Posted by Annie on June 14, 1999, at 9:34:12
In reply to Re: my latest sleep problem (Dr. Bob et al., help???), posted by Elizabeth on June 14, 1999, at 1:53:37
Elizabeth, I know you are very savvy about psychopharms, but be very careful if you decide to add a TCA to the Parnate. Usually they are either started simultaneously or the MAOI added to the TCA. It is "do-able", but make sure you are even more diligent about monitoring your BP. Everyone reacts differently, but my experience was the combo exacerbated the worst side effects of the TCA and MAOI. The absolute worst for me was the constipation and urinary retention. Horrible. I think you mentioned that you are also taking a beta blocker which should help control any BP problems. Good luck. I hope you start feeling better soon. I'm off to the Pdoc now to discuss starting Marplan when this selegiline patch study ends.
Annie
> Hi Judy.
>
> Nardil does start working again after a couple months if I stop taking it. That's not what I'm scared of. I'm scared of the depression it sent me into. That was truly horrible.
>
> I've increased my lithium dose, and I'm taking buprenorphine to keep my head above water. (Buprenorphine is one of the five or six aces I keep hidden up my sleeve. It has pretty bad side effects, so I just take it "as needed.") If the lithium doesn't help, I'm thinking of trying a tricyclic - their side effects are pretty bad, but buprenorphine's are worse. If that fails, I guess Marplan will be the thing. This is all very scary...I feel like I'm in free-fall.
poster:Annie
thread:7320
URL: http://www.dr-bob.org/babble/19990601/msgs/7362.html