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Re: Parnate/Dexedrine/500 sleeping meds, please help

Posted by chubland on August 30, 2007, at 21:58:16

In reply to Parnate/Dexedrine/500 sleeping meds, please help, posted by dopaminerequiem on August 22, 2007, at 21:53:14

First off, any medication changes should be monitored and ultimately made by your doctor. Secondly, if 120 mg parnate has worked well for you, stay with it! There are many people including me who know if you find something that works well stay with it, especially after numerous medicine trials. You just have to find a remedy for your insomnia. This might be finding the right adjunct for sleep, or playing with the times you take the parnate( last dose shouldn't be taken after 1pm generally, effects sleep).
I am taking parnate 30 mg (I've been as high as 90 mg) and it helps me moderatley, also take provigil 200-400 mg. I've taken dexedrine, and ritalin in combo with parnate in the past. This is not an uncommon combo, parnate + stimulant. though technically it is contraindicated but many expert psychs sometimes find the combo helpful. I find they augment antidepressant effect a little, but more so act like a motivator during the day. I like provigil the best cause it makes my head clearer and makes you more sharp, and usually doesn't make you nervous, anxious, jittery. I too experience that slight paranoid, anxoius feeling on too high a dose of stimulants, which can sometimes be counter productive as I get socially anxious and avoidant. Many people have been on MAOIS for life because thats all that works for them. There aren't any longterm risks as far as I know. As for sleeping meds, I think sleeping pills, ambien, and benzos all tend to make depression worse, so I would talk to your doc about something like higher dose neurontin, another potential mood stabilizer/ or anticonvulsant, or maybe seroquel, etc.. These would be less likely to worsen your depression, might help sleep, and actually stabilize your mood for the longterm.

I am not a doctor, just a patient who knows alot about meds from my own experience and a lot of internet research. So anything I've said is not based on real medical experience. Always rely on good doctors and yourself for the best decisions to make, not internet junkies.


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