Posted by dragonblack on July 26, 2011, at 11:06:19
In reply to Re: Giving up on Parnate: what's next before ECT?, posted by g_g_g_unit on July 26, 2011, at 8:14:47
> Are you in Adelaide, Australia? I lived in New Zealand for a while, where the prescribed ceiling dose for Parnate was 30mg, which seemed unusually low in comparison to the US. I was just wondering if the same thing applied here (I'm currently in Melbourne) ..
>
> > 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 option
>
>No, good old U.S. The reason I can't go above 60 is that I get Parnate for free through GSK's Patient Assistance Program. I called to ask if they would fill it if I sent in a prescription for higher than 60, suspecting that they wouldn't. At first I was told the limit was 30, and I thought, oh great, I just alerted them to the fact that I'm already on 60, watch them drop me down (it did take 4 prescriptions and months to get 60 mg filled), then a supervisor said that the strict limit was 60. So, there I go. Beggars can't be choosers.
poster:dragonblack
thread:991723
URL: http://www.dr-bob.org/babble/20110714/msgs/991901.html