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Re: Parnate

Posted by cubbybear on June 3, 2003, at 5:43:38

In reply to Parnate, posted by Questionmark on June 3, 2003, at 3:51:48

> i've been on Parnate for a month now (3 wks at 20mg). So far i am pretty disappointed as i get daily headaches (not hypertensive; er not dangerously so at least), have excessive anxiety (even more) and agitation, bad insomnia, and aggravation of my obsessive compulsive problems-- and my already poor appetite has further diminished. On the plus side, my depression has somewhat decreased, i need less sleep, and my cognitive abilities have improved. But it's still not at all worth it so far. i told my dr i believed i should try Nardil, but he said to wait on the Parnate another month.
> i was on 30mg for a few days but this only aggravated everything-- not good-- so raising the dose is not a good option. So, but, do you think that the effects of Parnate can still improve (after being on a month already), or is it pretty much going to be like this the whole way through? If the latter i'd much rather get on Nardil right away/ asap. Heck i liked Paxil better than this.
> Thanks for input.

I've had lots of positive experience with Parnate. Your case sounds like a tough judgement call, since you're on a low dose and have given it about 3 weeks already. If you've found that you can't tolerate a higher dose, then I would say to give it about 2-3 more weeks. Your doc's recommendation for another month is too long a trial, I think.
On the other hand, side effects almost always disappear by themselves after a while. Are you taking anything else? It might be a good idea to try taking something like Klonopin for the anxiety/agitation and insomnia. That's what I had to do since Parnate can definitely create insomnia. Try to keep your dose of the benzo minimal since eventually you might want to taper off it.

Keep in mind that if you decide you've "had it" with Parnate, you're going to have to wait one or 2 weeks (can't remember which) before you start the Nardil. Maybe other posters who have had problems with Parnate can offer additional advice.
good luck


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URL: http://www.dr-bob.org/babble/20030530/msgs/231019.html