Posted by malcolm664 on July 11, 2007, at 16:30:33
In reply to Re: Decision about switching from Parnate to Nardi, posted by steel on July 9, 2007, at 8:48:31
> > > In the last month I've been taking Parnate and had some success at first with 10-20mg, followed by going downhill as I increased the dose to 40mg. My fatigue and anxiety actually increased. Now back down to 20mg for the last few days I feel somewhat better. This has often been the pattern for me with other meds before. Should I be satisfied with a partial success or try Nardil? It sounds like Nardil is usually better for anxiety and social anxiety, which sounds appealing to me. I thought Parnate would be better since it's often more stimulating and fatigue and lack of motivation are a major part of my problem. But I haven't had any miracles in that area yet. For those of you who have read these sites often, would you say you've noticed many who have a much better success with Nardil after a partial success with Parnate?
> >
> > Well Parnate and Nardil are both MAOIS and you can expect substantial fatigue even if you switch from one to the other.
> >
> > The good news (at least in my case) is that the fatigue greatly diminishes with time. I've been on both meds since th end of April 2007 (right now I'm on Parnate at 80 mgs) and the tremendous fatigue that I experienced for the first 2 1/2 months has slowly decreased. I still get tired and have to take afternoon naps, but there are many days when I don't. And 2-4 cups of VERY strong coffee throughout the day also helps enormously.
> >
> > And you can also expect serious insomnia, which is still a problem for me, unless I take Lunesta (3 mgs) and Klonopin (50 mgs); since I started taking those meds for sleep, I've only had one sleepless night (and that was b/c I made the mistake of taking 1/4 of my daily dose of Parnate at the same time).
> >
> > Overall, I've felt the Parnate has helped with depression, but less so for social anxiety.
> >
> > Malcolm
>
> parnate actualy DECREASES GABA,in order to get a nardil type of response,parnate needs to be augmented,or it just is not gonna happen.
>
> Best recomendations ive read are a benzo and nuerontion added to parnate.This is the first time anyone on here has suggested adding neurotnin to treat social anxiety, no less. I thought that neurotnin was an antipsychotic med?
Care to elaborate? I'm not discounting what you're saying, but ultimately, I have to convince my doc since he's the only one who can write the scripts.
poster:malcolm664
thread:767860
URL: http://www.dr-bob.org/babble/20070710/msgs/769006.html