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Re: parnate abstracts - OCD/sad?

Posted by g_g_g_unit on September 17, 2009, at 16:15:20

In reply to Re: parnate abstracts - OCD/sad?, posted by bulldog2 on September 17, 2009, at 11:36:25


>
> I once saw an abstract that cited some docs used 200 mg parnate for trd.
>
> Seriouly your doc's knowledge of parnate is totally inadequate. Some now use 40 mg as the beginning range of being therapeutic for parnate.
> If they prescribe a drug isn't it part of their job to understand the limits of the medicine? Some just read the insert for their reference on a med and that isn't doing enough!

i'm not sure if 30mg is some kind of legal limit in my country; i've seen reference that unless prescribed in a hospital, patients in england are also tiered to a ceiling dose of 30mg.

i looked up the prescribing information on the government's med site here and it says 30mg can "very cautiously" be superseded if there's no blood pressure issues. mine's actually dropped (it was 90/70 or something), which my pdoc was impressed with. i'm gonna see how i respond to 30mg; if there's any kind of improvement in depression, then that might help him raise it. otherwise, i may try find a research psychiatrist at the university or something who will take me above 30mg and also possibly add in a TCA for sleep. i mean, i have quite a defeatist mentality which resigns me to just accepting defeat, but if Parnate shows signs of working, i dont see why i shouldn't be allowed to fully recover.

 

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