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Re: Choosing Parnate or Marplan (or Nardil)

Posted by timidly on October 15, 2003, at 14:05:55

In reply to Re: Choosing Parnate or Marplan (or Nardil) timidly, posted by don_bristol on October 15, 2003, at 2:21:46

> --------QUOTE -------
> Timidly, thank you for your information. I am in the UK and I have just started Nardil for atypical depression and dysthmia.
>
> I have begged and bowed to get my pdoc and my GP to prescribe Ritalin or any other minor stimulant but they are adamant that they can not give me such a thing. The frequent therapeutic use of the sorts of meds are still relatively new in the UK (we are still struggling to recognise things like ADHD). So, sadly, that is not an option for me.
>
> I suspect I will have to change from Nardil. The results I have been getting from Nardil are nothing like as good as you have had.
>
> You may or may not know that we in the UK still have Marplan. I get the feeling it is closer to Nardil than it is to Parnate. QUESTION 1: do you or anyone else here know if that is true as I see my pdoc *tomorrow* and would like to propose a change.
>
> On the other hand, if I get something stimulating then maybe it will be good for me and help to energise me although I suspect will have to medicate myself with sleeping tablets.
>
> QUESTION 2: Do you think that if Nardil did not work well for me (it worked a little although I guess it is early days) then maybe I should go for Parnate as it is supposed to be somewhat different.
>
> BTW we also have Moclobemide which you guys don't. That was a really good med for me although it pooped out after only a few months. Maybe you can import either Marplan or Moclobemide if Parnate is not going to be a good alternative for you.
>
> Thanks to you or anyone else for any info.
> -------- END QUOTE -------

Nardil is the drug of choice when depression is accompanied by things like dysthmia. Stimulants can also aggravate dysthmia. Taking vitamin B complex is very important while taking an MAOI, and may help with some of the symptoms.

You are correct that Marplan and Moclobemide are more like Nardil than Parnate. You are also correct that Parnate is quite different than Nardil. Parnate may help the depression but it is known to aggravate things like dysthmia. Parnate can cause a "too fast" effect like Nardil can cause a "slow down" effect. Parnate is quite energizing with effects similar to minor stimulants. If you do try Parnate you may require additional anti-anxiety and sleep meds.
- Just one man's opinion - Timidly


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