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Re: Parnate - Evidence for using high dosages. » uncouth

Posted by JadeKelly on December 28, 2008, at 12:42:41

In reply to Re: Parnate - Evidence for using high dosages., posted by uncouth on December 28, 2008, at 11:36:39

> SPeaking of higher-dose TCP treatment, in the experience of those who have taken TCP at what point (dose or side effect wise) did you notice the social phobia and the stimulatory effects actually come online. Not just talking about sleep disturbance, but I'm considering going off of TCP because while it has really helped my mood, it hasn't done anything for my ADHD -- certainly not as much as even a low (10 or 15mg) dose of Focalin (which is equivalent to a daily dose of 20 - 30mg of Ritalin).
>
> And i know my pdoc won't let me take parnate with a stim.
>
> So much of my misery and depression is due to my incredible feeling of wasting time and not getting things done, so I think once that problem is solved it will be the best "natural" A/D out there for me, so I want to go back on a stim UNLESS TCP can eventually at some dose do that for me.
>
> Any help here? Highest i've been on is 80mg, and even at that dose, even with splitting it into 3 times a day dosing, I get hypertension after each dose, so im a bit scared of going higher.
>
> Thanks so much for your help.
> Uncouth

Hi Uncouth,

That would be a shame if you had to d/c Parnate now. I was on Parnate (generic) for 10 weeks when suddenly, not over days, my social phobia was gone, my depression gone, agoraphobia gone. As for ADD or cognitive symptoms, I can only tell you that I took Ritalin for 12 years for ADD, went from 5mg 3xday, after 12 years ended at 5mg 5xday. I had no w/d but slight fatigue. Its unclear why my cognitive abilities/ADD symptoms are still present to a small degree even after remission. I will tell you that I started 5mg ritalin day before my remission, lunchtime. Felt like a weak cup of coffee. Next day, I was in full remission at lunchtime after taking 30mg Prnate + 5mg Rit. that morn. (I take 30mgP in morn/30mgP lunch/5mgR morn) I have been up and running ever since. Not mania, just normal me.

I was interested in how 5mg Rit could possibly make the difference and after some research found that the MAOI potentiates the ritalin (even that small amt apparently) not the other way around. I'm still a little slow cognitively and physically but I blame that on the months of TR/MDD, lethargy, apathy, laying in bed and so on. Naturally, it will take a little time to get back to normal. It gets a little better every day. I've had several parties, decorated the house for Christmas, had relatives for the Holidays, been to several dinner parties, have no phobia of going out all. I just can't pull up a word or name as fast as I used to, but again, its coming back. I wouldn't trade the way I feel for any ADD med and I was on one for a long time. I only need 1/5 what I was taking before. So, my advise if you want it, would be to find a way to add low dose ritalin (5mg day) and lower your Parnate to 60mg a day. You'll have to use your imagination or find a MAOI savvy Doc, I'm looking for a psychopharmacologist-sp? I read in one of Scott's documents that thats your best shot for long term treatment. Again, I hope you give this a try. I was saying I thought it was "improving my mood", thats not the response. Its sudden and its surpising, at least for me it was.

Good Luck,

~Jade


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poster:JadeKelly thread:871054
URL: http://www.dr-bob.org/babble/20081223/msgs/871163.html