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Re: MAOI dexedrine » Psydoc

Posted by michael on June 22, 2002, at 4:57:27

In reply to Re: MAOI dexedrine, posted by Psydoc on May 25, 2002, at 12:33:41

> There are many medication "no-nos" which are far from being absolute. While the combination of an MAOI and a stimulant such as Dexedrine is potentially dangerous, the combination has been used by many psychiatrists when treating people with hard-to-treat depressions. Adding large doses of Dexedrine on top of full doses of an MAOI is dangerous, but adding small doses and gradually increasing the dose has provided relief for many people not helped by conventional means.
> Best regards . . .
> Ivan Goldberg
> %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

Dr. Goldberg,

Thank you very much for your above response to my previous question. If you (or anyone else here…) can spare the time, I have some quick follow-up q’s …

[1] What is considered a "full dose" of parnate?

[2] Would the addition of Dexedrine to parnate make sense only if there was at least a partial response to the parnate alone?

In my case, I'm currently taking 60mg Parnate (30mg bid) w/little response... I worked up to 20mg Dexedrine (which has been my usual dose either alone or as an augmenter) on top of the parnate, with no problems. [& no significant difference from dex by itself]

[3] Would increasing the parnate dose (to 80mg? or a "full dose"?) monotherapy (i.e. w/o the Dexedrine) be an advisable/logical next move to discuss w/my pdoc?

Thanks (to all) for any thoughts... michael

[ - my symptoms are primarily fatigue & general malaise (always feel crummy & run-down/wiped out), lack of energy & motivation/initiative, along w/focus & concentration difficulties... all of which also contributes to a less than “bright” mood, as well…

...The Dexedrine is extremely helpful & doesn't keep me from sleeping, but it is very noticeable when it wears off... hoping to find something that will help persistently, w/o the lapses in relief inherent w/dex...]




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