Psycho-Babble Medication Thread 1085235

Shown: posts 1 to 24 of 24. This is the beginning of the thread.

 

Parnate shame

Posted by bkva23 on January 8, 2016, at 18:32:57

The reason i choose to stick with parnate is if you do a simple google user rating youll see time and time again "this med works" "this med saved my life" and so on.I think its a shame nothing has been done to the drug at all,they should at least create a 25 mg tablet so you dont have to have a hundred 10 mg pills on you.

And if someone thinks the answer is cause their maois and they hold danger,well were seeing tons of lawyer commercials now on the posions of ssris,ive been on parnate 15 years and not only had no problems but found it to play nice with most other meds.

 

Re: Parnate shame

Posted by rjlockhart37 on January 8, 2016, at 22:17:25

In reply to Parnate shame, posted by bkva23 on January 8, 2016, at 18:32:57

Parnate is one of the most effective antidepressants there are, that and Nardil and Marplan to lesser extent

Maryln Monroe took Parnate for depression, i was watching a show on her life, parnate just came out and her psychiatrist used it.

It's a very good med, even i would ask to switch to it over Prozac but i have to stay where i am because my doctor doenst want to use MAOI's

 

Re: Parnate shame

Posted by John locke on January 8, 2016, at 22:25:46

In reply to Parnate shame, posted by bkva23 on January 8, 2016, at 18:32:57

> The reason i choose to stick with parnate is if you do a simple google user rating youll see time and time again "this med works" "this med saved my life" and so on.I think its a shame nothing has been done to the drug at all,they should at least create a 25 mg tablet so you dont have to have a hundred 10 mg pills on you.
>
> And if someone thinks the answer is cause their maois and they hold danger,well were seeing tons of lawyer commercials now on the posions of ssris,ive been on parnate 15 years and not only had no problems but found it to play nice with most other meds.

What have you been taking it for?

 

Re: Parnate shame

Posted by bkva23 on January 8, 2016, at 23:00:50

In reply to Re: Parnate shame, posted by John locke on January 8, 2016, at 22:25:46

Severe treatment resisant depression.Its the only med that made me feel life come back.However as i mentioned its effects were short lived until adding a psycho stimulant to it,not only did it increase its effect ten fold,but i was able to lower my then high parnate dose.

 

Re: Parnate shame

Posted by John locke on January 9, 2016, at 12:53:14

In reply to Re: Parnate shame, posted by bkva23 on January 8, 2016, at 23:00:50

> Severe treatment resisant depression.Its the only med that made me feel life come back.However as i mentioned its effects were short lived until adding a psycho stimulant to it,not only did it increase its effect ten fold,but i was able to lower my then high parnate dose.

That is wonderful. Have you ever gotten off it and back on?

 

Re: Parnate shame

Posted by bkva23 on January 9, 2016, at 17:11:30

In reply to Re: Parnate shame, posted by John locke on January 9, 2016, at 12:53:14

Nope even when it stopped working i knew i could never return to ssris,butthank god i came across the stimulantaddition its been a god send to it

 

Re: Parnate shame » bkva23

Posted by Bob on January 10, 2016, at 0:38:56

In reply to Re: Parnate shame, posted by bkva23 on January 9, 2016, at 17:11:30

> Nope even when it stopped working i knew i could never return to ssris,butthank god i came across the stimulantaddition its been a god send to it


What stimulant did you add to it?

 

Re: Parnate shame » Bob

Posted by bkva23 on January 11, 2016, at 8:40:23

In reply to Re: Parnate shame » bkva23, posted by Bob on January 10, 2016, at 0:38:56

Luckily it seems most stimulants do help some. Adderall seems to be the best however, with my doc unwilling to rx that, I ended up with the milder Ritalin; for which I had to nearly beg. I'd prefer the dose be larger (10 mg twice a day). For the record, the hard to get scripted, but easily obtainable Modafinil, and its pro-drug adrafinil seem to work well also.

 

Re: Parnate shame » bkva23

Posted by Bob on January 11, 2016, at 23:28:07

In reply to Re: Parnate shame » Bob, posted by bkva23 on January 11, 2016, at 8:40:23

> Luckily it seems most stimulants do help some. Adderall seems to be the best however, with my doc unwilling to rx that, I ended up with the milder Ritalin; for which I had to nearly beg. I'd prefer the dose be larger (10 mg twice a day). For the record, the hard to get scripted, but easily obtainable Modafinil, and its pro-drug adrafinil seem to work well also.


I'm assuming that your doctor was reluctant to Rx Adderall because he was worried about a MAOI reaction?

 

Re: Parnate shame

Posted by SLS on January 12, 2016, at 6:38:36

In reply to Re: Parnate shame » bkva23, posted by Bob on January 11, 2016, at 23:28:07

> > Luckily it seems most stimulants do help some. Adderall seems to be the best however, with my doc unwilling to rx that, I ended up with the milder Ritalin; for which I had to nearly beg. I'd prefer the dose be larger (10 mg twice a day). For the record, the hard to get scripted, but easily obtainable Modafinil, and its pro-drug adrafinil seem to work well also.
>
>
> I'm assuming that your doctor was reluctant to Rx Adderall because he was worried about a MAOI reaction?

Parnate and Adderall go well together. Focalin is another drug that can be added to Parnate. I prefer Focalin to Ritalin in that it seems to me to be smoother with less of a let down when it wears off.

Any drug that inhibits the reuptake of serotonin (SSRI, SNRI, others) is strictly prohibited.


- Scott

 

Re: Parnate shame » SLS

Posted by Bob on January 12, 2016, at 14:03:52

In reply to Re: Parnate shame, posted by SLS on January 12, 2016, at 6:38:36

> > > Luckily it seems most stimulants do help some. Adderall seems to be the best however, with my doc unwilling to rx that, I ended up with the milder Ritalin; for which I had to nearly beg. I'd prefer the dose be larger (10 mg twice a day). For the record, the hard to get scripted, but easily obtainable Modafinil, and its pro-drug adrafinil seem to work well also.
> >
> >
> > I'm assuming that your doctor was reluctant to Rx Adderall because he was worried about a MAOI reaction?
>
> Parnate and Adderall go well together. Focalin is another drug that can be added to Parnate. I prefer Focalin to Ritalin in that it seems to me to be smoother with less of a let down when it wears off.
>
> Any drug that inhibits the reuptake of serotonin (SSRI, SNRI, others) is strictly prohibited.
>
>
> - Scott


Is it only serotonin reuptake that is prohibited? My doctor won't mix a MAOI with nortriptyline and some other meds that modify dopamine/norepinephrine. He claims that serotonin is not the only danger.

 

Re: Parnate shame » Bob

Posted by SLS on January 12, 2016, at 14:38:36

In reply to Re: Parnate shame » SLS, posted by Bob on January 12, 2016, at 14:03:52

> > > > Luckily it seems most stimulants do help some. Adderall seems to be the best however, with my doc unwilling to rx that, I ended up with the milder Ritalin; for which I had to nearly beg. I'd prefer the dose be larger (10 mg twice a day). For the record, the hard to get scripted, but easily obtainable Modafinil, and its pro-drug adrafinil seem to work well also.

> > > I'm assuming that your doctor was reluctant to Rx Adderall because he was worried about a MAOI reaction?

> > Parnate and Adderall go well together. Focalin is another drug that can be added to Parnate. I prefer Focalin to Ritalin in that it seems to me to be smoother with less of a let down when it wears off.
> >
> > Any drug that inhibits the reuptake of serotonin (SSRI, SNRI, others) is strictly prohibited.

> Is it only serotonin reuptake that is prohibited? My doctor won't mix a MAOI with nortriptyline and some other meds that modify dopamine/norepinephrine. He claims that serotonin is not the only danger.

In deference to your doctor, I believe that he is under the wrong impression.

Serotonin might not be the only danger, but one can safely add the secondary amine TCAs (desipramine, nortriptyline), methylphenidate, amphetamine, and dopamine receptor agonists (pramepexole, ropinerole).

I have been on Parnate 120 mg/day in combination with one or more of the following: desipramine, nortriptyline, amphetamine, methylphenidate, bromocriptine (DA agonist), and Wellbutrin.

Try adding lithium (300-600 mg/day) for depression. For me, 300 mg/day is the sweet-spot.


- Scott

 

Re: Parnate shame » SLS

Posted by Bob on January 13, 2016, at 14:36:32

In reply to Re: Parnate shame » Bob, posted by SLS on January 12, 2016, at 14:38:36

> > > > > Luckily it seems most stimulants do help some. Adderall seems to be the best however, with my doc unwilling to rx that, I ended up with the milder Ritalin; for which I had to nearly beg. I'd prefer the dose be larger (10 mg twice a day). For the record, the hard to get scripted, but easily obtainable Modafinil, and its pro-drug adrafinil seem to work well also.
>
> > > > I'm assuming that your doctor was reluctant to Rx Adderall because he was worried about a MAOI reaction?
>
> > > Parnate and Adderall go well together. Focalin is another drug that can be added to Parnate. I prefer Focalin to Ritalin in that it seems to me to be smoother with less of a let down when it wears off.
> > >
> > > Any drug that inhibits the reuptake of serotonin (SSRI, SNRI, others) is strictly prohibited.
>
> > Is it only serotonin reuptake that is prohibited? My doctor won't mix a MAOI with nortriptyline and some other meds that modify dopamine/norepinephrine. He claims that serotonin is not the only danger.
>
> In deference to your doctor, I believe that he is under the wrong impression.
>
> Serotonin might not be the only danger, but one can safely add the secondary amine TCAs (desipramine, nortriptyline), methylphenidate, amphetamine, and dopamine receptor agonists (pramepexole, ropinerole).
>
> I have been on Parnate 120 mg/day in combination with one or more of the following: desipramine, nortriptyline, amphetamine, methylphenidate, bromocriptine (DA agonist), and Wellbutrin.
>
> Try adding lithium (300-600 mg/day) for depression. For me, 300 mg/day is the sweet-spot.
>
>
> - Scott
>

Found this in Stahl's "Essential Pyschopharmacology of Depression and Bipolar Disorder":

"One old-fashioned augmentation strategy that has fallen out of favor in recent years is to combine with great caution a TCA and an MAO inhibitor. Given its potential dangers (e.g., sudden hypertensive episodes, orthostatic hypotension, drug and dietary interactions, obesity), as well as the wide variety of other antidepressant combinations available today, this combination is rarely necessary or justified."

The date of last printing on the book is 2001 and I'm not sure if this has been updated. I wonder if his opinion has changed any?

When he says with great caution, what exactly does that mean in a practical real-world application?

Bob

 

Re: Parnate shame » SLS

Posted by Bob on January 13, 2016, at 14:49:26

In reply to Re: Parnate shame » Bob, posted by SLS on January 12, 2016, at 14:38:36

> > > > > Luckily it seems most stimulants do help some. Adderall seems to be the best however, with my doc unwilling to rx that, I ended up with the milder Ritalin; for which I had to nearly beg. I'd prefer the dose be larger (10 mg twice a day). For the record, the hard to get scripted, but easily obtainable Modafinil, and its pro-drug adrafinil seem to work well also.
>
> > > > I'm assuming that your doctor was reluctant to Rx Adderall because he was worried about a MAOI reaction?
>
> > > Parnate and Adderall go well together. Focalin is another drug that can be added to Parnate. I prefer Focalin to Ritalin in that it seems to me to be smoother with less of a let down when it wears off.
> > >
> > > Any drug that inhibits the reuptake of serotonin (SSRI, SNRI, others) is strictly prohibited.
>
> > Is it only serotonin reuptake that is prohibited? My doctor won't mix a MAOI with nortriptyline and some other meds that modify dopamine/norepinephrine. He claims that serotonin is not the only danger.
>
> In deference to your doctor, I believe that he is under the wrong impression.
>
> Serotonin might not be the only danger, but one can safely add the secondary amine TCAs (desipramine, nortriptyline), methylphenidate, amphetamine, and dopamine receptor agonists (pramepexole, ropinerole).
>
> I have been on Parnate 120 mg/day in combination with one or more of the following: desipramine, nortriptyline, amphetamine, methylphenidate, bromocriptine (DA agonist), and Wellbutrin.
>
> Try adding lithium (300-600 mg/day) for depression. For me, 300 mg/day is the sweet-spot.
>
>
> - Scott
>


Scott,

I am currently on: nortriptyline (200mg/day), lithium (about 225mg/day), aripiprazole (2mg/day). I also had a low dose of Brintellix in the mix until recently. I'm thinking I may have to add it back in as I have a lot of aches and pain along with a generally less favorable mood. I removed it due to apathy and fatigue as well as sexual side effects (the latter of which are still largely present unfortunately).

If you don't mind me asking, what is your current regimen?

Bob

 

Re: Parnate shame » Bob

Posted by SLS on January 13, 2016, at 20:55:25

In reply to Re: Parnate shame » SLS, posted by Bob on January 13, 2016, at 14:36:32

I read that a long time ago...

I was forced to consider the possibility that Dr. Stahl might not be right about everything. It was very traumatic. :-)

I guess the key words are "rarely necessary or justified". This is a judgement call, not an absolute contraindication. Of the things he listed, only one is a matter of safety - sudden hypertensive events - something to be considered seriously. However, even Parnate by itself is capable of doing this. I can only describe what has worked for me in the past and the combinations I have taken since. Most of the doctors who have experience with such things are now 75-85 years old. My current doctor sort of inherited my treatment regime. I just want to emphasize that the only two tricyclic antidepressants that I would consider adding to MAOI are desipramine and nortriptyline.


- Scott

 

Re: Parnate shame » Bob

Posted by SLS on January 13, 2016, at 21:26:14

In reply to Re: Parnate shame » SLS, posted by Bob on January 13, 2016, at 14:49:26

> I am currently on: nortriptyline (200mg/day), lithium (about 225mg/day), aripiprazole (2mg/day). I also had a low dose of Brintellix in the mix until recently. I'm thinking I may have to add it back in as I have a lot of aches and pain along with a generally less favorable mood. I removed it due to apathy and fatigue as well as sexual side effects (the latter of which are still largely present unfortunately).

That is a lot of nortriptyline - perhaps too much to allow for a therapeuric response. There is a therapeutic window for nortriptyline. Let's say that you found 75 mg/day to work well. At some point, you decide to increase the dosage to see whether or not you can obtain an even better response. You might actually lose the response entirely at 100 mg/day. For me, 100 mg/day works better than 150 mg/day.

In the ancient past, when TCA were added to MAOI on rare occasions, it was recommended that one start the TCA first. Of course, you are now in a position to do that. You would have to discontinue the Brintellix, though.

Before you go there, I would consider adding Cymbalta first and retain the nortriptyline once you determine the best dosage for you. Perhaps the aches and pains indicate that you are a Cymbalta responder. I don't know. Certainly, Cymbalta really is uniquely well-suited for treating aches and pains.

> If you don't mind me asking, what is your current

Currently:

Parnate 80 mg/day
desiipramine 300 mg/day
Lamictal 300 mg/day
lithium 300 mg/day
Abilify 10 mg/day
prazosin 30 mg/day

I've been taking 300 mg/day of desipramine for a few weeks. It feels like I am beginning to respond to it. 250 mg/day was not enough. I felt kind of strange for about a week once I reached 300 mg/day. I toughed it out because it reminded me of how I felt just before remitting using a combination of Parnate 60 mg/day + desipramine 150 mg/day It is interesting that I should need more of both drugs 28 years later. Age? Years of illness? Number of drug exposures?


- Scott

 

Re: Parnate shame » SLS

Posted by Bob on January 13, 2016, at 22:55:18

In reply to Re: Parnate shame » Bob, posted by SLS on January 13, 2016, at 20:55:25

> I read that a long time ago...
>
> I was forced to consider the possibility that Dr. Stahl might not be right about everything. It was very traumatic. :-)
>
> I guess the key words are "rarely necessary or justified". This is a judgement call, not an absolute contraindication. Of the things he listed, only one is a matter of safety - sudden hypertensive events - something to be considered seriously. However, even Parnate by itself is capable of doing this. I can only describe what has worked for me in the past and the combinations I have taken since. Most of the doctors who have experience with such things are now 75-85 years old. My current doctor sort of inherited my treatment regime. I just want to emphasize that the only two tricyclic antidepressants that I would consider adding to MAOI are desipramine and nortriptyline.
>
>
> - Scott


Did your current doctor have anything at all to say about the MAOI + TCA combo you were on?

 

Re: Parnate shame » SLS

Posted by Bob on January 13, 2016, at 23:03:01

In reply to Re: Parnate shame » Bob, posted by SLS on January 13, 2016, at 21:26:14

> > I am currently on: nortriptyline (200mg/day), lithium (about 225mg/day), aripiprazole (2mg/day). I also had a low dose of Brintellix in the mix until recently. I'm thinking I may have to add it back in as I have a lot of aches and pain along with a generally less favorable mood. I removed it due to apathy and fatigue as well as sexual side effects (the latter of which are still largely present unfortunately).
>
> That is a lot of nortriptyline - perhaps too much to allow for a therapeuric response. There is a therapeutic window for nortriptyline. Let's say that you found 75 mg/day to work well. At some point, you decide to increase the dosage to see whether or not you can obtain an even better response. You might actually lose the response entirely at 100 mg/day. For me, 100 mg/day works better than 150 mg/day.
>
> In the ancient past, when TCA were added to MAOI on rare occasions, it was recommended that one start the TCA first. Of course, you are now in a position to do that. You would have to discontinue the Brintellix, though.
>
> Before you go there, I would consider adding Cymbalta first and retain the nortriptyline once you determine the best dosage for you. Perhaps the aches and pains indicate that you are a Cymbalta responder. I don't know. Certainly, Cymbalta really is uniquely well-suited for treating aches and pains.
>
> > If you don't mind me asking, what is your current
>
> Currently:
>
> Parnate 80 mg/day
> desiipramine 300 mg/day
> Lamictal 300 mg/day
> lithium 300 mg/day
> Abilify 10 mg/day
> prazosin 30 mg/day
>
> I've been taking 300 mg/day of desipramine for a few weeks. It feels like I am beginning to respond to it. 250 mg/day was not enough. I felt kind of strange for about a week once I reached 300 mg/day. I toughed it out because it reminded me of how I felt just before remitting using a combination of Parnate 60 mg/day + desipramine 150 mg/day It is interesting that I should need more of both drugs 28 years later. Age? Years of illness? Number of drug exposures?
>
>
> - Scott


I actually had a feeling you might say that about the nortriptyline. The accepted levels for the therapeutic window these days is 50-150 ng/mL. The Mayo Clinic even allows for it to go as high as 170 ng/mL. My levels have been tested many times and are currently in the 132 ng/mL range. Are you saying that despite this value I would probably benefit from a lower dose?

So you've come across research about Cymbalta being particularly good for aches and pains (as opposed to other SNRIs)?

Bob

 

Re: Parnate shame » SLS

Posted by Bob on January 13, 2016, at 23:35:36

In reply to Re: Parnate shame » Bob, posted by SLS on January 13, 2016, at 21:26:14

> > I am currently on: nortriptyline (200mg/day), lithium (about 225mg/day), aripiprazole (2mg/day). I also had a low dose of Brintellix in the mix until recently. I'm thinking I may have to add it back in as I have a lot of aches and pain along with a generally less favorable mood. I removed it due to apathy and fatigue as well as sexual side effects (the latter of which are still largely present unfortunately).
>
> That is a lot of nortriptyline - perhaps too much to allow for a therapeuric response. There is a therapeutic window for nortriptyline. Let's say that you found 75 mg/day to work well. At some point, you decide to increase the dosage to see whether or not you can obtain an even better response. You might actually lose the response entirely at 100 mg/day. For me, 100 mg/day works better than 150 mg/day.
>
> In the ancient past, when TCA were added to MAOI on rare occasions, it was recommended that one start the TCA first. Of course, you are now in a position to do that. You would have to discontinue the Brintellix, though.
>
> Before you go there, I would consider adding Cymbalta first and retain the nortriptyline once you determine the best dosage for you. Perhaps the aches and pains indicate that you are a Cymbalta responder. I don't know. Certainly, Cymbalta really is uniquely well-suited for treating aches and pains.
>
> > If you don't mind me asking, what is your current
>
> Currently:
>
> Parnate 80 mg/day
> desiipramine 300 mg/day
> Lamictal 300 mg/day
> lithium 300 mg/day
> Abilify 10 mg/day
> prazosin 30 mg/day
>
> I've been taking 300 mg/day of desipramine for a few weeks. It feels like I am beginning to respond to it. 250 mg/day was not enough. I felt kind of strange for about a week once I reached 300 mg/day. I toughed it out because it reminded me of how I felt just before remitting using a combination of Parnate 60 mg/day + desipramine 150 mg/day It is interesting that I should need more of both drugs 28 years later. Age? Years of illness? Number of drug exposures?
>

I too have had diminishing results and required more robust doses of meds as the years have worn on. Been struggling for about 23 years with this crap and been exposed to countless meds and med combos. Tachyphylaxis has definitely reared its ugly head.

>
> - Scott


I forgot to mention that I'm also taking T3 20mcg to augment the nortrip and Abilify. It helped a lot in the first months but now there is less of an effect.

 

Re: Parnate shame » Bob

Posted by SLS on January 14, 2016, at 5:25:55

In reply to Re: Parnate shame » SLS, posted by Bob on January 13, 2016, at 22:55:18

> > I read that a long time ago...
> >
> > I was forced to consider the possibility that Dr. Stahl might not be right about everything. It was very traumatic. :-)
> >
> > I guess the key words are "rarely necessary or justified". This is a judgement call, not an absolute contraindication. Of the things he listed, only one is a matter of safety - sudden hypertensive events - something to be considered seriously. However, even Parnate by itself is capable of doing this. I can only describe what has worked for me in the past and the combinations I have taken since. Most of the doctors who have experience with such things are now 75-85 years old. My current doctor sort of inherited my treatment regime. I just want to emphasize that the only two tricyclic antidepressants that I would consider adding to MAOI are desipramine and nortriptyline.

> Did your current doctor have anything at all to say about the MAOI + TCA combo you were on?

You know, I don't remember whether he remarked on it or not. Like I said, he inherited my regime from my previous doctors.

The only time my doctor expressed concern was when I asked to be switched from nortriptyline to desipramine. I never asked him why. He allowed me to switch, but his titration schedule was more gradual than I would have liked. My guess is that he was a little spooked by the potency of desipramine as a norepinephrine reuptake inhibitor. He had also been spooked to go over 80 mg/day of Parnate. He had his only patient on high-dosage Parnate report having a headache. I managed to squeeze 100 mg/day out of him. I ultimately had another doctor bring me up to 120 mg/day when I went to see her temporarily for an intranasal ketamine trial. I subsequently discovered by trial and error that 80 mg/day was enough to maintain a therapeutic effect, while 60 mg/day was not.

I can say that for me, desipramine genuinely feels harsher and more energizing than nortiptyline. Be aware, though, that both drugs can produce sedation or somnolence during the first week or so. Unlike amitriptyline, these effects usually disappear entirely. I had this happen with nortriptyline but not with imipramine nor desipramine.


- Scott

 

Re: Parnate shame

Posted by SLS on January 14, 2016, at 5:31:50

In reply to Re: Parnate shame » SLS, posted by Bob on January 13, 2016, at 23:03:01

> So you've come across research about Cymbalta being particularly good for aches and pains (as opposed to other SNRIs)?

Most definitely. I have also heard of this happening many times in real life with Cymbalta, but not with Effexor. Nociception (sense of pain) is, in part, facilitated by norepinephrine and serotonin tracts.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811866/


- Scott

 

Re: Parnate shame

Posted by SLS on January 14, 2016, at 5:45:54

In reply to Re: Parnate shame » SLS, posted by Bob on January 13, 2016, at 23:35:36

> > I've been taking 300 mg/day of desipramine for a few weeks. It feels like I am beginning to respond to it. 250 mg/day was not enough. I felt kind of strange for about a week once I reached 300 mg/day. I toughed it out because it reminded me of how I felt just before remitting using a combination of Parnate 60 mg/day + desipramine 150 mg/day It is interesting that I should need more of both drugs 28 years later. Age? Years of illness? Number of drug exposures?

> I too have had diminishing results and required more robust doses of meds as the years have worn on. Been struggling for about 23 years with this crap and been exposed to countless meds and med combos. Tachyphylaxis has definitely reared its ugly head.

> I forgot to mention that I'm also taking T3 20mcg to augment the nortrip and Abilify. It helped a lot in the first months but now there is less of an effect.

For what it's worth, I have seen robust antidepressant effects produced in others by adding Lamictal to Abilify. Lamictal also goes well with Wellbutin. I believe someone here is having luck taking all three. Lamictal is generally a clean drug once a therapeutic dosage is established. Although some mild cognitive and memory impairments show up early, they more often than not disappear. Only a few people complain of chronic "brain-fog". Lamictal is essential in my case.


- Scott

 

Re: Parnate shame » SLS

Posted by Bob on January 14, 2016, at 13:16:17

In reply to Re: Parnate shame, posted by SLS on January 14, 2016, at 5:45:54


> For what it's worth, I have seen robust antidepressant effects produced in others by adding Lamictal to Abilify. Lamictal also goes well with Wellbutin. I believe someone here is having luck taking all three. Lamictal is generally a clean drug once a therapeutic dosage is established. Although some mild cognitive and memory impairments show up early, they more often than not disappear. Only a few people complain of chronic "brain-fog". Lamictal is essential in my case.
>
>
> - Scott


An interesting idea... I'll have to look into it. Thanks.

 

Re: Parnate shame » SLS

Posted by Bob on January 14, 2016, at 13:56:21

In reply to Re: Parnate shame, posted by SLS on January 14, 2016, at 5:45:54


> For what it's worth, I have seen robust antidepressant effects produced in others by adding Lamictal to Abilify. Lamictal also goes well with Wellbutin.
>
>
> - Scott


Are you aware of any literature supporting this? Not that I doubt you, but just curious to read about it.

Bob


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