Posted by dragonblack on June 29, 2011, at 12:58:20
In reply to Re: Dear Parnation: another 'augment' thread. pls help, posted by desolationrower on June 29, 2011, at 0:20:59
> > > if you are having insomnia, a hypnotic. if you aren't, then MAOR MAOI
> > >
> > > i might try a TCA first before a stimulant, though if is just fatigue, modafinal
> > >
> > > -d/r
> >
> > hey, thanks for your input. I get Parnate through GSK's patient assistance program, so I think going up beyond 60 is likely out of the question, though I'll ask. Just getting my dose increased to 60 was a phenomenal challenge.
>
> ah. I can't think of a way to slow its metaboliztion, unfortunately. I think there was someone here who had good results taking an maoi before bed. i might suggest creatine for mental function when tired as a dirty cheap (buy online bulk powder monohydrate form from somewhere like bulknutrition) and OTC.
>
> might want to change your benzo to alprazolam, i think it is the least sedating.
>
> > From what I've read about augmenting Parnate, it seems like stims are common, TCA's far less so. Just out of curiosity, why would you suggest a TCA first? I don't have insomnia on Parnate, I'm tired most of the time. I don't find it stimulating, either, though I still manage to crash after each dose.
>
> well, less risk of hypertensive reaction, and tcas are more a an 'antidepressant'. usually they are easier to get Rxed with an maoi (or just in general if you aren't 8 yrs old.) you can get them for dirt cheap, i think i pay 8$ a month for my notryptaline.
>
> Bright light (to shut off melatonin production) from the time you wake up is (sort of) free, and might help.
>
> also re: sexual side effects, DA agonists will be hypnotic at lower doses (aka normal doses). though i'm not sure how maoi will change that. da will improve desire and shorten latency, but less help with lack of erection/orgasm which has to to more with 5ht and adrenoceptors.
>
> for me it went away after about a month or so
>
> -d/rHey, thanks for your comments. I'm trying to get off K-pin, as I find it so sedating (substituting lorazepam), but I hadn't thought about asking for Xanax. I'm always worried about asking for anything with any abuse potential at all, as I go to a clinic for people without means or insurance, that also services substance abusers, and I kind of assume that there's a heightened red flagging of such requests that goes on.
Though I've read about TCA's being added to a maoi, I think the usual protocol is to either add the maoi to the TCA or to start them both together at a low dose. I wonder if I would have to wash out on Parnate in order to add a TCA to it, i.e. go right back on it on a low dose along with whatever TCA? I wonder if anyone at the clinic I go to knows anything about this stuff....
I've never heard of using creatine for cognitive purposes. If I can ever get myself lifting again maybe I'll give it another try, if I can handle any more water weight beyond what lithium bestows.
The sexual issues I experience on Parnate have a distinctly serotonergic feel to them, like echoes of what I experienced on ssri's and effexor. I'm still not sure if they rise to the level of deal breaker, though. A more or less basic functionality is there, it's just screwed up in certain respects. Makes me miss Wellbutrin, which I found pretty pro-sexual in some cool ways.
Anyway, thanks for taking the time to post. Take care.
db
poster:dragonblack
thread:989548
URL: http://www.dr-bob.org/babble/20110619/msgs/989771.html