Posted by JadeKelly on December 23, 2008, at 11:32:58
In reply to Re: Treatment Resistant (Refractory) Depression, posted by CaptainAmerica1967 on December 18, 2008, at 19:55:23
> Hi,
>
> Sorry to hear you'r not feeling better.
>
> I think dosage is an individual thing. The PI states the normal dose of Parnate is from 20mg-80mg, but I know it can be dosed higher. Dr. Ivan Goldberg, a psychiatrist in the New York City area says that's just an average range and one could go higher. He see severe TRD and has good luck giving an; MAOI+TCA(orpsychostimulant)+Lithium.
>
> If you current psychiatrist isn't willing to work with you (show him some evidence that other psychiatrists use the above combination), fire him and find someone new. If all else fails, order via a mail order pharmacy not requiring a doctor's RX.
>
> A night of sleep deprivation can boost me out of the fatigue and excessive sleepiness I experiencemuch of the time.Hi Captain,
Hope you are still around. Wanted to thank you for your answers to my questions. Its the little things sometimes. For example, you posted that a well known Doc for trd has success with either Parnate + stim + Lithium (or tca I think instead of stim) Well it was a long shot but my GP gave me ritalin (I took it for 12 years for ADD (5mg 3xday) So that day added 1-5mg Ritalin, the timing for remission matched what Scott predicted, and I've been in full remission for I think 4 days maybe? It happened suddenly that day at lunchtime. After 10 "unpleasant" weeks on Parnate, in bed most of the time, I am now myself again. Not Like when first started or little high after each dose. Its just me and I'm grateful for your help. Btw-wondered how 1-5mg ritalin could even make a difference, I found a sit that said the MAOI potentiates the Ritalin. I'm sure you already knew that. I have Lithium, but wont take that unless needed. Thanks again!!
~Jade
poster:JadeKelly
thread:868231
URL: http://www.dr-bob.org/babble/20081223/msgs/870480.html