Posted by willyee on May 2, 2007, at 6:57:04
In reply to Re: Ironically, POSITIVE of the fatigue has been ., posted by malcolm64 on May 1, 2007, at 18:33:47
> I'm just curious: where are you getting this information from? B/C my doc has prescribed Parnate for exactly that reason: to reduce social anxiety. As I've said in my previous posts, he thinks that it's a more powerful MAOI than Nardil, which is why we're trying it. Nardil was wonderful, but it slowly stopped working after about four weeks after it kicked in.
Quintal stated the technical reasons perfect,or at least what we can rely on as true in the world of data sheets.Thats the chemical reasoning.
NOW i can contribute what is only a opioniated response,this from the use of the drug,and reading on it for 5 years now.
In theory and likly true depression itself is slaughter on the average persons personality,it steals you of so much,the cymbalta commercial is sly in its marketing for this reason as in there commercial they show the husband quiet at dinner,...the employee shaken at work,and other various images as this.
A strong anit depressant response can for some allow them to access there personality a bit more,sometimes too much,but the AIM i believe is for confideance,which leads to motivation,which leads to possably a smile on your face,maybe a smirk,and likly if someone doesent feel doomed and feels some form of hope then they will approach social situations more strongly,back in a corner less,and come out of a shell more.
The only anaology i can use is...
Parnate acts as if a boxer was scared cold in his corner,when working,the boxer will stand tall with confidence,and possably even motivated to head out to the fight.The fear of even loosing might not bother him,as a sense of high confidence is alive.
Nardil on the other hand will have similiar reactions,but unlike parnate where the urge is usualy to be go go go nardil the fighter might actual not see a reason to fight and instead invite his oppenaent to a beer to chat.
Here you see how both drugs impact a persons social behaviour,i just find parnate unlike nardil on its own will never provide a robust social response to where the need to interact is strong.
Parnate kinda gives u the ability to be ok with being alone,or having little social interaction,just secure in knowing u can if needed.
Nardil seems to give an actual DESIRE for it as well.
Parnate however is stronger and faster,so for people on a last thread it might be a better choice for them,where as later on they can opt to switch to nardil.
Nardil takes more time to settle in,and side effects usualy show before benifit,which require patieance on the person,some people might not be in a spot to deal with this.
So parnate does pack a faster,harder punch.
Nardil less,but more solid when settled in.
As a doc choosing the two,id recomend parnate for the desperate grabbing straws imobile patient.This is to get them from point a to b fast.
For the frustrated fed up patient,id use nardil,letting them know how crucial patiaence is with this med.
In the end,parnate with a gaba agent,or nardil possably with some sort of stimulant as needed would be a choice id have to discuss with the patient as they both come close to the same long term effect.