Psycho-Babble Medication Thread 1105967

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Parnate 30mg update

Posted by Radish on August 30, 2019, at 12:49:00

Here's an update on my parnate trial. I have to try to log my experience so I can relay it to my doctor. Dx includes depression, general anxiety, and social anxiety.

Been on 30 mg for a little over 2 weeks. Before that I was on 20 mg and before that 10 mg for several weeks total.

The first two weeks on 30 followed the same trend I had with each dose introduction. I felt improved on multiple symptoms of depression. Mainly my mood was nice, neutral to even slightly good. My energy and desire to do things increased. This was amazing to me. It was not a high but rather a state of euthymia as best I can imagine it exists. I still experienced negative emotions in reponse to appropriate things. But I felt human. This mood increase in turn lowered my general anxiety slightly and increased my confidence. My social anxiety never really decreased although I felt a greater desire to interact with others which helped a little. That was my first two weeks on 30 mg parnate.

The past few days I have returned to my previous very depressed and anxious state. I wonder if my improvements were from the often discussed amphetamine-like effects experienced initially after parnate dose increases that is not to be confused with its long term milder antidepressant effect.

Because social anxiety is my main mental health issue and probably leads to my depression and anxiety I will talk to my doctor about switching to Nardil or increasing my parnate dose. There's a study that indicated 60mg was better for SA than 30mg.

Side effects for me include
Constant increased heart rate
Occasional insomnia
That's all


Thanks for reading

Radish

 

Re: Parnate 30mg update Radish

Posted by TH on August 30, 2019, at 15:59:19

In reply to Parnate 30mg update, posted by Radish on August 30, 2019, at 12:49:00

I couldn't say if the Amphetamine-like effects are responsible for what you felt, but it sounds pretty close to what I understand the therapeutic effect to be. From what I've been told, I believe that with Parnate it's fairly common to have that pattern of response and then decline, until a high enough dose is reached that the effect stays.

If you has somewhat of a response to Parnate, but need more help with anxiety, trying Nardil does sound like a good idea.

Things sound promising, keep it up!

 

Re: Parnate 30mg update

Posted by rose45 on August 31, 2019, at 18:55:48

In reply to Parnate 30mg update, posted by Radish on August 30, 2019, at 12:49:00

I would stick with parnate for a little longer. the same thing happened to me and it was suggested that I increase to 40 mg, but I never did.....in my experience, a lot has to do with whatever else is happening in your life. Apart from the insomnia, I found parnate much easier to deal with than nardil. YOu put on weight with nardil, whereas parnate has the only disadvantage which is the insomnia. and I found it very hard to increase or decrease the dosag e of nardil but that might be just how my body works. You need to give parnate more time.

 

Re: Parnate 30mg update

Posted by rose45 on September 1, 2019, at 9:07:10

In reply to Re: Parnate 30mg update, posted by rose45 on August 31, 2019, at 18:55:48

I recently augmented parnate with 2.5mg olanzapine, on the advice of a private psychiatrist here in the uk. Just found the following article:

https://www.psychiatrictimes.com/bipolar-disorder/augmentation-atypical-antipsychotics

 

Re: Parnate 30mg update

Posted by Radish on September 2, 2019, at 12:17:46

In reply to Re: Parnate 30mg update, posted by rose45 on September 1, 2019, at 9:07:10

Thank you for the responses. Forgot to mention Im on abilify 2mg/day also and the parnate is giving me some occasional insomnia.


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