Posted by floatingbridge on July 26, 2011, at 6:34:22
In reply to Re: Giving up on Parnate: what's next before ECT?, posted by policebox on July 26, 2011, at 1:32:06
I second police box here. The maoi Parnate can take longer to settle in. To me, the fact you are sleeping on it is excellent. Don't many add a safe stimulant like pro vigil?
This is my opinion, but you are sounding a little desperate. If this is true, it's not the best place to make major drug changes unless it really can't be helped. Why not stick out the parnate a little longer and push that clinic to augment if necessary.
Just my opinion. Best to you DB.
Oh. Did you mention abilify? Why? The clinic suggest it? Not sure it's the best augmenter, though clinics and docs hand it out like it's Halloween and it's a treat. Not knocking it when it works, but it is indicated originally for mood stability.....
> If you have had any positive response to Parnate at all, then I might suggest seeing if you can stick with it while titrating your dosage upward. The 60 mg maximum dosage... I'm not really sure where they got that from. From my readings about Parnate, the therapeutic dosage is something along the lines of 1 mg per 1.5 kg of the patient's weight. For me at 175 lbs, that means I should be taking anything up to around 120 mg as a therapeutic dose (or possibly more).
>
> Parnate is a very safe medication, provided you avoid anything that's contraindicated. Many people on this board have had success with "high" doses of Parnate and even report that many of the adverse side-effects disappear once they get above 60 mg.
>
> Anyway, sorry this was so long. I just wanted to pass that thought along as a suggest for you to consider. I wish you the best.
>
> Shannon
poster:floatingbridge
thread:991723
URL: http://www.dr-bob.org/babble/20110714/msgs/991891.html