Posted by JadeKelly on January 6, 2009, at 14:28:21
In reply to Re: PARNATE's STAGES: Are they universal? » JadeKelly, posted by SLS on January 6, 2009, at 11:42:49
> > I only took 5mg 1st day with parnate, and same 2nd day, around noon it hit me. Someone said thats not good,
>
> What were this person's reasons for making such a statement? Was he certain? Are his observations universal and repeatable? Are you willing to make a treatment decision based upon this person's perceived level of certainty? I remember when Quitkin et al. concluded that such a response pattern was that of a placebo response. Before he died, Fred Quitkin made a 180° turn and stated that many people who do begin to respond early in the first two weeks of treatment are indeed responding to the drug. He got away from black-and-white thinking on this issue.
>
> > But 10 days? Seems remission started, then stopped.
>
> It may have.
>
> I guess it depends on what you consider to be a remission.
>
> Obviously, there was a short-lived change in the way you felt. For you, my guess is that this reflects a change in the way your brain operated as a result of drug exposure. This is about the most anyone can say. What has your brain been doing since then, hidden within the secrecy of its black box? Who knows what changes will occur if the brain is allowed to continue along its current path? You could attain a long-term remission without having to change your treatment at all.
>
> > I increased ritalin to 10mg for a couple days, nothing.
>
> A gentle reminder:
>
> "I worry that you might ride an emotional roller-coaster by looking at things too microscopically. Don't think in terms of hours and days, but, rather, in terms of weeks and months."
>
> http://www.dr-bob.org/babble/20090104/msgs/872290.html
>
> I guess riding an emotional rollercoaster is not terribly dangerous in and of itself, as long as it doesn't translate into a treatment rollercoaster.
>
>
> > 60mg parnate
> > 3mg klonopin
> > 3days 450 lithium, cut in half day four
> > no ritalin last couple days
> > (afraid to increase)
> > 6mg melatonin
>
> > Maybe increase parnate and ritalin? 70mgP + 15mg Ritalin?
>
> Maybe...
>
>
> - Scott
With all due respect, I'm not one of those placebo types. I know what I felt. I know it ended. I know it was drug related. OK, I see where we're going.Some smart guy, you wouldn't know him, told me once to look at what worked and go from there.
I'll buy that.
He also said when I got to "60mg for 3 weeks, damn."> "What were this person's reasons for making such a statement? Was he certain? Are his observations universal and repeatabable? Are you willing to make a treatment decision based upon this person's perceived level of certainty?"
Actually, no!
So I know I need to either increase Parnate, Ritalin, or both. OR be patient, yuk, and give lithium a chance to work, then Lamictal. OR if those don't work, add tca. OR, if the mood strikes, small dose A/P.
Excuse me while I go scream.
poster:JadeKelly
thread:871976
URL: http://www.dr-bob.org/babble/20090104/msgs/872514.html