Posted by shasling on January 24, 2009, at 4:16:50
In reply to How to Augment Parnate for social-anx + anhedonia?, posted by AdamCanada2 on January 23, 2009, at 16:40:30
> I take currently 15mg parnate divided 10mg early in day and 5mg later on. I also take Valium 5mg twice a day.
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> I may try 20mg Parnate as I have in the past but at those doses I begin to have a lot of hypotension/dizziness and cloudy mind... not to mention increased insomnia.
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> I notice after 2-3 weeks on 15mg parnate I am starting to sleep better (maybe 6-7 hours) on average instead of 4-6 yet still difficult to initially fall asleep. But also seems the positive effects are a bit diminished for my depression + social anxiety compared to earlier on.
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> What augmentations would people suggest? Please try to offer more than one suggestion as some meds are not available in Canada.
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>Well most people will suggest you wait and see how a increased dose works out as your dose is pretty low and commonly produces short term benifits that dont seem to last very long which is why for most common stay put doses usualy range arange 40-60 mg.
If how for reasons you may have,you are firm in your dose your at now,Klonopin would ge the way to go for all day anxiety,...HOWEVER too add a more social aspect very small doses of xanax through the day with parnate should provide a much more roboust social effect.
You also have many other gaba meds such as low dose Gabapentin,gabitril,and some other gaba meds you can try,only problem there is unlike xanax which would require very small doses to help,most other softer types like gabpentin would require higher doses and Parnate is known and said right on its data sheet to potenatiate other meds,so adding these in sight of better social effect might end up ruining the parnate effects your getting.
In all honesty parnate/xanax would have to your most soical combo as xanax will work with the parnate and you can use very low doses.As far as sexual issues go,all ive ever known parnate to do was increase libido.
Any google with keyword social anxiety network and i think there is a page that recomends meds for social anxiety.
But again a low dose xanax for social ehnancment would be just what you need.Thats of course my opinion.
poster:shasling
thread:875655
URL: http://www.dr-bob.org/babble/20090104/msgs/875739.html