Posted by dragonblack on July 25, 2011, at 14:08:52
In reply to Re: Giving up on Parnate: what's next before ECT?, posted by JONO_IN_ADELAIDE on July 25, 2011, at 0:21:34
> I guess you *could* go to a walkin clinic and get a script for nortriptyline, I'm pretty sure you'd get one fairly easily, it isnt a drug of abuse or anything.
>
> The usual way of taking it with Parnate is to stop the parnate, and wait a week, then start taking Parnate 10mg and Nortriptyline 25mg, and slowly incrase to nortriptyline 100mg per day and Parnate xxxmg/day over a couple of weeks.
>
> I'm nor advising you to do this, or saying it would be wise, just pointing out a slightly dishonest optionI appreciate the idea, and the caveat. I have been trying to do this 'by the book,' for various reasons, and resisting the urge to substitute my own judgment and go ahead with a plan I can't get approved. It's tough to give up on Parnate without exploring some of these other options, though, I would love to avoid a situation where I ended up on a med that I previously discontinued due to failure to properly augment it before giving up. My life situation right now is such that it would be tough and stressful to try to hide what I was really doing, but it is tempting to try something like that. Maybe I'll try asking again and make sure I'm very specific about going through a washout and using a non-serotonergic TCA.
poster:dragonblack
thread:991723
URL: http://www.dr-bob.org/babble/20110714/msgs/991828.html