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Re: How effective is Parnate? » ms. misery

Posted by chemist on April 28, 2005, at 21:10:30

In reply to How effective is Parnate?, posted by ms. misery on April 28, 2005, at 18:43:47

> I currently take dexedrine 10 mg, Strattera 50 mg, Trileptal 150 mg in morning (300mg at night) (B.P-II) Tranxene SD 22.5mg, for mild dissociative fugue and anxiety.
>
> I have read Parnate is both activating and sedating. I have been talking with my nuerologist about this, he refers this topic to my psychiatrist. Discussing over MAOI's is complicated, but if he thinks its not for me, i agree.
>
> Anyways, i just got home from work, im tired, i wanted to ask about this topic.
>
> Bad Day
>
> Catrina
>


hello there, chemist here...parnate is one of the only antidepressants i would consider ingesting ever again (the other being fluvoxamine, and actually labeled for OCD)...as diagnoses have changed over the years, BPI/II was in the picture, and parnate (30 mg/day) and a rather tame dose of clonazepam (0.5 mg b.i.d.) were very satisfactory. parnate was activating yet not overly so, and i was fortunate in that there were not untoward side effects that were above and beyond the ``usual'' transient mild jitters (tempered by the clz.), some increased sweating, and so forth.

your current cocktail sounds like a rollercoaster ride, and if an MAOI is to be considered, you will likely find that the straterra and dexedrine will be lowered if not discontinued. i was treated for a while with trileptal (300 mg b.i.d.), dexedrine (20 - 30 mg day, front-loaded in the a.m.), and diazepam (10 mg qd): this combination did not work for long, as trileptal's real/perceived efficacy for me was not sufficient (i am a hypomanic to manic person in my normal state)....the most successful regimen to date - and this statement is very likely due to my overactive imagination - is dexedrine and alprazolam, and with increased dexedrine (to 40 mg/day if needed), alprazolam need waned from up to 4 mg/day (divided) down to perhaps 1-1.5 mg/day. you might collect some other stories and research the medications you are taking, as there is a not insignificant upwards push countered with one of the benzos used with decreasing frequency, and further, given the amnesia associated with benzos/derivs, i wonder why is it being scripted for dissociative fugue....just my thoughts, and yes, i found parnate to be very effective indeed. all the best, chemist


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