![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by emmanuel98 on September 2, 2009, at 2:45:33
I am having worsening insomnia since I started on parnate. Has this been a problem for anyone else? What did you do about it?
Posted by zana on September 2, 2009, at 16:27:10
In reply to parnate and insomnia?, posted by emmanuel98 on September 2, 2009, at 2:45:33
I will be very interested to see what others have to say about this since I am considering a parnate trial but am scared to death of insomnia.
Hope others post.
Zana
Posted by Sunbath on September 2, 2009, at 17:05:32
In reply to parnate and insomnia?, posted by emmanuel98 on September 2, 2009, at 2:45:33
me too..
I'm already taking 150mg trazodone retard + 20mg amitriptyline without being on parnate to let me sleep.. I wonder what I will have to take when I'm (if a pdoc will prescribe it to me) on parnate..
Emmanuel: Do you take parnate as monotherapy?If so you could for example ask your doc about prescribing low dose trazodone, seroquel, amitriptylin or doxepine. I think either option would probably make you sleep again..
Good luck!!
Posted by g_g_g_unit on September 3, 2009, at 1:52:57
In reply to Re: parnate and insomnia?, posted by Sunbath on September 2, 2009, at 17:05:32
from what i understand (well, hope, anyway), the insomnia abates with time. i picked up my Parnate prescription yesterday but have actually been too scared to start taking it due to the insomnia issue. i do have some low-dose Seroquel as a standby. silly, i know, since i fought so hard to get it prescribed. i think part of my self-destructive personality doesn't want me in remission
Posted by emmanuel98 on September 3, 2009, at 19:23:46
In reply to Re: parnate and insomnia?, posted by g_g_g_unit on September 3, 2009, at 1:52:57
I am taking trilafon with the parnate and my p-doc suggested that I take an extra dose at night, which helped last night a lot. The insomnia was pretty bad and I was worried because otherwise parnate is great - no other side effects, works like a charm for a really bad depression. Trazadone is not supposed to be mixed with parnate, so I can't take that for insomnia.
Posted by Sunbath on September 4, 2009, at 7:53:30
In reply to Re: parnate and insomnia?, posted by emmanuel98 on September 3, 2009, at 19:23:46
Hi,
is this something specific to parnate?
Otherwise, the article in current psychiatry vol 1 no.6/june 2002 someone mentioned in an earlier thread suggests that trazodone could be used safely to treat MAOI induced insomnia.
I really hope that it's true, because if I was going to try parnate I'd have to take trazodone with it 'cause I'm using it since more than 2 years and I've become somewhat dependend on it..here some quick links to medline results:
the abstracts don't mention parnate in particular though..
Posted by Girlnterrupted78 on September 4, 2009, at 8:02:31
In reply to parnate and insomnia?, posted by emmanuel98 on September 2, 2009, at 2:45:33
I've had very bad insomnia for the last 10 years and have tried pretty much everything out there without results, except Ambien, which worked great for a month and then stopped.
I started Parnate 3 weeks ago. I'm not entirely sure if it's making the insomnia "worse", since it was pretty bad to begin with. The only difference I do notice is that I don't feel tired the next day even if I only slept 2-3 hours. Before, I used to just nap like crazy and sleep the whole day. But not anymore on Parnate. Well, at least so far..
Last night I went to bed at 2am and by 4:30am I was up and ready to go. This was after not sleeping for the last 24 hours. Very strange.
Posted by emmanuel98 on September 4, 2009, at 22:35:17
In reply to Re: parnate and insomnia?, posted by Girlnterrupted78 on September 4, 2009, at 8:02:31
The only difference I do notice is that I don't feel tired the next day even if I only slept 2-3 hours. Before, I used to just nap like crazy and sleep the whole day. But not anymore on Parnate. Well, at least so far..
>
> Last night I went to bed at 2am and by 4:30am I was up and ready to go. This was after not sleeping for the last 24 hours. Very strange.That's how parnate, without the trilafon, worked for me. No sleep, but wide awake all day, no naps. But after 48 hours with no sleep, I felt, psychologically done in. I don't like being up when my husband and the whole world are asleep. With the trilafon, I started sleeping normally -- down at 11:30, up at 6:00-7:00. This feels much healhier emotionally.
Posted by FredPotter on September 8, 2009, at 21:18:11
In reply to Re: parnate and insomnia?, posted by g_g_g_unit on September 3, 2009, at 1:52:57
Insomnia due to Parnate can be helped by taking 50mg - 75mg nortriptyline in the evening. Or perhaps 10mg doxepin
Posted by ColoradoSnowflake on September 9, 2009, at 0:48:14
In reply to Re: parnate and insomnia?, posted by FredPotter on September 8, 2009, at 21:18:11
I take 50mg (sometimes 75mg) Nortriptyline at 7pm and I have not had one bit of insomnia from Parnate.
The Parnate also seems to neutralize the usual side effects of Nortrip like carb hunger.I am going to increase my Parnate to 70mg. and hope it doesn't cause insomnia. But, so far, so good! The nortriptyline is great, even though I also take 200mg/day Provigil. No insomnia!
Gayle
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.