Posted by Vincent_QC on November 23, 2008, at 9:24:03
In reply to Re: Parnate VS Nardil + Anxiety and social phobia » Vincent_QC, posted by Maxime on November 22, 2008, at 17:24:40
Hi Maxime!
Yeah, i'm from Quebec city. I'm happy to hear that i'm not alone in the same boat and thanks for your answer about the proteine powder!!! I appreciate it a lot!Well, since yesterday, I feel really strange. I do several panic attacks, I feel tired but at the same time I can't sleep...and i'm just at 20 mg of Parnate, I can't imagine being at 110 mg!!!
I see my psychiatrist tomorrow and I think we will give to the Nardil another try, since it's less activating than the Parnate. The hypotension problem appear only at 90 mg/day so I will ask to begin at 45 mg for a couple of weeks and see if we can up the dosage a little bit, maybe 60-75 mg /day...Do you think it will be effective at just only 75 mg???
Did you have a family doctor in Quebec city or a psychiatrist? I don'T know if you know that place, but i'm going to "Roy-Rousseau" hospital, near "Robert-Giffard" hospital in Beauport...i'm going there since more than 1 year, my familly doctor switch me there because he wanted me to get a "CTB therapy for anxious problems" and the one they give there is one of the best...I had to wait more than 8 months before I get a phone call from them and another 4 months before I got an appointment with my psychiatrist.
The first psychiatrist I had back in October 2007 was not very good...He put me on prozac, the only one SSRI I never try before and I had a very bad experience. The first month I was only at 10 mg, it was ok, after he put me on 20 mg and I begin to feel very overstress but after a couple of weeks I was ok...but no improve at all for my social phobia or anxious problem. He increase the dose at 30 mg and I had a teribble reaction and I had to stop everything cold turkey. I think I was becoming crazy on that drug. I don't gain weight on it but it was insane, tired as hell but at the same time very anxious and overstress with a lot of panic attacks. He change my pills for the Zoloft. I take it a couple of years ago but I never had any improve on it. We decide to give it another try. I reach the highest dosage you can have on it and I feel nothing at all, no augmentation of my anxiety and no improve on my social phobia, in fact I was worst than before. I was not able to get out of the house alone and like I say before, I gain a lot of weight on it. So in the spring of 2008, I stop it cold turkey also. After he put me on Effexor- xr...I take it also a couple of years ago. I increase my dose up to 300 mg/day, divided in 1 -75 mg in the morning, 1 at noon, 1 in the middle of the afternoon and one at night...because of my gastric by-pass and the fact it is a XR drug, I think my body never get the chance to absorbe all the drugs...so it why it never work...I also gain weight on it and I also increase a lot my anxiolytic intake at the same time...too much activating for me and no improve at all after 2 months...
So I ended up at the hospital in the middle of July, I was totally addicted to Xanax pills. I had to take more than 8 mg a day of it, it's the double maximum dosage recommended. I think I reach the 12 mg/day at the end and I blend it often with "Clonazepam" also...since I had 2 bottles of them that I never use because I was switch from Clonazepam to Diazepam back in the summer of 2007...and I keep the Clonazepam pills just in case... At the hospital it was a total mess, I was at the psychiatrict departement at "L'enfant-Jesus" hospital...I wait there 3 days to be transfert to "Roy-Rousseau" hospital...All of this juste to make a drug rehabilitation with medical supervision...After 3 days, I sign a paper to leave the hospital, It was too much for me, being in the same room than others people who talked alone and things like that...it was one of the worst moment I live in my life...So I do my own drug reduction at home. I return to see my family doctor, he put me back on Valium, and I return to a normal intake of it alone, from 12 mg of Xanax to 20 mg of valium. It take 2 months to recover from it...I was not able to talk, I had a lot of muscle spams, I was totally lost, always very anxious to the point I was doing panic attacks 4 -5 times a day. But I reach my goal alone...It was hard but I do it.
The psychiatrist decide to try the "Cipralex" after...it was at the end of august. I was on 20mg for more than 2 months, I had a lot of side effects, migraine, a lot tired, always in the foog, another time no improve at all, just bad side effects and another weight gain. He add the Ritalin for more energy and less appetite...but It was not a good idea and not very effective also...He add Wellbutrin on that also and it was not effective at all...so I stop it cold turkey at the end of october...Note that this psychiatrist never prescribe a MAOI...he was against them in fact...telling me that if it was a new drug, it will never pass all the FDA or the Helth Canada exams...because it was too much dangerous...
My psychiatrist quit his job so I had an appointment last week with a new one... And thanks god , he seem to be very open minded with the old drugs like Nardil or Parnate...He said that he have a lot of patients on them. So i'm happy about that...He is also not very fast on the prescription paper...so he never increase the dosage fast. He like it when it's slow and I like it also...
So that's my complete story, at least the last year...
Tomorrow morning, I will ask him to change for the Nardil again, since it seem to be more good for social phobia, even if the new formulation is less effective than the old one... Last time I don't have the time to see all the benefict effects of the Nardil because I had too much hypotension, but like my new psychiatrist say, probably it was just because I increase my dosage too fast...He said that if I was put back on 75 mg or 60 mg , the hypotension problem will have probably diseapear....He say that with MAOI, it's a slow process...I think it's a best idea to take my time, do my therapy that begin this week also, and see what happen. I prefer to have to wait 3 months before I see some improvements than to drop out another time the drug because I just want to recover more fast!!! I have to learn my lesson now and accept the fact that It will take time...
At the same time, I don't want to stay in the same position for another year...I was leaving in Mtl between 2005 and 2007 for the school, I do 2 years at the UQAM university and I want to finish the last one... I had to return in Quebec city because at the end I was not able to going out of my appartement or to go to my class...
Well I write too much bla bla for nothing...
poster:Vincent_QC
thread:864607
URL: http://www.dr-bob.org/babble/20081123/msgs/864837.html