![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 27 to 51 of 51. Go back in thread:
Posted by Nadezda on September 1, 2008, at 0:25:39
In reply to Re: Best way to take Parnate? » Nadezda, posted by eric wagner on August 31, 2008, at 22:52:10
Where do live?
Is there a larger metropolitan area anywhere in the vicinity? Maybe if you're not having any luck where you live, you could explore a little further away from home.
Nadezda
Posted by john51 on September 1, 2008, at 8:16:34
In reply to Re: Best way to take Parnate? » eric wagner, posted by Nadezda on September 1, 2008, at 0:25:39
> Where do live?
>
> Is there a larger metropolitan area anywhere in the vicinity? Maybe if you're not having any luck where you live, you could explore a little further away from home.
>
> NadezdaI live in Central Upstate NY....the closest "metropolitan" area is Syracuse which is about 40 miles from me and that is where my current pdoc is. There is a State University Hospital there and I did go to their adult psych outpatient clinic for quite a while but there you see a Resident Doc and when their residency is up you get switched to another one...
I wish I lived closer to NYC or Boston. Boston has the McLean Hospital which is supposed to be one of the BEST places for mood disorders.
Posted by john51 on September 2, 2008, at 17:11:53
In reply to Re: Best way to take Parnate? » Nadezda, posted by john51 on September 1, 2008, at 8:16:34
Just wanted to let you all know that I stopped the Parnate yesterday. I simply could not stand the way it was making me feel. Now I don't know what to do next. I am totally depressed and miserasble and yet I feel very anxious all at the same time. I am also worried about what my pdoc is going to say when I tell him that I stopped.
I just wish there was something I could do to feel better.
Posted by mav27 on September 2, 2008, at 20:17:28
In reply to Re: Best way to take Parnate?, posted by john51 on September 2, 2008, at 17:11:53
have you tried Nardil ?
> Just wanted to let you all know that I stopped the Parnate yesterday. I simply could not stand the way it was making me feel. Now I don't know what to do next. I am totally depressed and miserasble and yet I feel very anxious all at the same time. I am also worried about what my pdoc is going to say when I tell him that I stopped.
>
> I just wish there was something I could do to feel better.
Posted by john51 on September 2, 2008, at 20:48:02
In reply to Re: Best way to take Parnate? » john51, posted by mav27 on September 2, 2008, at 20:17:28
Actually, it was because I had success with Nardil that I decided to try Parnate. That success was about 16 years ago. I did try Nardil again about 3 years ago (after it had been reformulated) and it didn't seem to work like it did before. Many people have also said that the "new" Nardil doesn't work anywhere near as good as the original. I'm not trying to just discount it I just don't know what on earth to do at this point.....
> have you tried Nardil ?
>
> > Just wanted to let you all know that I stopped the Parnate yesterday. I simply could not stand the way it was making me feel. Now I don't know what to do next. I am totally depressed and miserasble and yet I feel very anxious all at the same time. I am also worried about what my pdoc is going to say when I tell him that I stopped.
> >
> > I just wish there was something I could do to feel better.
>
>
Posted by Nadezda on September 2, 2008, at 22:46:27
In reply to Re: Best way to take Parnate?, posted by john51 on September 2, 2008, at 20:48:02
You could also try Emsam, which doesn't have the food restrictions and is transdermal.
Or how about Nardil with something to boost the effect?
Nadezda
Posted by softheprairie on September 2, 2008, at 23:19:50
In reply to Re: Best way to take Parnate? » john51, posted by Nadezda on September 2, 2008, at 22:46:27
> You could also try Emsam, which doesn't have the food restrictions and is transdermal.
>Officially, the lack of food restrictions on EMSAM is only at the first/lowest dose.
Maybe Marplan? I would expect a pharmacy wouldn't have it on hand, but would have to order it. And...I sort of can't believe I'm actually saying this, but since you feel so utterly cr@ppy, perhaps Zyprexa just to tide you over until a main antidepressant has time to take effect. (And I even say that as someone with diabetes, which Zyprexa can cause.)
Posted by Nadezda on September 3, 2008, at 10:43:32
In reply to Re: Best way to take Parnate?, posted by softheprairie on September 2, 2008, at 23:19:50
Officially, the food restrictions are only lifted at the lower dose, but unofficially, if you read the original petitions and FDA response, there's a lot of evidence that the food restrictions aren't necessary at higher doses, too.
I'm not saying that it's safe to do that-- but I think it's certainly worth experimenting cautiously with your response, after you're well stabilized Emsam. Or asking your pdoc about his/her view about it.
The original application was for no food restrictions on higher doses, and the drug company compromised with the FDA in order to get the drug out right away. I wonder if Somerset or Squib has done any further studies on the question.
Nadezda
Posted by Justherself54 on September 3, 2008, at 19:38:12
In reply to Re: Best way to take Parnate?, posted by john51 on September 2, 2008, at 17:11:53
> Just wanted to let you all know that I stopped the Parnate yesterday. I simply could not stand the way it was making me feel. Now I don't know what to do next. I am totally depressed and miserasble and yet I feel very anxious all at the same time. I am also worried about what my pdoc is going to say when I tell him that I stopped.
>
> I just wish there was something I could do to feel better.Can you take a benzo to help with the anxiety?
Did you just stop the Parnate cold turkey? If so, how are you feeling? I'm down to 30 mg and feel pretty horrible. Depressed, anxious, no appetite. If I knew it was just a couple of days, I would be tempted to take extra clonazapam and cold turkey it too. Let me know how you're doing. Take care.
PS, my pdoc doesn't know I'm going off it either but he knows I have had very little response to it, so I don't think he'll be too surprised.
Posted by softheprairie on September 3, 2008, at 20:22:15
In reply to Re: Best way to take Parnate? » softheprairie, posted by Nadezda on September 3, 2008, at 10:43:32
> Officially, the food restrictions are only lifted at the lower dose, but unofficially, if you read the original petitions and FDA response, there's a lot of evidence that the food restrictions aren't necessary at higher doses, too.
>
> I'm not saying that it's safe to do that-- but I think it's certainly worth experimenting cautiously with your response, after you're well stabilized Emsam. Or asking your pdoc about his/her view about it.
>
> The original application was for no food restrictions on higher doses, and the drug company compromised with the FDA in order to get the drug out right away. I wonder if Somerset or Squib has done any further studies on the question.
>
> Nadezda
>
>Yes, I was partly aware of that when I took EMSAM, and I always got away with my mild cheating on the diet; I didn't know how much to get into it here, so I just put "officially."
But, I think it was here on Babble that I read of someone or a few people getting the hypertensive reaction while on EMSAM.Anyways, John, how are you? What are you (or your dr.) leaning towards taking next?
Posted by john51 on September 4, 2008, at 7:00:59
In reply to Re: Best way to take Parnate?, posted by Justherself54 on September 3, 2008, at 19:38:12
> > Just wanted to let you all know that I stopped the Parnate yesterday. I simply could not stand the way it was making me feel. Now I don't know what to do next. I am totally depressed and miserasble and yet I feel very anxious all at the same time. I am also worried about what my pdoc is going to say when I tell him that I stopped.
> >
> > I just wish there was something I could do to feel better.
>
>
>
> Can you take a benzo to help with the anxiety?
>
> Did you just stop the Parnate cold turkey? If so, how are you feeling? I'm down to 30 mg and feel pretty horrible. Depressed, anxious, no appetite. If I knew it was just a couple of days, I would be tempted to take extra clonazapam and cold turkey it too. Let me know how you're doing. Take care.
>
> PS, my pdoc doesn't know I'm going off it either but he knows I have had very little response to it, so I don't think he'll be too surprised.
>Okay, first of all I was only on the Parnate for 4 days (each one of them more miserable than the one before) at 30mg and YES I DID stop it cold turkey. Started feeling better (not better than my baseline, just not "destroyed" by the Parnate) the very first day without it. Today is day 4 w/o it. And, to answer your question I have been taking a benzo for a LONG TIME (clonazepam) and it helps somewhat with anxiety. My anxiety is more like an agitation....mixed with my depression.
Posted by john51 on September 4, 2008, at 7:12:10
In reply to Re: Best way to take Parnate?, posted by softheprairie on September 3, 2008, at 20:22:15
> > Officially, the food restrictions are only lifted at the lower dose, but unofficially, if you read the original petitions and FDA response, there's a lot of evidence that the food restrictions aren't necessary at higher doses, too.
> >
> > I'm not saying that it's safe to do that-- but I think it's certainly worth experimenting cautiously with your response, after you're well stabilized Emsam. Or asking your pdoc about his/her view about it.
> >
> > The original application was for no food restrictions on higher doses, and the drug company compromised with the FDA in order to get the drug out right away. I wonder if Somerset or Squib has done any further studies on the question.
> >
> > Nadezda
> >
> >
>
> Yes, I was partly aware of that when I took EMSAM, and I always got away with my mild cheating on the diet; I didn't know how much to get into it here, so I just put "officially."
> But, I think it was here on Babble that I read of someone or a few people getting the hypertensive reaction while on EMSAM.
>
> Anyways, John, how are you? What are you (or your dr.) leaning towards taking next?How am I? Not good! What am I (or my doc ) going to do next? I have NO IDEA!! I called my pdocs office Tuesday to tell him that I felt that I NEEDED to STOP the Parnate...he, of course was not there but his secretary said that he would call me the next day (yesterday).........
He never called!!! This is my WONDERFUL CARING PDOC!!!
Considering that he had RELUCTANLY agreed to take me back and treat me with the Parnate and then I stopped it after only 4 days, I am pretty sure that he is NOT going to be very sympathetic or helpful OR even willing to do anything more with me.
I went to a new therapist (PhD Psych) yesterday and we spent almost an hour filling out a form that: qoute "my lawyer drafted for me in case I get audited by Medicare, and I have been audited by Medicare". I felt like I was being interviewed by a detective. Then, with about 10-15 mintues left in the appointment he asked me, "Ok, where would you like to start?"
I don't know if there are ANY copmpetent therapists OR pdocs anywhere here in my area!!! By the way, I live between Utica and Syracuse, NY. This is the Central Upstate portion of the state.
Posted by Nadezda on September 4, 2008, at 10:33:06
In reply to Re: Best way to take Parnate?, posted by john51 on September 4, 2008, at 7:12:10
Have you tried looking in Ithaca?
The thing is, it can be hard to find a good pdoc anywhere, even where there are good ones around. There are many bad ones (at least that's been my experience) and it's so possible that you've had bad luck, but that there is someone else you haven't found. The problem is it's so hard to make the right connection.
I found my current pdoc through a recommendation. Is there anyone else you could ask?
Or maybe if you check some online journals you'll find someone in Syracuse or Ithaca who writes about research and you'll have names of people who know about Maois. Other than just keeping looking for a more sympathetic (but also knowledgeable) pdoc, I don't know what to suggest. I do think it's important to have someone you can trust, and rely on to be more caring. I hope you don't give up on the search.
Nadezda
Posted by softheprairie on September 4, 2008, at 17:30:44
In reply to Re: Best way to take Parnate?, posted by john51 on September 4, 2008, at 7:12:10
> >
> > Anyways, John, how are you? What are you (or your dr.) leaning towards taking next?
>
> How am I? Not good! What am I (or my doc ) going to do next? I have NO IDEA!! I called my pdocs office Tuesday to tell him that I felt that I NEEDED to STOP the Parnate...he, of course was not there but his secretary said that he would call me the next day (yesterday).........
>
> He never called!!! This is my WONDERFUL CARING PDOC!!!
>
> Considering that he had RELUCTANLY agreed to take me back and treat me with the Parnate and then I stopped it after only 4 days, I am pretty sure that he is NOT going to be very sympathetic or helpful OR even willing to do anything more with me.
>
> I went to a new therapist (PhD Psych) yesterday and we spent almost an hour filling out a form that: qoute "my lawyer drafted for me in case I get audited by Medicare, and I have been audited by Medicare". I felt like I was being interviewed by a detective. Then, with about 10-15 mintues left in the appointment he asked me, "Ok, where would you like to start?"
>
> I don't know if there are ANY copmpetent therapists OR pdocs anywhere here in my area!!! By the way, I live between Utica and Syracuse, NY. This is the Central Upstate portion of the state.
I thought I'd throw the names of two psychiatrists out whose book I have, even though it appears they're too far for you to drive to long-term -- Richard P. Brown and Patricia L. Gerbarg (they are a married couple). The dust jacket of their book says they live in upstate NY, her w/ a practice there and he w/ offices in both Manhattan and upstate. An online search showed her office in the town of Kingston, which looks kinda a far drive for you, and his C.V. just listed his NYC adrs. However, his C.V. does include publishing on MAOIs in the 1980s.They're into integrating conventional and alternative psychiatry. The book of theirs I have is about the herb rhodiola, called The Rhodiola Revolution. They both also have teaching appointments at medical schools. From the big achievements of their C.V.s I'd imagine they are expensive or hard to get apts. w/, but I don't know.
They sound personable in thier book, but then most people would!
Posted by john51 on September 4, 2008, at 19:43:47
In reply to Re: Best way to take Parnate?, posted by softheprairie on September 4, 2008, at 17:30:44
> > >
> > > Anyways, John, how are you? What are you (or your dr.) leaning towards taking next?
> >
> > How am I? Not good! What am I (or my doc ) going to do next? I have NO IDEA!! I called my pdocs office Tuesday to tell him that I felt that I NEEDED to STOP the Parnate...he, of course was not there but his secretary said that he would call me the next day (yesterday).........
> >
> > He never called!!! This is my WONDERFUL CARING PDOC!!!
> >
> > Considering that he had RELUCTANLY agreed to take me back and treat me with the Parnate and then I stopped it after only 4 days, I am pretty sure that he is NOT going to be very sympathetic or helpful OR even willing to do anything more with me.
> >
> > I went to a new therapist (PhD Psych) yesterday and we spent almost an hour filling out a form that: qoute "my lawyer drafted for me in case I get audited by Medicare, and I have been audited by Medicare". I felt like I was being interviewed by a detective. Then, with about 10-15 mintues left in the appointment he asked me, "Ok, where would you like to start?"
> >
> > I don't know if there are ANY copmpetent therapists OR pdocs anywhere here in my area!!! By the way, I live between Utica and Syracuse, NY. This is the Central Upstate portion of the state.
>
>
> I thought I'd throw the names of two psychiatrists out whose book I have, even though it appears they're too far for you to drive to long-term -- Richard P. Brown and Patricia L. Gerbarg (they are a married couple). The dust jacket of their book says they live in upstate NY, her w/ a practice there and he w/ offices in both Manhattan and upstate. An online search showed her office in the town of Kingston, which looks kinda a far drive for you, and his C.V. just listed his NYC adrs. However, his C.V. does include publishing on MAOIs in the 1980s.
>
> They're into integrating conventional and alternative psychiatry. The book of theirs I have is about the herb rhodiola, called The Rhodiola Revolution. They both also have teaching appointments at medical schools. From the big achievements of their C.V.s I'd imagine they are expensive or hard to get apts. w/, but I don't know.
>
> They sound personable in thier book, but then most people would!
>
>
>
>
You're right. That is REALLY FAR...not very practical for me but THANKS ANYWAY!! THANKS FOR CARING!!
Posted by Quintal on September 5, 2008, at 14:20:52
In reply to Re: Best way to take Parnate?, posted by john51 on September 4, 2008, at 19:43:47
The only thing that has saved me when I've trapped in a situation like that has been self medication. Sometimes the mental health services we have just aren't interested in meeting our needs.
Q
Posted by john51 on September 5, 2008, at 16:06:24
In reply to Re: Best way to take Parnate? » john51, posted by Quintal on September 5, 2008, at 14:20:52
> The only thing that has saved me when I've trapped in a situation like that has been self medication. Sometimes the mental health services we have just aren't interested in meeting our needs.
>
> QWOW Q, YOU CAN SAY THAT AGAIN!!! I don't know about the self medication aspect but I AM THOUROUGHLY CONVINCED that this doctor is in NO WAY interested in helping me.
Just to update....I called his office on Tuesday to let him know that I had to STOP taking the Parnate. I spoke to his receptionist who told me that he wasn't in on Tuesday but that she would have him call me on Wednesday. Well he didn't call on Wednesday, so I called again on Thursday and spoke to the receptionist again and she told me that he had been given the message from Tuesday and that he would call me later on Thursday. He did not call. Today is Friday and I still haven't heard back from him. I just called again and this time I was only able to leave a recoreded message (even though his office should be open right now) so I left a message and said " I don't understand why you haven't called me yet..but I am expecting someone to return my 3 messages and I would like to know why it hasn't happend yet" It is obvious that this doctor has NO intention or interest in really helping me or even being simply availabe or responsible.
UNBELIEVABLE!!!
J
Posted by Nadezda on September 6, 2008, at 10:17:36
In reply to Re: Best way to take Parnate? » Quintal, posted by john51 on September 5, 2008, at 16:06:24
John, your Pdoc is being downright irresponsible. Not to call a patient who's having trouble with a med is really unprofessional. Unfortunately, I find that doctors of all kinds do that-- they just don't seem to have time, or feel any obligation to be informed or to help. I don't understand it, really.
How far are you from Syracuse?
Nadezda
Posted by john51 on September 6, 2008, at 10:35:48
In reply to Re: Best way to take Parnate? » john51, posted by Nadezda on September 6, 2008, at 10:17:36
> John, your Pdoc is being downright irresponsible. Not to call a patient who's having trouble with a med is really unprofessional. Unfortunately, I find that doctors of all kinds do that-- they just don't seem to have time, or feel any obligation to be informed or to help. I don't understand it, really.
>
> How far are you from Syracuse?
>
> NadezdaHello Nadezda,
I totally agree with you. At this point, even if the doctor did call me I really have no idea what I would say to him. He has this uncanny ability to make one feel like a fool. If you remember from my earlier posts, I was originally referred to him for the purpose of having ECT. When I told him again and again that I had serious misgivings about ECT and even fear of it and what it could possibly do to me he began treating me with an attitude of...."Well, what DO you want me to do for you." When I agreed to be put on the waiting list at the hospital for ECT treatment and then backed out he was definitely annoyed. In later visits he continued to try to talk me into ECT and I sheepishly agreed only to "Back Out" again and then again a third time. That was when he told me "Three strikes and you're out!" "I won't be able to treat you any more" My other pdoc, the one that had made the referral, then ended up sending me back to him when I wanted to try Parnate. He had to call Dr. ECT to get him to take me back in order to get the script for Parnate. I have the feeling that since I DC'd the Parnate after 4 days (of living hell) without discussing it with him first is why he isn't calling me back! I also have the feeling that if he did call me back he would be very condescending about the whole ordeal. He probably doesn't want me back at all.
To answer your question, about how far I am from Syracuse....I am in Rome, NY which is about 40 miles from downtown Syracuse...about 45 miles from the pdoc's office and about 15 miles from Utica. I am in between Utica and Syracuse.
Thanks for your concern and your interest!!
John
Posted by Nadezda on September 6, 2008, at 11:11:41
In reply to Re: Best way to take Parnate? » Quintal, posted by john51 on September 5, 2008, at 16:06:24
Hey, John. This website, from Upstate Medical Center Dept. of Psychiatry, has a list of pdocs in their physician services there.
http://www.upstate.edu/uh/psych/physicians.php
I'm sure that if you call around, you'll find one of them who's sympathetic and who can either give you a referral or who prescribes Maois.I've done this when I had issues and questions and didn't know anyone to ask-- there are some pdcos who aren't receptive, but others are really helpful. I noticed in looking through google a little that two docs had at least mentioned Maois.
Sanjay Gupta and Ronald Pies and also possibly Thomas Schwartz. I would start with them.
I feel convinced that if you keep on looking, you'll find someone who can help.
Self-medication is fine as far as it goes--if you know what you're doing. But it's not really wise. These drugs are nothing to fool around with--if you could even get them online. Plus, can you really trust these online pharmacies that don't require a prescription?
There are interactions etc, and you just need competent advice and monitoring. I hope you won't go there without exhausting all other options.
Don't give up on finding a good pdoc yet.
Nadezda
Posted by Nadezda on September 6, 2008, at 11:13:23
In reply to Re: Best way to take Parnate? » john51, posted by Nadezda on September 6, 2008, at 11:11:41
Oh, I forgot one other name:
Dr. Adekola Alao
Nadezda
Posted by john51 on September 6, 2008, at 11:21:36
In reply to Re: Best way to take Parnate? » john51, posted by Nadezda on September 6, 2008, at 11:11:41
> Hey, John. This website, from Upstate Medical Center Dept. of Psychiatry, has a list of pdocs in their physician services there.
>
> http://www.upstate.edu/uh/psych/physicians.php
>
>
> I'm sure that if you call around, you'll find one of them who's sympathetic and who can either give you a referral or who prescribes Maois.
>
> I've done this when I had issues and questions and didn't know anyone to ask-- there are some pdcos who aren't receptive, but others are really helpful. I noticed in looking through google a little that two docs had at least mentioned Maois.
>
> Sanjay Gupta and Ronald Pies and also possibly Thomas Schwartz. I would start with them.
>
> I feel convinced that if you keep on looking, you'll find someone who can help.
>
> Self-medication is fine as far as it goes--if you know what you're doing. But it's not really wise. These drugs are nothing to fool around with--if you could even get them online. Plus, can you really trust these online pharmacies that don't require a prescription?
>
> There are interactions etc, and you just need competent advice and monitoring. I hope you won't go there without exhausting all other options.
>
> Don't give up on finding a good pdoc yet.
>
> NadezdaThanks Nadezda, I do know about Upstate, in fact about 3 years ago I was going there to their Adult Outpatient Clinic. I was being seen by a Resident Psychiatrist. I really like him to and he was very fexible about what he would prescribe. Unfortunately, when his residency was over he had to hand me over to another resident. I have, in fact, been thinking of trying to get in there to see Dr. Thomas Schwartz as he is supposed to specialize in treatment resistant depression. In fact, I am not sure about now, but at one time he was directing a "special" Treatment Resistant Program there. I don't know if it will be possible to actually become an actual patient of his or if it will result in being under the care of another Resident. Although that could be ok if the Resident is supervised by Dr. Schwartz.
Thanks for the tip. You obviously are doing some digging to try to help me....THANK YOU SO MUCH!!!!
John
Posted by Quintal on September 6, 2008, at 18:54:37
In reply to Re: Best way to take Parnate? » Quintal, posted by john51 on September 5, 2008, at 16:06:24
> WOW Q, YOU CAN SAY THAT AGAIN!!! I don't know about the self medication aspect but I AM THOUROUGHLY CONVINCED that this doctor is in NO WAY interested in helping me.
>
> Just to update....I called his office on Tuesday to let him know that I had to STOP taking the Parnate. I spoke to his receptionist who told me that he wasn't in on Tuesday but that she would have him call me on Wednesday. Well he didn't call on Wednesday, so I called again on Thursday and spoke to the receptionist again and she told me that he had been given the message from Tuesday and that he would call me later on Thursday. He did not call. Today is Friday and I still haven't heard back from him. I just called again and this time I was only able to leave a recoreded message (even though his office should be open right now) so I left a message and said " I don't understand why you haven't called me yet..but I am expecting someone to return my 3 messages and I would like to know why it hasn't happend yet" It is obvious that this doctor has NO intention or interest in really helping me or even being simply availabe or responsible.
>
> UNBELIEVABLE!!!
>
> JI hope you can find a doctor who really looks after you properly. I managed to get away from the last one, and after a gap of two years I now have a truly compassionate pdoc. The drugs I've had from him so far haven't been any more effective than the others, but just knowing he takes an interest makes all the difference.
Q
Posted by john51 on September 7, 2008, at 13:49:18
In reply to Re: Best way to take Parnate? » john51, posted by Quintal on September 6, 2008, at 18:54:37
> > WOW Q, YOU CAN SAY THAT AGAIN!!! I don't know about the self medication aspect but I AM THOUROUGHLY CONVINCED that this doctor is in NO WAY interested in helping me.
> >
> > Just to update....I called his office on Tuesday to let him know that I had to STOP taking the Parnate. I spoke to his receptionist who told me that he wasn't in on Tuesday but that she would have him call me on Wednesday. Well he didn't call on Wednesday, so I called again on Thursday and spoke to the receptionist again and she told me that he had been given the message from Tuesday and that he would call me later on Thursday. He did not call. Today is Friday and I still haven't heard back from him. I just called again and this time I was only able to leave a recoreded message (even though his office should be open right now) so I left a message and said " I don't understand why you haven't called me yet..but I am expecting someone to return my 3 messages and I would like to know why it hasn't happend yet" It is obvious that this doctor has NO intention or interest in really helping me or even being simply availabe or responsible.
> >
> > UNBELIEVABLE!!!
> >
> > J
>
> I hope you can find a doctor who really looks after you properly. I managed to get away from the last one, and after a gap of two years I now have a truly compassionate pdoc. The drugs I've had from him so far haven't been any more effective than the others, but just knowing he takes an interest makes all the difference.
>
> QQ, I couldn't agree with you more!! I have to have a doctor that makes me comfortable, not intimidated, and I have to feel as though he actually "sees me" "hears me" and cares about what I am going through. I mean for gosh sakes ESPECIALLY if its a Psychiatrist!!!!
Thanks Q,
John
Posted by Don_Bristol on September 7, 2008, at 20:56:38
In reply to Re: Best way to take Parnate? » john51, posted by Quintal on August 31, 2008, at 10:21:12
Hello Quintal, I'm interested to know if you experienced any problems with concentration or memory on the Parnate. Rather than distort this thread I started another one today (Sunday, Sept 7th). I'd be interested in any views you have on what I write there.
<http://www.dr-bob.org/babble/20080903/msgs/850867.html>;
Thanks for any info.
Don> QUINTAL WROTE: Parnate made me feel terrible at low doses. I
> became suicidal during the first week at 30mg, and
> very tired too. I only felt the amphetamine-like effects
> when I raised the dose to 40mg and then I started to
> feel better. My therapeutic dose was 80-120mg and
> at that range it was one of the best antidepressants
> I've ever taken. I would have had a very poor view
> of Parnate if I'd stopped at 30mg.
>
> I used to take it in divded doses of about 30mg at
> a time throughout the day. The afternoon sleepiness
> is known as the 'parnate slump' among veterans of
> the drug. I found the best way around it was to take
> about three 30mg doses, one at breakfast, one at lunch
> and the third at about 5:00PM, or sometimes later. I
> found that intense fatigue and sleepiness set in about
> three or four hours after a 30mg dose, so I would
> take my last dose about four hours before I planned
> on going to bed. I had no trouble falling asleep using
> Parnate this way, although I was taking 4mg
> clonazepam with it.
This is the end of the thread.
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