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Doing a fast taper OFF Parnate - PLEASE HELP!

Posted by uncouth on January 1, 2009, at 12:03:17

I'm doing a fast taper off parnate (over 1 week from 50mg to 0mg) in anticipation of switching to Pristiq/Ritalin. My pdoc probably won't Rx ritalin with Parnate, and the Parnate, while working somewhat for my depression (got me out of the deep pit), never worked for my self-esteem and GAD like Effexor did. So i'm hoping Pristiq will be cleaner and work better. In some ways I prefer MAOIs, but Parnate never had the stimulation (the ritalin like stimulation) I was hoping it would have.

My question is, the depression has already come back as I've tapered down from 80mg. WHat, if anything, can I add in the next 1-2 weeks that will help me get through the Parnate withdrawal?

I have a few things: lithium (should I up my 300mg dose higher?). Remeron (never used, but have some), Seroquel for sleep (should I up the dose temporarily)? Sam-E? Currently at 800mg/day with no untoward effects, should I double that?

Please help me anyway you can. I'm desperate as the suicidal thoughts came back with a vengence. I know it's med related but i'm suffering, and I know its going to be a few weeks before Pristiq kicks in fully.




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