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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by 4WD on September 20, 2012, at 5:13:56
Hello everyone. I've been away from Psychobabble for years but have kept running across relevant posts lately while browsing the internet so I decided to come back. Its been a bad, very bad last several years, including a 2 week stay in a psych ward (last minute alternative to suicide), followed by a brief series of ECT treatments (helped marginally, but only five treatments. I've just started Parnate as a last resort and it is, so far, a baffling drug. One dose puts me to sleep and another dose wires me up. Sleep all day, insomnia at night. I've only been on it 6 days, through-maybe it will even out.
Posted by jono_in_adelaide on September 20, 2012, at 6:02:03
In reply to New to Parnate, posted by 4WD on September 20, 2012, at 5:13:56
Ask your doc for some sleeping pills to help get you back into a normal sleep pattern - living a reverse life cant be doing your condition any good.
Posted by AlexCanada on September 20, 2012, at 6:26:06
In reply to New to Parnate, posted by 4WD on September 20, 2012, at 5:13:56
> Hello everyone. I've been away from Psychobabble for years but have kept running across relevant posts lately while browsing the internet so I decided to come back. Its been a bad, very bad last several years, including a 2 week stay in a psych ward (last minute alternative to suicide), followed by a brief series of ECT treatments (helped marginally, but only five treatments. I've just started Parnate as a last resort and it is, so far, a baffling drug. One dose puts me to sleep and another dose wires me up. Sleep all day, insomnia at night. I've only been on it 6 days, through-maybe it will even out.
Out of the dozens of meds I've tried Parnate is among the top 2 for my strong melancholic dep + anxiety.
Daytime sedation can often occur with this medication and this may be related to how parnate is often taken at the start of one's day. For me such was the case. When I took one of my doses before bed I found it moderately helpful in dealing with the insomnia and having less daytime sedation.
Many of the side effects from the first few weeks do subside to some degree. It is one of the most promising medications out there. Try and stick with it and perhaps try changing dosing times.
Something to help with sleep may be crucial though. Years ago the insomnia from Parnate was so fierce that I was averaging a few hours sleep a day. Gabapentin is a possibility but others may know of better sleeping solutions. Valium I take personally but benzos can cause dependency thus the pros and cons should be weighed.
Posted by SLS on September 20, 2012, at 7:46:06
In reply to New to Parnate, posted by 4WD on September 20, 2012, at 5:13:56
You have already received good advice, and there isn't much I would add at this point except to wish you luck.
- Scott
Posted by phillipa on September 20, 2012, at 9:58:40
In reply to Re: New to Parnate » 4WD, posted by SLS on September 20, 2012, at 7:46:06
Hi!!!! I've stayed. Wanted to welcome you back. I'm sorry though as had thought you were fine. Phillipa
Posted by phillipa on September 20, 2012, at 10:18:35
In reply to Re: New to Parnate » SLS, posted by phillipa on September 20, 2012, at 9:58:40
Posted by enndub on September 20, 2012, at 14:26:52
In reply to New to Parnate, posted by 4WD on September 20, 2012, at 5:13:56
Nardil did the exact same thing to me... Tired all day, wide awake all night. You should be back to normal after a month or two. It's pretty hard to get anything done while you get started, but in my case at least, it was well worth it.
Posted by jono_in_adelaide on September 20, 2012, at 18:26:35
In reply to Re: New to Parnate, posted by enndub on September 20, 2012, at 14:26:52
A benzo or a Z Drug would seem likely options for you - effective sleep inducing agenst, and no interaction with Parnate
Doxepin is a non benzo option, low doses such as 10-20mg at night provide a good sedative effect.
If you're going to need night sedation longish term, it might be worth considering rotating sleep meds, taking sat a benzo like temazepam one night, and an antidepressant like doxepin the next, and so on, to reduce any tolorance that ight occur
Posted by 4WD on September 24, 2012, at 1:52:43
In reply to Re: New to Parnate, posted by jono_in_adelaide on September 20, 2012, at 18:26:35
Thank you all. I got a good nights sleep last night via 75mg Lyrica plus my usual bedtime dose of .5mg Klonopin, 20mg Geodon, and 50mg Trazadone. None of those were being taken to help me fall asleep previously-just for anxiety and fl the to prevent washing up too early in a panic.
I hope rye sleep issues do resolve soon but in the meantime my blood pressure is having a wild ride. With no forbidden foods at all, it has been from 180/105 down to 65/50 in the course of 24 hours. Mostly it's been to low and I've had problems feeling faint. I was on Nardil for almost three years earlier and I had the same problem. Drinking salt water was rye only way I could keep it up. But I never had the high bp issue with Nardil. Oh well. If anyone has suggestions other than bp meds, Id appreciate it.
Btw Wish me luck-After 8 years on SS disability, I have an interview tomorrow for my former job as Director of the public library in my city. Parnate did that for me already and I've not yet been on it two weeks.
Posted by Roslynn on September 24, 2012, at 16:19:07
In reply to Re: New to Parnate, posted by 4WD on September 24, 2012, at 1:52:43
Best of luck to you!!
If you don't mind me asking, have you been working part-time while on SS, or volunteering, etc? How will you discuss the gap in employment if there is indeed one? This is something that concerns me too.
If this is too personal a question, please accept my apology.
Best,
Roslynn
> Btw Wish me luck-After 8 years on SS disability, I have an interview tomorrow for my former job as Director of the public library in my city. Parnate did that for me already and I've not yet been on it two weeks.
Posted by 4WD on September 24, 2012, at 18:30:00
In reply to Re: New to Parnate, posted by Roslynn on September 24, 2012, at 16:19:07
> Best of luck to you!!
>
> If you don't mind me asking, have you been working part-time while on SS, or volunteering, etc? How will you discuss the gap in employment if there is indeed one? This is something that concerns me too.
>
> If this is too personal a question, please accept my apology.
>I wasn't asked. But it came up previously when I was denied even the interview at first. I had a volunteer position of diets for a couple of years 2008-2010 as church librarian. But I managed to change the picture as to why I left over tr choose if the time off. I originally left because I the stress was causing me to get worse. But I was also the primary caretaker at the time for both my parents-father had a stroke and mother diagnosed with Alzheimers disease and duster style half their life savings and spent it on herself. So the story was that I left to take care of my .parents. Eventually the stress did result in a"nervous breakdown" where it came down to suicide our hospitalization. I had been planning my suicide but called my poetic instead and went to the hospital and then had ECTx 5 treatments. But they didn't know all that. I just left to"take care if my parents." I didn't apply for stability immediately when I left work-Pi didn't expect to get so suck. I finally adopted about 3 years later.
As for your situation, can you think if any plausible other reason for having been gone? If not, telling the truth might not hurt you especially if there were some precipitating event that now is over and you are ok .again.
And remember, ss disability will keep paying you for the first 9 months after you return to work-to give you time to see if you Ares going to be able to handle it. I don't know choir sure that I can. I've only been better a week or so. But the job was now or never so I had to gather my resources and do my best. I hope I'll gave a couple if weeks before actually starting to try and get stronger and more stable.
Marsha
P.s. No question is too personal for me.>
>
> > Btw Wish me luck-After 8 years on SS disability, I have an interview tomorrow for my former job as Director of the public library in my city. Parnate did that for me already and I've not yet been on it two weeks.
>
>
Posted by 4WD on September 24, 2012, at 18:51:24
In reply to Re: New to Parnate, posted by Roslynn on September 24, 2012, at 16:19:07
Admittedly I've been adding ginseng (a no no) and an energy Downey so the first thing to do us stop that. But thus scares me. Where does stroke territory start? Although I'd rather a stroke (by far) than give up the small gains I'm making so far on Parnate.
Posted by jono_in_adelaide on September 25, 2012, at 0:07:49
In reply to Re: New to Parnate-bp spiking to 195/122!, posted by 4WD on September 24, 2012, at 18:51:24
Stop taking the ginseng and the energy bomb right away, and reassess your diet - read the MAOI diet sheet and stick closely to it.
Contact your doctor about your BP - you realy dont need a stroke on top of everything else, and 195 is dangerously high (assuming your machine is reading accuratly)
Maybe you could continue Parnate while taking an antihypertensive to keep your BP down?
This is the end of the thread.
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