Psycho-Babble Medication | about biological treatments | Framed
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Re: question about treatment resistant rjlockhart37

Posted by Tom2228 on September 24, 2019, at 7:58:19

In reply to Re: question about treatment resistant, posted by rjlockhart37 on September 23, 2019, at 22:19:19

I agree, many suffering people on inpatient units would benefit from psychostimulant therapy added an older generation AD, especially if there was a partial response to the latter, but sadly you don't see them used on units these days unless for the severely ADHD. Back in March I came into Columbia Presbyterian (NYC)'a CPEP severely depressed on Nardil + Desoxyn (among others) seeking ECT. I have that degree of ADHD and was begged to take Adderall -- I resisted as not my med but submitted and merely fell asleep + agitation upon waking. Was then told I could take the Desoxyn "upstairs" on unit but was transferred to another division upstate where medical director was phobic of MAOI + stim., so gave up on the ECT, put in my 3day notice and put up with the withdrawal until I was out. Unfortunate.

It's a sad state of affairs today. Agreed that Desoxyn substantially different from amphetamine and is an underutilized therapy even outpatient.

Thankfully, Parnate 50mg + Desoxyn 50mg has been lifesaving since August. Last time in 2010 when took the combo was on 20-30 Parnate + just 12.5mg Desoxyn. Big difference with Desoxyn at 50mg; I believe the med is often underdoses. Some pharmacists shriek at dose saying it's too high and incorrectly believe for some reason that it's more potent that its cousins. There is actually no FDA max in the PDR, just a suggested pediatric dose of 20-25mg divided. I did need 80mg at some point on Marplan and Nardil, but see no need for >50mg with Parnate.

The combination has truly been life-saving. I do take with lithium, aripiprazole and clonazepam (latter have been able to halve since Parnate), and I have felt worlds more stable in past 2mos than in my life. I do have an amazing psychopharm whom I see weekly, daily emails; I guess I'm one of the lucky ones.




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