Posted by Elizabeth on January 25, 2002, at 1:13:25
In reply to Re: David Burns and Parnate, posted by Lisa01 on January 24, 2002, at 13:14:45
> Burns does say that he will sometimes go to 30 mg. Parnate but very rarely to 40 or more. He emphasized that many respond so well to 10 or 20 that they do not need to go any higher. I was hoping to be one of those people. One thing that is unclear in Burns is how long to give it at 20 mg before determining you need more (my fam. phys. says 2 weeks).
A general rule that I find helpful: your doctor should always overrule what you read in a book!
It is certainly true that you may need to raise the dose (and I doubt that 20 mg/day is a sufficient dose of Parnate for most people; chances are you will need to raise it). I think that you should wait if you're having trouble tolerating it, though -- don't rush it unless your situation is truly urgent. Most side effects will dissipate with time.