Posted by Seamus on January 10, 2000, at 19:37:32
In reply to Re: Parnate "properties" :), posted by Elizabeth on January 9, 2000, at 20:41:36
>> Also, I agree with Dr. Kupfer at Western Psychiatric that there is no such thing as a maintenance dose of an antidepressant.
>Yeah, I think that is an old idea that has since been discarded. (Some older books I've seen recommend going down to 15mg of Nardil once you've responded!) <<
I agree w/ that "old idea". W/ MAOI's, it's been my experience you have to go "up and over" -- _then_ back down to achieve a steady state of "euthymia."
I also think that there's no such thing as a maintenace dose. From Oct. 1st to Feb 1st, I need to up my Parnate dose else I'm susceptible to the weepies. If you're fond of labels, perhaps you might say I have a SADD syndrome. No matter, what I do works, and keeps me working and loving.
The point is, listen to the patient. Balance the risk/reward ratio. Who knows better about my inner state: me or my doctor?
Seamus
poster:Seamus
thread:17762
URL: http://www.dr-bob.org/babble/20000101/msgs/18606.html