Posted by TapiocaMonk on June 1, 2003, at 22:08:01
In reply to Re: HPA, Atypicals and Opiates?--Cam?? » maryhelen, posted by jemma on June 1, 2003, at 19:25:49
So, is Parnate alone the optimal treatment for atypicals who haven't responded to any of the usual SSRI/TCA meds? What about augmenting Parnate w/another med?
Also, one thing I haven't seen mentioned anywhere is combining Parnate w/a stimulant. I know it is contraindicated, but I am in a medication study now on refractory depression, and if I don't respond to Parnate (doses up to 120mg), they will try augmenting it with dexadrine.
Adding a stimulant (dexadrine, ritalin/concerta) to Parnate (assuming that such a combination is safe), may be an interesting solution to the fatigue and carbo-cravings of Atypical if an MAOI alone can't handle it.
poster:TapiocaMonk
thread:228381
URL: http://www.dr-bob.org/babble/20030530/msgs/230682.html