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Re: staying awake on parnate

Posted by elanor roosevelt on July 23, 2006, at 10:39:00

In reply to Re: staying awake on parnate, posted by Karen44 on July 23, 2006, at 0:45:58

> > > > Thanks Kim.
> > > > I am making some progress taking 10 mg about every 2 or 3 hours. In the process of increasing to 50mg (with the approval of my doctor).
> > > > I am getting less sleepy but still experience odd fatigue. I work out pretty steadily and what I was doing before the parmate is now more of a challenge than before.
> > > > hanging in there
> > >
> > > Parnate worked fairly well for me with depression, and I am now wishing I had not stopped it. I am now in the process of trying Lamictal. Anyway, I was on 30 mg. of Parnate, all taken in the a.m. and went up to 40 mg. of Parnate all in the a.m. I was sleepy in the p.m. but then would have problems with not being able to sleep at night if any dosage was taken in the p.m. I think I did best in terms fo some compromise between depression and sleepiness at the 30 mg. level. I was not completely free from depresson but did not get so tired during the day. Going off of it has thrown me into a severe depression, and there was nothing to do but wait out the washout period before tryingin something else. My psychiatrist decided we should try Lamictal and 5 mg. of Moban at night. I just started this and am so depressed. This is the downside of an MAOI. If you end up needing to switch, it is a awful going through the washout period and starting something else and waiting to see if it works.
> > >
> > > Karen
> >
> > If im hearing you correctly you are statng that you are /or have switched from Parnate to Lamictal.Well of course my statement doesent overide your docter,however normaly Lamictal in accordance with Parnate fist......
> >
> > Is normaly used in conjunction with it,not instead of it,or as a alternative,but of course its a viable option.However a lot of mood stablizers like Lamictal have been known to go well in combo with parnate.
> >
> > Second,even if it were to be used alone,which again i can see viable,what i dont see is why a washout would be needed,if they can be used safetly togther why would he have you suffer a washout.
> >
> > Sorry if i misunderstood anything,but if i dident,it sounds rather odd to me,as a parnate/lamictal combo is actualy fairly common.
>
> Initially, there was some thought to trying something else other than Lamictal, why the washout period. You are absolutely correct, and this was also discussed at one point--adding Lamictal to the Parnate. I think perhaps this was lost in the shuffle of other issues being discussed. The doctor who prescribes my medications is also my therapist.
>
> Karen

Sorry you are going through the transition blues Karen. When you go off a med and wait for the next. Lamictal seems to be the premier drug this year. I hope it works well for you.

I am not depressed on the Parnate but seem always on the edge of sadness which is odd.


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