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Re: My marplan experience » John

Posted by Just a little... on July 9, 2004, at 9:58:19

In reply to My marplan experience, posted by John on October 27, 1999, at 9:49:36

I'm currently on 30 mg's of parnate and 300 mg of lithium carbonate (which will be increased to 600 mg later this week), Overall I'd say I feel good. No problems with weight gain and my sleep is slowly but steadily improving as well.

Be that as it may my Pdoc says he doesn't notice an "adequate" anti depressant effect in me, meaning interest in things, social stuff... etc.
Also my energy is kinda low in the afternoon which seems normal from what I've read.

We have been thinking about adding an amphetamine (even though they are contraindicated) to help me get through the morning and afternoon, but my Pdoc would like me to switch to Marplan first because of it's less severe side effects(?).

He is worried about my hypertension and tachycardia (in normal situations) which supposedly are caused by Parnate... He believes Marplan will not have these side effects in me.

The tachycardia part is indeed very annoying for me, I can't do a proper target heartrate workout because my heart rate already is in it's optimal range... usually in the 110's when I start.

Has anyone experienced tachycardia with Marplan? I really like to exercise and parnate is giving me a hard time.

Thanks and take care everyone =D
Just a little... a.k.a. Falco


> hi,
>
> i've tried nardil (phenelzine), parnate (tranylcypromine) and other psychotropics to treat my social phobia. nardil has been the most efficacious, by far. like you, parnate would not initially let me sleep. i found slowly titrating the dosage upward works well - your body adjusts. also, if you're using a benzodiazepine as adjunctive therapy, then taking that at night will also help. problem for me was that parnate just was not efficacious in minimizing my social phobia.
>
> i've now been on marplan for several weeks. no sleep problems. haven't experienced the weight gain associated with nardil, either. initial dose of 30 mg was not efficacious, so i'm now on 60 mg/day. sexual dysfunction is also not an issue - at least yet.


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