covering it (per a letter). I eventually went back on it due to depression returning and getting it approved and now I'm using 50mg (60mg is max). It definitely helps.
>
> Prozac was one of the other meds I did have success w/ in the past btw. Since Prozac has a very long half life (I think it's like a week?). You may be better off trying something else w/ a shorter half life first. You're supposed to do a washout when switching from SSRI to MAOI of 14days but that might be longer w/ a med like Prozac that stays around for so long.
Prozac -> MAOI = 5 weeks.
Your idea is extremely logical. I would not have thought of it.
Have you lost any efficacy with your return to Marplan?
At what point did you lose your response to Prozac?
I had a partial response to Effexor 300 mg/day that was enhanced by the addition of nortriptyline 75 mg/day (which was later found to be too low a dosage for me). For me, I would consider going back to Effexor 375 mg/day + nortriptyline 100 mg/day if my current regime built around Parnate should not bring me to at least 75% remission.
I tried Marplan for only 2 weeks for lack of patience. I don't think it made me feel any worse. It was much more tolerable than Nardil.
- Scott
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