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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by SLS on May 29, 2013, at 21:22:41
What's up?
- Scott
Posted by g_g_g_unit on May 30, 2013, at 1:03:58
In reply to g_g_g_unit, posted by SLS on May 29, 2013, at 21:22:41
> What's up?
>
>
> - ScottAww thanks for checking in Scott. It means a lot -- might not seem it, but I appreciate it.
Unfortunately, I became gravely ill two weeks ago with some of condition provoked by excessive vomiting. I was hospitalized, released, with no cause found.
The symptoms (intense nausea) started up again two days ago. I do not see the connection, personally, but my psychiatrist has asked me to discontinue Parnate without out any plan to return to it in the near future. He's worried it might have caused some kind of physical reaction, but the same thing occurred a week *before* I started Parnate.
Part of me is a little relieved, because my ability to tolerate side-effects in trials is worsening (mostly psychologically) and there was quite a lot I was tolerating at the start there. But I would have been curious to know what a higher dose might have done.
As a p.s. have you ever heard of mild hallucinations as either a)a withdrawal symptom of Parnate, or b)paradoxical reaction to lorazepam? I had to quit Parnate 40mg cold-turkey two days ago. I was put on lorizaepam, which is sigh--cognitively-- messing things up and increasing anxiety at times, but I'm also having very benign hallucinations (while, clearly, I hope, being quite lucid of mind, spelling not always notwithstanding).
And how are you, my friend?
Posted by g_g_g_unit on May 30, 2013, at 1:39:08
In reply to Re: g_g_g_unit » SLS, posted by g_g_g_unit on May 30, 2013, at 1:03:58
Yesterday took 4mg before bed trying to wipe out horrendous akathisia; then another 4pm altogether before dinner so far, as doc wants me on 3-4 a day, I guess the high dosing would explain things ..
Still can't tell if it's hurting or helping anxiety.
Posted by SLS on May 30, 2013, at 5:34:18
In reply to Re: g_g_g_unit » SLS, posted by g_g_g_unit on May 30, 2013, at 1:03:58
> As a p.s. have you ever heard of mild hallucinations as either a)a withdrawal symptom of Parnate,
The only thing that I can think of is that you are experiencing intense REM (sleep) rebound.
REM rebound occurs when the REM pressure produced by Parnate is suddenly released by its abrupt withdrawal. It is a sling-shot effect. REM pressure occurs because REM sleep is inhibited or completely abolished by Parnate. Not only is dreaming during sleep more intense, but dreaming can occur even while your eyes are open, and can present as hallucinations. Do you also experience sleep paralysis (hypnagogia)?
- Scott
Posted by g_g_g_unit on May 31, 2013, at 5:35:52
In reply to Re: g_g_g_unit » g_g_g_unit, posted by SLS on May 30, 2013, at 5:34:18
That's really interesting. Thank you for the info; I did realize REM could reappear during the day in the form of hallucinations. Like I say, they're completely benign and even enjoyable at times, but my heart goes out to anyone who suffers from a severe psychotic condition: I couldn't imagine what it would be like to have to deal with that on top of a disordered thought process.
Sadly, I'm having some new, as-yet-to-be-explained health (liver and stomach) problems on top of everything else, including severe anxiety and Parnate withdrawal symptoms. I had a poor reaction to Ativan, which isn't too surprising, given that most drugs are best at either producing side-effects or paradoxical reactions in me.
I see my new psychiatrist again a couple of weeks .. hopefully he'll have an idea or two.
This is the end of the thread.
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