Posted by delna on October 16, 2009, at 13:04:34
In reply to Re: Parnate giving up- Sunbath/ Maxime » delna, posted by Sunbath on October 16, 2009, at 7:20:31
Hi,
Thanks so much for asking. :-)
I am a million times better- and that is because I never took the Parnate yesterday! I actually have energy today - I slept 5 hours last night but have not needed to sleep at all during the day. It makes me positive when I feel like this.But, I know that even though I haven't taken Parnate for 24 hrs +, it has had some effect on my mood which is why today has been ok mood-wise.
However I still have suicidal thoughts so I know I need to get onto an AD really quick. I'm not sure if Parnate is for me. But I still have a few hours to decide if I am going to take today's dose......
But went to see pdoc today (to find out if I should continue and if so what next)with some interesting developments...He said to:
1) Go up to 60mg (up by 10mg every 3 days). Am on 30 now.
2) It will take 6-8 weeks to show an effect and I will probably be sedated till then (at least.) Suicidal feelings will be there till then (my parents were not pleased at this thought since he is going off on some conference in the US and there are no hospitals etc)
3) up the dose of Provigil to 400mg. I explained that this was not the type of sedation that provigil can take care of but he said up it anyway.
4)He tried to get me to add low dose Geodon (which has really worked for me in the past but gave me TD symptoms.) I was so annoyed- I mean, why would I need Parnate if I could have Geodon which solves all problems in one go?! I can't take a drug that gives me Tardive pain!
5) He pathologized me for knowing anything while he was fumbling with his PDR and on google looking up stuff on Parnate. (BTW I found out that he had only treated a handful of people with Parnate because my mum asked him flat out and he said '5' then quickly changed that to '15' since my mother's jaw dropped)
6) The worst was that he is not sure that the Parnate will sort out OCD (which I have a very bad case of- currently in remission but will be back as I just gave up my SSRI.)
He coolly said ' if Parnate doesn't take care of OCD, we will just withdraw you when it comes back!'.
I didn't think that was fair since I am apparently supposed to bear 6-8 weeks of feeling like rot just to be (probably) withdrawn again. Parnate has really limited success in OCD apparently from all the info available. But I have posted a message on the board for people's personal experiences which I think will help me make up my mind..For me, with Parnate the sedation is just too much. I don't think he gets how sleepy I am- I've been sent to sleep clinics before and they said I had idiopathic hypersomnia. That's how I managed to get Provigil in London (where they are also really strict). On top of that is the 'retarded depression' and fatigue. This makes sedation the worst drug side effect for me. I mean, I can put up with alot of side effects but not sedation (though so many people- and u- are saying it will pass)
I guess the hypotension doesn't come if I take 10mg at once. So breaking up the dose will get rid of that as you guys have suggested, if I stay on Parnate.Am so glad you are sleeping better and having more hours of being alert.
I hope things keep improving for you....
Thanks for being so supportive and helpful. It really has helped me.Love D
PS: Here's a (rather negative) article about Parnate and sedation. (I swear, I wasn't looking for bad news- I was just checking on OCD and stumbled on it.)I guess many people have had more positive experiences
http://www.ncbi.nlm.nih.gov/pubmed/3273886?ordinalpos=7&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum
poster:delna
thread:920665
URL: http://www.dr-bob.org/babble/20091012/msgs/921149.html