Posted by Ron Hill on May 28, 2009, at 20:32:12
In reply to Parnate Timing Help Please, posted by ColoradoSnowflake on May 28, 2009, at 9:46:17
> Hi! I've been leveled out on Parnate 20mg a.m., 10mg noon for two weeks. I also take 25mg amitriptyline for sleep. I feel a little better but don't think the Parnate has kicked in yet.
Hi Gayle. How many weeks have you been on Parnate? If more than two weeks with little or no improvement, the Prescribing Information document for Parnate says to increase the dosage. See page 11 of the following link:
http://us.gsk.com/products/assets/us_parnate.pdf
> My problem is I'm SO tired all the time.This is a start-up side effect. For me (and others on PB) this start-up side effect subsided as soon as I ramped up to my optimal dosage. I take 80 mg/day.
> My pdoc said to take all the Parnate (30mg) at night. This seems counter-intuitive to me and I'm afraid it will mess up my sleep! It seems maybe I should give it more time as is? What do you think?If I were to take 30 mg of Parnate at bedtime, I would be awake all night. INSOMNIA!!!!!! IMHO, perhaps your p-doc is wrong on this one.
Similar to your current dosing schedule, I take 50 mg first thing in the morning, and 30 mg at about 2 pm.
-- Ron
dx: Bipolar II, with ultra rapid cycling (15 days for one complete cycle), and mild OCPD
600 mg/day Trileptal
200 mg/day Lamictal
500 mg/day Keppra
80 mg/day Parnate
poster:Ron Hill
thread:898086
URL: http://www.dr-bob.org/babble/20090524/msgs/898167.html